Condition‐related predictors of successful transition from paediatric to adult care among adolescents with Type 1 diabetes

Mistry, Bhavik; Blyderveen, Sherry Van; Punthakee, Zubin; Grant, Christina

doi:10.1111/dme.12746

Cited by 32 publications

(29 citation statements)

References 28 publications

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“…Evidence points to a more successful transfer of care during the transition-age in patients using technology for insulin delivery and glucose monitoring (insulin pumps and CGM). [47][48][49] Larger randomized controlled trials are still needed to define patients that would most benefit from intervention, potential risks in relying on and promoting technology, and barriers to care needing to be addressed. 2.…”

Section: Discussionmentioning

confidence: 99%

Technology Use in Transition-Age Patients With Type 1 Diabetes

Los

Ulrich

Guttmann‐Bauman

2016

J Diabetes Sci Technol

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Youth with chronic illnesses have the greatest risk for a decline in their health management during transition-age. Because of this demonstrated and well-known issue, research has focused on how to improve the transition of care process. Despite the increasing number of technological devices on the market and the advances in telemedicine modalities available to patients with type 1 diabetes (T1D), the utilization of technology is still suboptimal among patients of transition-age (ages 13-25). This article reviews the available resources, patterns of use in transition-age youth, and explores opportunities to advance technology use in transitioning patients with T1D from pediatric to adult care.

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Section: Discussionmentioning

confidence: 99%

Technology Use in Transition-Age Patients With Type 1 Diabetes

Los

Ulrich

Guttmann‐Bauman

2016

J Diabetes Sci Technol

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“…However, there is growing evidence for the impact of structured and guided transition programs . Predictors for a successful transition were more intensified insulin treatment, better metabolic control, more visits in the pediatric department before transfer and more focus on the transition process . Especially, adolescents with poor metabolic control and a history of severe hypoglycemia have a higher mortality risk in early adulthood .…”

Section: Introductionmentioning

confidence: 99%

Transition to adult diabetes care in Germany-High risk for acute complications and declining metabolic control during the transition phase

et al. 2018

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“…9 Although these studies found positive short-term health outcomes (better glycosylated haemoglobin (Hb1Ac) levels and less short-term complications) and follow-up rates, there is currently no evidence for (long-term) outcomes of TCs with regard to health outcomes, healthcare use, self-management and psychosocial functioning of young adults. Moreover, recent studies of TCs in other diagnostic groups did not include a controlled pre-post outcome evaluation, [19][20][21][22][23][24][25][26][27][28][29][30] and as such could not provide sound evidence on outcomes of TCs. In general, there is inconclusive evidence considering the effectiveness of transitional care.…”

Section: Introductionmentioning

confidence: 99%

Evaluating outpatient transition clinics: a mixed-methods study protocol

et al. 2016

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IntroductionTo support young people in their transition to adulthood and transfer to adult care, a number of interventions have been developed. One particularly important intervention is the transition clinic (TC), where paediatric and adult providers collaborate. TCs are often advocated as best practices in transition care for young people with chronic conditions, but little is known about TC models and effects. The proposed study aims to gain insight into the added value of a TC compared with usual care (without a TC).Methods and analysisWe propose a mixed-methods study with a retrospective controlled design consisting of semistructured interviews among healthcare professionals, observations of consultations with young people, chart reviews of young people transferred 2–4 years prior to data collection and questionnaires among the young people included in the chart reviews. Qualitative data will be analysed through thematic analysis and results will provide insights into structures and daily routines of TCs, and experienced barriers and facilitators in transitional care. Quantitatively, within-group differences on clinical outcomes and healthcare use will be studied over the four measurement moments. Subsequently, comparisons will be made between intervention and control groups on all outcomes at all measurement moments. Primary outcomes are ‘no-show after transfer’ (process outcome) and ‘experiences and satisfaction with the transfer’ (patient-reported outcome). Secondary outcomes consider clinical outcomes, healthcare usage, self-management outcomes and perceived quality of care.EthicsThe Medical Ethical Committee of the Erasmus Medical Centre approved the study protocol (MEC-2014-246).DisseminationStudy results will be disseminated through peer-reviewed journals and conferences. The study started in September 2014 and will continue until December 2016. The same study design will be used in a national study in 20 diabetes settings (2016–2018).

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Condition‐related predictors of successful transition from paediatric to adult care among adolescents with Type 1 diabetes

Abstract: Several factors easily ascertained at a clinical encounter before transition can predict the likelihood of attendance in adult care, including age at diagnosis, mode of insulin administration, frequency of physician visits, and questions asked by patients during a transition visit.

Cited by 32 publications

References 28 publications

Technology Use in Transition-Age Patients With Type 1 Diabetes

Technology Use in Transition-Age Patients With Type 1 Diabetes

Transition to adult diabetes care in Germany-High risk for acute complications and declining metabolic control during the transition phase

Evaluating outpatient transition clinics: a mixed-methods study protocol

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