ArticleJournal of endocrinological investigation2014
Transition from pediatric to adult care. eight years after the transition from pediatric to adult diabetes care: metabolic control, complications and associated diseases.
Article in Journal of endocrinological investigation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Pooled it
- Improved transition to adult care in youth with type 1 diabetes: a pragmatic clinical trial.Diabetologia · 2021Trial
- Motivational Interviewing and Glycemic Control in Adolescents With Poorly Controlled Type 1 Diabetes: A Randomized Controlled Pilot Trial.Frontiers in endocrinology · 2021Trial
- Transitioning Adolescents and Young Adults with Type 1 Diabetes Mellitus in Italy: A Scoping Review.Children (Basel, Switzerland) · 2026Review
- Transition backslide: Patterns of patient reengagement with a pediatric health system after a coordinated transfer to adult care.Health care transitions · 2026Article
- A clinic-based healthcare transition preparation program for adolescents and young adults with type 1 diabetes: Study protocol for the SHIFT randomized clinical trial.Contemporary clinical trials communications · 2025Article
- Development and Implementation of a Pilot Transition Preparation Intervention for Young Adults With Type 1 Diabetes in an Integrated Healthcare Setting.Journal of pediatric psychology · 2023Article
- Disease control and psychiatric comorbidity among adolescents with chronic medical conditions: a single-centre retrospective study.BMJ paediatrics open · 2023Article
- Emergence of a butterfly: the life experiences of type 1 diabetes Taiwanese patients during the 16-25 years old transition period.International journal of qualitative studies on health and well-being · 2020Article
- Less ready for adulthood?-Turner syndrome has an impact on transition readiness.Clinical endocrinology · 2020Article
- Type 1 diabetes: addressing the transition from pediatric to adult-oriented health care.Research and reports in endocrine disorders · 2016Article
- Type 1 diabetes in young adulthood.Current diabetes reviews · 2015Review
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTransition from pediatric to adult care is a critical process in the life of patients with diabetes.
aimPrimary aim of the study was to compare the metabolic control between pediatric care and adult care at least 5 years in a group of patients with type 1 diabetes mellitus (T1DM). Secondary aim was to evaluate the presence of complications, associated diseases and psychological-psychiatric disorders. SUBJECTS AND
methodsWe obtained data from 73 % (69/94) patients (current mean age 34 years) transferred to local adult centers between 1985 and 2005 at a mean age of 23.8 years. Data were collected for HbA1c, diabetic complications and associated diseases.
resultsMean HbA1c did not change during the pediatric, transition and adult period [8.4 ± 1.8 % (68 ± 18 mmol/mol), 8.3 ± 1.4 % (67 ± 15 mmol/mol) and 8.4 ± 1.3 % (68 ± 14 mmol/mol), respectively]. 13 patients dropped out, after 2-12 years since transition, and their HbA1c mean value at transition was 10.4 %. After a mean of 25.9 years of disease, 35/69 patients (50.7 %) showed retinopathy, and 12/69 patients (17.3 %) nephropathy. Thyroid diseases were the most frequent associated diseases (18.3 %), followed by depression (11.2 %) and benign neoplasms (9.8 %). Drug or alcohol addictions were present in four cases (5.6 %).
conclusionsAfter a mean follow-up of 8 years metabolic control after transition did not change significantly in patients constantly attending to adult care centre. Patients with diabetes onset between 20 and 40 years ago were free from complications in 50 % of cases when considering retinopathy and in more than 80 % considering nephropathy. Thyroid problems were the most common associated diseases. Poor metabolic control at transition is associated with higher risk of drop-out and psychosocial morbidity.
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