Early Referral of Children with IDDM to a Specialized Program Correlates With Better Long-Term Metabolic Control

MacDonald, Michael J.; Kerouz, Nada; El-Hayek, Roque; Langhough, Rebecca

doi:10.2337/diacare.16.9.1310

Cited by 2 publications

(3 citation statements)

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“…There was a significant association with re‐hospitalization for the type of facility at initial ascertainment, but not for the past year's source of care. This observation corresponds to reports from other investigators that the initial source of diabetes care and education is an important predictor of subsequent clinical outcomes (21). Of particular interest is the current observation that having publicly funded or no health insurance was related to re‐hospitalization, independent of type of health‐care facility.…”

Section: Discussionsupporting

confidence: 90%

Re-hospitalization after diagnosis of diabetes varies by gender and socioeconomic status in urban African-American and Latino young people

Lipton¹,

Zierold²,

Drum³

et al. 2002

Pediatric Diabetes

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About 60% of respondents were re-hospitalized at least once for diabetes-related reasons (n = 128). Half of those questioned had Medicaid or no health insurance at all; 23% fit criteria for a non-autoimmune, type 2 diabetic phenotype. Those who avoided re-hospitalization were more likely to have been seen initially at a tertiary care facility, to have private health insurance, and to be males. They had, on average, 2 yr shorter duration of diabetes at the time of interview. Risk for re-hospitalization was not associated with age at diagnosis, ethnicity, diabetic phenotype, or source of care during the past year. In multivariate analysis, predictors of re-hospitalization were gender [odds ratio (OR) 1.98 for females vs. males (95% confidence interval (CI) = 1.05-3.72)], duration of diabetes [OR = 1.46 per yr (95% CI = 1.36-1.57)], initial ascertainment at a community hospital [OR = 5.44 vs. tertiary care facility (95% CI = 2.61-11.29)] and having Medicaid or no insurance [OR = 2.73 (95% CI = 1.42-5.24)], compared with those with another type of health insurance. There is a high risk of re-hospitalization after the initial diagnosis of diabetes among insulin-treated minority children, particularly the uninsured and those on Medicaid, in part related to duration of disease and where the initial treatment occurred.

show abstract

Section: Discussionsupporting

confidence: 90%

Re-hospitalization after diagnosis of diabetes varies by gender and socioeconomic status in urban African-American and Latino young people

Lipton¹,

Zierold²,

Drum³

et al. 2002

Pediatric Diabetes

View full text Add to dashboard Cite

show abstract

“…2000). Several other studies that did not adjust for confounding showed similar results (MacDonald et al . 1993; Leinung et al .…”

Section: Discussionsupporting

confidence: 64%

“…Another study found that a group of patients with type 1 diabetes who received specialist care had lower A1c levels than another group, half of whom received only primary care, adjusting for age, sex and diabetes duration (Tabák et al 2000). Several other studies that did not adjust for confounding showed similar results (MacDonald et al 1993;Leinung et al 2000;Ziemer et al 2000).…”

Section: Discussionmentioning

confidence: 89%

Diabetic patients with prior specialist care have better glycaemic control than those with prior primary care

Shah

Hux

Laupacis

et al. 2005

Evaluation Clinical Practice

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Early Referral of Children with IDDM to a Specialized Program Correlates With Better Long-Term Metabolic Control

Cited by 2 publications

References 0 publications

Re-hospitalization after diagnosis of diabetes varies by gender and socioeconomic status in urban African-American and Latino young people

Re-hospitalization after diagnosis of diabetes varies by gender and socioeconomic status in urban African-American and Latino young people

Diabetic patients with prior specialist care have better glycaemic control than those with prior primary care

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