Transition from paediatric to adult care in young people with diabetes; A structured programme from a regional diabetes service, Auckland, New Zealand
Authors' conclusion
In adolescents with diabetes, a formal transition from a paediatric service was associated with high rates of adult capture and subsequent retention in adult care over a 5-year follow-up period. Low socio-economic status, Māori or Pacific ethnicity and T2D were associated with reduced participation in the structured transition programme.
Study context
- Population
- Adolescents aged <16 years with T1D or T2D, regional cohort, Auckland, New Zealand (2006–2016), to be transferred to adult careto be transferred to adult care
- Participants
- Five hundrend and twelve adolescents
- Exposure
- Participation in a structured transition programme, by diabetes type, ethnicity and socio-economic status
- T1Dn = 476
- T2Dn = 36
- Outcome
- Participation, defined as opting into a structured transition programme
Methodological detailsregional cohort
- Regional cohort
Main finding
As reported in the abstract
Participation in structured transition programme
- Overall participation rate
- 83%
Observational data: associations, not effects.
Further findings
| Outcome | Values | P value |
|---|---|---|
| Participation by ethnicity (T1D)Māori vs New Zealand Europeans · lower in Māori | Māori 74% · Pacific 77% · New Zealand Europeans 88% | P = 0.020 |
| Participation by ethnicity (T1D)Pacific vs New Zealand Europeans · lower in Pacific | P = 0.039 | |
| Participation by socio-economic statusLower socio-economic status vs Higher socio-economic status | Lower socio-economic status 77% · Higher socio-economic status 90% | P = 0.002 |
| Capture (attended ≥1 adult service clinic), T1DParticipated vs Did not participate | Participated 96% · Did not participate 78% | P < 0.001 |
| Retention in adult clinics, T1D · 5 years of follow-upParticipated vs Did not participate | Participated 78% · Did not participate 63% | P = 0.036 |
- Capture (attended ≥1 adult service clinic), T1D — Participants attending adult clinic within planned 3 months
- 42%
- Capture (attended ≥1 adult service clinic), T1D — Participants attending adult clinic at 6 months
- 87%
- Capture (attended ≥1 adult service clinic), T1D: Non-participants with T1D: n = 68
Original publication
Transition from paediatric to adult care in young people with diabetes; A structured programme from a regional diabetes service, Auckland, New Zealand. Diabet Med. Published 25 November 2022. doi:10.
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