ArticleDiabetes research and clinical practice2022
Prolonged lapses between pediatric and adult care are associated with rise in HbA1c and inpatient days among patients with type 1 diabetes.
Article in Diabetes research and clinical practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quality of diabetes mellitus healthcare and metabolic control during transition from paediatric to adult care: A systematic review and meta-analysis.Diabetic medicine : a journal of the British Diabetic Association · 2025Pooled it
- The transition of youth with diabetes from paediatric to adult diabetes care services: a consensus report of the joint working group of the International Society for Pediatric and Adolescent Diabetes (ISPAD), the European Association for the Study of Diabetes (EASD) and the American Diabetes Association (ADA).Hormone research in paediatrics · 2026Article
- Article
- A COSMIN Systematic Review of Transition Readiness Assessment Tools for Adolescents with Type 1 Diabetes.Healthcare (Basel, Switzerland) · 2026Review
- Qualitative care experiences of emerging adults with type 1 diabetes after transfer to adult care providers.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
- Transitioning Adolescents and Young Adults with Type 1 Diabetes Mellitus in Italy: A Scoping Review.Children (Basel, Switzerland) · 2026Review
- A Systematic Review of Factors Associated With Transition Readiness and the Transfer to Adult Health Care for Young People With Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2025Article
- Partnering With Young Adults to Improve Engagement in Longitudinal Studies Across the Transition From Pediatric to Adult Type 1 Diabetes Care.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- READDY 2.0: A Multisite Analysis and Update to the Readiness for Emerging Adults Diagnosed With Diabetes in Youth Transition Tool.Clinical diabetes : a publication of the American Diabetes Association · 2025Article
- The Sugar-Coated Truth: The Quality of Diabetes Health Information on TikTok.Clinical diabetes : a publication of the American Diabetes Association · 2025Article
- Article
- Focused on the Family: Development of a Family-Based Intervention Promoting the Transition to Adult Health Care for Adolescents with Type 1 Diabetes.Children (Basel, Switzerland) · 2024Article
- A Clinician's Guide To Effectively Transitioning and Transferring Care For Pediatric Patients With Inflammatory Bowel Diseases From The Pediatric To Adult Gastroenterologist.Current gastroenterology reports · 2024Review
- Evaluating Transition Readiness in Older Adolescents and Young Adults With Type 1 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2024Article
- From Surviving to Thriving: A Qualitative Study of Adapting Telehealth Systems for Specialty Diabetes Care Across Four California Medical Centers.Clinical diabetes : a publication of the American Diabetes Association · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
aimTo quantify the association between the duration of the pediatric-to-adult care transfer with glycemic control among patients with type 1 diabetes (T1D).
methodsThis retrospective cohort study included patients with T1D who completed transfer between pediatric and adult diabetes clinics at a single academic medical center between 2004 and 2020. The primary exposure was time from the last pediatric to first adult diabetes care encounter. The primary outcome was the average HbA1c in the first year after entry into adult care.
resultsA total of 449 patients (mean age at transfer 19.8yrs, 51.7 % male) were included for analysis. Transfer required a median of nearly 5 months (196 days; IQR:93-251) and in adjusted and unadjusted models was strongly associated with increased HbA1c within 1 year of transfer (0.19 %, 2 mmol/mol; 95 %CI:0.04 %-0.33 %) for each 6 months of latency. In secondary analyses, transfer latency also exhibited a significant association with days spent hospitalized (IRR 1.23 per 6 months; 95 %CI:1.08-1.33).
conclusionsOur findings isolate and quantify the impact of prolonged lapses in care associated with the pediatric-to-adult care transfer. These findings underscore the need for providers and healthcare systems to improve this care transition in order to improve outcomes for this vulnerable patient population.
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