Resultados de un programa específico y estructurado en la transición de pacientes jóvenes con diabetes tipo 1 desde pediatría a un hospital de adultos. La experiencia de una década

The transition of adolescents with type 1 diabetes should be organized such that loss of follow‐up and deterioration of patients’ metabolic control are minimized.ObjectiveOur study aimed to ascertain whether socioeconomic status is featured in the characteristics of adolescents with type 1 diabetes in transition programs and their inclusion in transition programs.Research Design and MethodsA systematic review of the literature was performed according to PRISMA recommendations. All articles published between 2010 and 2023 were considered. Studies that described a transition program for adolescents or young adults with T1DM were included.ResultsAfter screening, 18 studies were included. Different transition programs were proposed (exchanges between professionals, coordinators, and transition clinics). Nine articles described socio‐economic factors. The educational level was the most frequently reported. Only three studies evaluated the impact of one parameter on transition success: a lower education level was associated with more hospital visits for hyperglycemia, and the other did not report any socioeconomic factor associated with clinic attendance.ConclusionsThe socioeconomic status of type 1 diabetes is poorly described in transition programs, and the few that do make mention of it, offer little information about patient management.

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The Journey to Adulthood: A Systematic Review of Interventions in Type 1 Diabetes Paediatric to Adult Transition Care

Aljohani,

Donetto,

Due-Christensen

et al. 2024

Pediatric Diabetes

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Young people with type 1 diabetes mellitus (T1DM) transition from paediatric to adult services when they reach late adolescence. This can be a risky period for young people, and it has been associated with a deterioration in glycaemic control and disengagement from diabetes services. This review aimed to identify current interventions addressing the following questions: What adolescents with T1DM healthcare transition interventions have been evaluated? What are the underlying theories and components of these interventions? What outcomes have been considered in these evaluations? Databases, trial registries and other sources were searched using the population and intervention keywords. Studies were included if they explicitly reported a transition intervention targeting young people aged 10–25 years. Studies were critically apprised, and data were extracted. Both tabular and narrative data synthesis were used. The review included 22 studies. Most interventions were service‐oriented, with little use of theory. The interventions included transition planning, service coordination, pre‐transition education, transition clinics, prompting strategies and other less frequent components. Most studies reported metabolic outcomes, with limited data on psychological outcomes such as diabetes adaptation, acceptance and self‐management activation. It is inconsistent how each outcome was defined, measured or reported. Consequently, effective theory‐based interventional transition models are yet to be identified.

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Resultados de un programa específico y estructurado en la transición de pacientes jóvenes con diabetes tipo 1 desde pediatría a un hospital de adultos. La experiencia de una década

Cited by 4 publications

References 24 publications

Educación terapéutica enfermera sobre el control glucémico y bienestar emocional en adolescentes con diabetes mellitus de tipo 1 durante la transición hospitalaria

Educación terapéutica enfermera sobre el control glucémico y bienestar emocional en adolescentes con diabetes mellitus de tipo 1 durante la transición hospitalaria

Lack of consideration of socioeconomic factors in transition programme of adolescents with type 1 diabetes: A systematic review

The Journey to Adulthood: A Systematic Review of Interventions in Type 1 Diabetes Paediatric to Adult Transition Care

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