Evidence map›Paper›PMID 23530167›Full record

ArticlePediatrics2013

Transition from pediatric to adult care for youth diagnosed with type 1 diabetes in adolescence.

Debra S Lotstein, Michael Seid, Georgeanna Klingensmith, Doug Case, Jean M Lawrence, Catherine Pihoker, Dana Dabelea, Elizabeth J Mayer-Davis, Lisa K Gilliam, Sarah Corathers and 6 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03147274 (Evaluation of a Group Curriculum to Improve Self-Management Adherence and Transition Readiness in Older Teens With Type 1 Diabetes), which is not on this map. Cited by 152 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
152citing papers in PubMed, 7 pooled it
50.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03147274 nacompletednot on this mapstarted 2017, after this paper: background citation

Evaluation of a Group Curriculum to Improve Self-Management Adherence and Transition Readiness in Older Teens With Type 1 Diabetes

TypeinterventionalSponsorBoston Children's HospitalRan2017 to 2019Enrolled40ConditionsType 1 Diabetes MellitusArmsIntervention
3 · Its place in the literature

Who cites it

152 citing papers in PubMed, 7 syntheses or guidelines pooled it, 308 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  8. Trial
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  10. Review
  11. Article
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  14. Article
  15. Type 1 Diabetes Mellitus and Transfer from Pediatric to Adult Care: A Single-Center ExperienceJournal of clinical research in pediatric endocrinology · 2026
    Article
  16. Observational
  17. Article
  18. Review
  19. Article
  20. Article

92 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 11 institutions in 2 countries.

Debra S LotsteinDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Box 951752, 22-464 MDCC, Los Angeles, CA 90095-1752, USA. dlotstein@mednet.ucla.edu
Michael Seid
Georgeanna Klingensmith
Doug Case
Jean M Lawrence
Catherine Pihoker
Dana Dabelea
Elizabeth J Mayer-Davis
Lisa K Gilliam
Sarah Corathers
Giuseppina Imperatore
Lawrence Dolan
Andrea Anderson
Ronny A Bell
Beth Waitzfelder
SEARCH for Diabetes in Youth Study Group
Cincinnati Children's Hospital Medical Center · USKaiser Permanente · USStatistical Service · CYColorado School of Public Health · USNational Center for Chronic Disease Prevention and Health Promotion · USPediatrics and Genetics · USUniversity of California, Los Angeles · USUniversity of Colorado Denver · USUniversity of North Carolina at Chapel Hill · USUniversity of Washington · USWake Forest University · US

