Ashley Shoemaker1, Peiyao Cheng2, Robin L Gal2, Craig Kollman2, William V Tamborlane3, Georgeanna J Klingensmith4, Mark A Clements5, Tamara S Hannon6, Rubina Heptulla7, Joane Less8, Jamie Wood9. 1. Vanderbilt University School of Medicine, Nashville, Tennessee, USA. 2. Jaeb Center for Health Research, Tampa, Florida, USA. 3. Department of Pediatric Endocrinology, Yale University, New Haven, Connecticut, USA. 4. Barbara Davis Center for Childhood Diabetes, Department of Pediatrics, University of Colorado, Aurora, Colorado, USA. 5. Children's Mercy Kansas City, Kansas City, Missouri, USA. 6. Indiana University School of Medicine, Indianapolis, Indiana, USA. 7. Albert Einstein College of Medicine, Bronx, New York, USA. 8. University of Oklahoma College of Medicine, Oklahoma City, Oklahoma, USA. 9. University Hospital Cleveland Medical Center, Cleveland, Ohio, USA.
Abstract
BACKGROUND/AIMS: Youth with type 2 diabetes (T2D) have poor compliance with medical care. This study aimed to determine which demographic and clinical factors differ between youth with T2D who receive care in a pediatric diabetes center versus youth lost to follow-up for >18 months. METHODS: Data were analyzed from 496 subjects in the Pe-diatric Diabetes Consortium registry. Enrollment variables were selected a priori and analyzed with univariable and multivariable logistic regression models. RESULTS: After a median of 1.3 years from enrollment, 55% of patients were lost to follow-up. The final model included age, race/ethnicity, parent education, and estimated distance to study site. The odds ratio (99% confidence interval) of loss to follow-up was 2.87 (1.34, 6.16) for those aged 15 to <18 years versus those aged 10 to <13 years and 6.57 (2.67, 16.15) for those aged ≥18 years versus those aged 10 to <13 years. Among patients living more than 50 miles from the clinic, the odds ra tio of loss to follow-up was 3.11 (1.14, 8.49) versus those living within 5 miles of the site. CONCLUSION: Older adolescents with T2D are more likely to be lost to follow-up, but other socioeconomic factors were not significant predictors of clinic follow-up.
BACKGROUND/AIMS: Youth with type 2 diabetes (T2D) have poor compliance with medical care. This study aimed to determine which demographic and clinical factors differ between youth with T2D who receive care in a pediatric diabetes center versus youth lost to follow-up for >18 months. METHODS: Data were analyzed from 496 subjects in the Pe-diatric Diabetes Consortium registry. Enrollment variables were selected a priori and analyzed with univariable and multivariable logistic regression models. RESULTS: After a median of 1.3 years from enrollment, 55% of patients were lost to follow-up. The final model included age, race/ethnicity, parent education, and estimated distance to study site. The odds ratio (99% confidence interval) of loss to follow-up was 2.87 (1.34, 6.16) for those aged 15 to <18 years versus those aged 10 to <13 years and 6.57 (2.67, 16.15) for those aged ≥18 years versus those aged 10 to <13 years. Among patients living more than 50 miles from the clinic, the odds ra tio of loss to follow-up was 3.11 (1.14, 8.49) versus those living within 5 miles of the site. CONCLUSION: Older adolescents with T2D are more likely to be lost to follow-up, but other socioeconomic factors were not significant predictors of clinic follow-up.
Authors: Banafsheh Sharif-Askary; Peter G Bittar; Alfredo E Farjat; Beiyu Liu; Joao Ricardo Nickenig Vissoci; Alexander C Allori Journal: Plast Reconstr Surg Glob Open Date: 2018-09-14