ArticleBMJ open diabetes research & care2022
Transition from pediatric to adult care in type 1 diabetes mellitus: a longitudinal analysis of age at transfer and gap in care.
Article in BMJ open diabetes research & care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- 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
- Pooled it
- Trial
- Article
- Type 1 Diabetes Mellitus and Transfer from Pediatric to Adult Care: A Single-Center ExperienceJournal of clinical research in pediatric endocrinology · 2026Article
- 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
- Discrepancies Between Recommendations in Evidence-Based Guidelines for the Management of Obesity in Adolescents and Adults: An Evidence Map.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Article
- 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
- Lower Independent Self-Care Readiness Persists Over Time in Teens With Type 1 Diabetes and Executive Function Challenges.The Journal of clinical endocrinology and metabolism · 2025Article
- Paediatric-to-adult transition in type 1 diabetes: A two-centre experience of a structured program, 2014 to 2022.Diabetes, obesity & metabolism · 2025Observational
- From pediatrics to adult care - Experiences of transition among youth with a chronic medical condition: A meta-ethnography.Health care transitions · 2025Review
- Cross-sectional evaluation of people with type 1 diabetes participating in the GoPump Structured Diabetes Education Program during "Insulin Pump Weeks".Pediatric endocrinology, diabetes, and metabolism · 2025Article
- Adherence to Type 1 Diabetes Care Visits After Transfer From Pediatric to Adult Care: A Prospective Cohort Study.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- Article
- Transition from Paediatric to Adult Diabetes Care in People with Type 1 Diabetes: An Online Survey from France.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024Article
- From pediatric to adult care: a survey on the transition process in type 1 diabetes mellitus and the diabetes services in Italy.Acta diabetologica · 2024Article
- From paediatric to adult diabetes care: lost in transition.The lancet. Diabetes & endocrinology · 2023Article
- Evaluation of Psychological Resources of Young Adults With Type 1 Diabetes Mellitus During the Transition From Pediatric to Adult Diabetes Clinics: Multicenter Cross-sectional Study.JMIR formative research · 2023Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
introductionAdolescents and young adults (AYAs) with type 1 diabetes (T1D) are at risk of suboptimal glycemic control and high acute care utilization. Little is known about the optimal age to transfer people with T1D to adult care, or time gap between completing pediatric care and beginning adult endocrinology care. RESEARCH DESIGN AND
methodsThis retrospective, longitudinal study examined the transition of AYAs with T1D who received endocrinology care within Duke University Health System. We used linear multivariable or Poisson regression modeling to assess the association of (1) sociodemographic and clinical factors associated with gap in care and age at transfer among AYAs and (2) the impact of gap in care and age at transfer on subsequent glycemic control and acute care utilization.
resultsThere were 214 subjects included in the analysis (54.2% female, 72.8% white). The median time to transition and age at transition were 8.0 months and 21.5 years old, respectively. The median gap in care was extended by a factor of 3.39 (95% CI=1.25 to 9.22, p=0.02) for those who did not see a mental health provider pre-transfer. Individuals who did not see a diabetes educator in pediatrics had an increase in mean age at transition of 2.62 years (95% CI=0.93 to 4.32, p<0.01). The post-transfer emergency department visit rate was increased for every month increase in gap in care by a relative factor of 1.07 (95% CI=1.03 to 1.11, p<0.01). For every year increase in age at transition, post-transfer hospitalization rate was associated with a reduction of a relative factor of 0.62 (95% CI=0.45 to 0.85, p<0.01) and emergency department visit rate by 0.58 (95% CI=0.45 to 0.76, p<0.01).
conclusionsMost AYAs with T1D have a prolonged gap in care. When designing interventions to improve health outcomes for AYAs transitioning from pediatric to adult-based care, we should aim to minimize gaps in care.
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