Funding

ZIPRASIDONE IN NORMAL HEPATIC FUNCTION SUBJECTS &IN HEPATIC DYSFUCTIN SUBJECTSM01RR000037 · NCRR · UNIVERSITY OF WASHINGTON · PI GIBSON, RONALD L · 1985 to 2007
$33.8M
ZORVIRAX ORAL SUSPENSION FOR SEVERE CHILDHOOD HERPES VIRUS INFECTIONSM01RR000069 · NCRR · UNIVERSITY OF COLORADO DENVER · PI KRUGMAN, RICHARD D. · 1985 to 2008
$22.1M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR026314 · NCRR · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2009 to 2011
$14.3M
UCHSC DIABETES ENDOCRINOLOGY RESEARCH CENTERP30DK057516 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI HUTTON, JOHN C · 2000 to 2010
$14.0M
SOUTH CAROLINA CLINICAL & TRANSLATIONAL RESEARCH INSTITUTE (SCTR)UL1RR029882 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2009 to 2011
$10.1M
SEARCH for Diabetes in Youth Coordinating CenterU01DP000250 · DP · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BELL, RONNY A · 2005 to 2009
$4.8M
SEARCH For Diabetes in Youth, Phase 3: Cohort Study-Carolina CenterU18DP002708 · DP · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MAYER-DAVIS, ELIZABETH J · 2010 to 2014
$3.6M
SEARCH for Diabetes in Youth 2: Colorado CenterU01DP000247 · DP · UNIVERSITY OF COLORADO DENVER · PI DABELEA, DANA · 2005 to 2009
$3.6M
SEARCH for Diabetes in Youth 2: South Carolina CenterU01DP000254 · DP · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MAYER-DAVIS, ELIZABETH J · 2005 to 2009
$3.5M
SEARCH for Diabetes in Youth 3: Washington Site, Part BU18DP002710 · DP · SEATTLE CHILDREN'S HOSPITAL · PI PIHOKER, CATHERINE · 2010 to 2014
$3.2M
SEARCH 3 Cohort Study to Assess Incidence of Acute and Chronic Diabetes-related CU18DP002709 · DP · CINCINNATI CHILDRENS HOSP MED CTR · PI DOLAN, LAWRENCE M · 2010 to 2014
$3.2M
SEARCH for Diabetes in Youth, Phase 3: Cohort Study - California CenterU18DP002714 · DP · KAISER FOUNDATION RESEARCH INSTITUTE · PI LAWRENCE, JEAN MARIE · 2010 to 2014
$3.1M
HSRD VA HIR 10-001Intramural CDC HHS CC999999Intramural NIH HHSNCCDPHP CDC HHS 1U18DP002709NCCDPHP CDC HHS PA DP-05-069NCCDPHP CDC HHS PA DP-10-001NCCDPHP CDC HHS U01 DP000244NCCDPHP CDC HHS U01 DP000245NCCDPHP CDC HHS U01 DP000246NCCDPHP CDC HHS U01 DP000247NCCDPHP CDC HHS U01DP000247NCCDPHP CDC HHS U01 DP000248NCCDPHP CDC HHS U01 DP000250NCCDPHP CDC HHS U01 DP000254NCCDPHP CDC HHS U18DP000247-06A1NCCDPHP CDC HHS U18 DP002708NCCDPHP CDC HHS U18DP002708-01NCCDPHP CDC HHS U18 DP002709NCCDPHP CDC HHS U18 DP002710NCCDPHP CDC HHS U18DP002710-01NCCDPHP CDC HHS U18 DP002714NCCDPHP CDC HHS U18DP002714NCRR NIH HHS 1UL1RR026314-01NCRR NIH HHS M01 RR000037NCRR NIH HHS M01 RR000069NCRR NIH HHS M01RR00037NCRR NIH HHS M01 RR00069NCRR NIH HHS UL1 RR026314NCRR NIH HHS UL1 RR029882NCRR NIH HHS UL1RR029882NIDDK NIH HHS K23 DK089017NIDDK NIH HHS P30 DK057516NIDDK NIH HHS P30 DK57516PHS HHS 200-2010-35171PHS HHS PA 00097PHS HHS U48/CCU419249PHS HHS U48/CCU519239PHS HHS U48/CCU819241-3PHS HHS U48/CCU919219PHS HHS U58 CCU019235-4PHS HHS U58CCU919256
6 · The paper itself

Abstract

objectiveYouth with type 1 diabetes mellitus are at risk for poor glycemic control as they age into adulthood. The aim of this study was to describe sociodemographic and clinical correlates of poor glycemic control associated with the transfer of care from pediatric to adult diabetes providers among a cohort of youth with type 1 diabetes diagnosed in adolescence.

methodsAnalyses included 185 adolescent participants with recently diagnosed type 1 diabetes in the SEARCH for Diabetes in Youth Study with pediatric care at baseline who were age ≥18 years at follow-up. Demographic and clinical factors were measured by survey and laboratory results. Survival analysis was used to estimate the age of transition. Logistic regression analysis assessed the association of demographic and clinical factors with the transition of care and poor glycemic control at follow-up.

resultsFifty-seven percent of participants had transitioned to adult diabetes care providers by the follow-up visit. The estimated median age of transition of care was 20.1 years (95% confidence interval 19.8-20.4). Older age, lower baseline glycosylated hemoglobin, and less parental education were independently associated with increased odds of transition. The odds of poor glycemic control at follow-up were 2.5 times higher for participants who transitioned to adult care compared with those who remained in pediatric care.

conclusionsTransferring from pediatric to adult care, experienced by more than half the sample, was associated with an increased risk of poor glycemic control at follow-up. These findings suggest that young adults need additional support when moving to adult care.

Indexed as

Transition to Adult CareAdolescentAdultAge FactorsBiomarkersBlood GlucoseDiabetes Mellitus, Type 1FemaleFollow-Up StudiesGlycated HemoglobinHumansLogistic ModelsMaleNeeds AssessmentTreatment OutcomeYoung AdultBiomarkersBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID23530167
PMCPMC4535025
OpenAlexW1994596675

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.