Transient Neonatal Diabetes Mellitus: A Challenge and Opportunity for Specialized Nursing Care

Zammit, Martha Anne; Agius, Stefanie Marie; Calleja‐Agius, Jean

doi:10.1891/0730-0832.36.4.196

Cited by 2 publications

(1 citation statement)

References 69 publications

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“…Overall, the prevalence of monogenic diabetes is 1-3% [7][8][9]. MODY represents the vast majority of cases, while the prevalence of permanent neonatal diabetes is 1:250,000 and the prevalence of transient neonatal diabetes 1:450,000 [10,11].…”

Section: Monogenic Diabetesmentioning

confidence: 99%

Economics of Genetic Testing for Diabetes

Naylor

2019

Curr Diab Rep

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Purpose of Review-Monogenic diabetes is an uncommon but important form of diabetes, with the most common causes benefitting from management that accounts for the genetic mutation. This often results in decreased costs and treatment burden for affected individuals. Misdiagnosis as type 1 and type 2 diabetes is common. Given the significant burden of diabetes costs to the healthcare system, it is important to assess the economic impact of incorporating genetic testing for monogenic diabetes into clinical care through formal cost-effectiveness analyses (CEAs). This article briefly summarizes the barriers to timely monogenic diabetes diagnosis and then summarizes findings from CEAs on genetic testing for monogenic diabetes.Recent Findings-CEAs have shown that routine genetic testing of all patients with a clinical diagnosis of type 1 diabetes can be cost-saving when applied to the scenarios of neonatal diabetes or in a pediatric population. Routine screening has not been shown to be cost-effective in adult populations. However, next-generation sequencing strategies and applying biomarkers to identify and limit genetic testing to people most likely to have monogenic diabetes are promising ways to make testing strategies cost-effective.Summary-CEAs have shown that genetic testing for monogenic diabetes diagnosis can be costeffective or cost-saving and should guide insurers to consider broader coverage of these tests, which would lead to accurate and timely diagnosis and impact treatment and clinical outcomes.

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Section: Monogenic Diabetesmentioning

confidence: 99%

Economics of Genetic Testing for Diabetes

Naylor

2019

Curr Diab Rep

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Abandonment at the Transition from Hospital to Home: Family Caregivers’ Experiences

Nasrabadi

Mardanian-Dehkordi

Taleghani

2021

Ethiop J Health Sci

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BACKGROUND፡ People with concurrent chronic conditions face different situations that lead to frequent transferring between the hospital and home. Despite the use of different strategies for improving transitional care, these transferring is associated with different challenges. This article aims to explore family caregivers’ experiences of transitional care in diabetes with concurrent chronic conditions.METHODS: This descriptive explorative study was done at university hospitals in two big cities (Isfahan and Tehran) of Iran. The data collection was conducted from November 2018 to February 2020 using deep, semi-structured, and face-to-face interviews which are focused on family caregivers’ experiences of transitional care. The researchers continued the sampling until the data saturation. Finally, 15 family caregivers were selected through purposive sampling. Data collection and data analysis were performed concurrently. Data were analyzed through the conventional content analysis method.RESULTS: Two main themes were identified: unsafe transition (unplanned discharge, inappropriate communication, lack of patient center care, and unavailable healthcare team) and erosive effort (financial burden, psychological stress, physical exhaustion, and lack of supportive sources).CONCLUSION: The findings point to the importance of designing a discharge plan and preparing family caregivers before being discharged by healthcare providers. It appears to be essential for health managers and policymakers to pay attention to safe transitional care planning. The establishment oftransitional care centers will help to ensure continuity of care. Future research focusing on the design and implementation of an appropriate transitional care model is recommended.

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Transient Neonatal Diabetes Mellitus: A Challenge and Opportunity for Specialized Nursing Care

Cited by 2 publications

References 69 publications

Economics of Genetic Testing for Diabetes

Economics of Genetic Testing for Diabetes

Abandonment at the Transition from Hospital to Home: Family Caregivers’ Experiences

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