Evidence map›Paper›PMID 40303253›Full record

ArticlePediatric diabetes2023

Psychological Care for Children and Adolescents with Diabetes and Patient Outcomes: Results from the International Pediatric Registry SWEET.

Agata Chobot, Alexander J Eckert, Torben Biester, Sarah Corathers, Ana Covinhas, Carine de Beaufort, Zineb Imane, Jaehyun Kim, Anna Malatynska, Hossein Moravej and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Pediatric diabetes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Embedding psychological care in diabetes services: Why it's time to innovate and integrate.Diabetic medicine : a journal of the British Diabetic Association · 2026
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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

13 authors.

Agata ChobotInstitute of Medical Sciences, University of Opole, Department of Pediatrics, Opole 45-418, Poland.ORCID 0000-0002-9622-4433
Alexander J EckertInstitute of Epidemiology and Medical Biometry, ZIBMT, Ulm University, Ulm 89081, Germany.ORCID 0000-0002-0128-3255
Torben BiesterAUF DER BULT, Diabetes Center for Children and Adolescents, Hannover 30173, Germany.ORCID 0000-0001-8051-5562
Sarah CorathersCincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Division of Endocrinology, Cincinnati, OH 45229, USA.ORCID 0000-0001-7019-278X
Ana CovinhasAPDP, Diabetes Portugal, Lisbon 1250-189, Portugal.ORCID 0000-0003-4445-1519
Carine de BeaufortPediatric Clinic/Centre Hospitalier de Luxembourg, Department of Pediatric Diabetes and Endocrinology, Faculty of Technology, Science and Medicine, University of Luxembourg, Esch Belval, Luxembourg 1210, Luxembourg.ORCID 0000-0003-4310-6799
Zineb ImaneChildren's Hospital of Rabat, UM5S, Rabat, BP 6527, Morocco.
Jaehyun KimSeoul National University Bundang Hospital, Seoul National University College of Medicine, Department of Pediatrics, Seongnam 13620, Republic of Korea.ORCID 0000-0002-0203-7443
Anna MalatynskaUniversity Clinical Hospital in Opole, Department of Pediatrics, Opole 45-418, Poland.
Hossein MoravejNeonatal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0002-8435-8039
Santosh PokhrelSiddhartha Children and Women Hospital, Department of Pediatrics, Butwal 32907, Nepal.ORCID 0000-0002-9565-2102
Timothy SkinnerInstitute of Psychology, University of Copenhagen, Copenhagen 1353, Denmark.ORCID 0000-0002-0018-6963
Sweet Study GroupSWEET e.V. Coordination Center, Diabetes Center for Children and Adolescents Kinder- und Jugendkrankenhaus Auf Der Bult, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Easy accessibility of psychosocial care is recommended for children and adolescents with type 1 diabetes (T1D) and their families. Objective: The study aimed to evaluate the availability of psychological care and its associations with glycemic control in centers from the multinational SWEET (Better control in Pediatric and Adolescent diabeteS: Working to crEate CEnTers of Reference) registry. Subjects: Centers participating in SWEET ( Methods: Linear/logistic regression models adjusted for several confounders were used to determine the patient's HbA1c (mmol/mol) and odds ratios (ORs) for diabetic ketoacidosis (DKA) and severe hypoglycemia (SH) related to survey responses. Results: 76 (68%) centers with relevant data in the SWEET database responded to the survey. Psychological services were provided in 89% of the centers. The availability of psychological service in centers was associated with a slightly lower HbA1c of the patients (72 (62-82) vs. 67 (57-78) mmol/mol, Conclusions: Most centers from the SWEET registry offered some form of structured psychological care, consistent with the recommendations of easy access to psychosocial care for children and adolescents with T1D and their families. The main benefit of this psychological care appears to be in the incidence of DKA between centers. The study data also continues to emphasize the importance of treatment targets in shaping the outcomes of pediatric diabetes care. These findings should inform health-service planners and the diabetes community of the importance of mental healthcare in multidisciplinary diabetes teams.

Indexed as

Diabetes Mellitus, Type 1AdolescentChildDiabetic KetoacidosisFemaleGlycated HemoglobinHumansHypoglycemiaMaleRegistriesGlycated Hemoglobin

Identifiers

PMID40303253
PMCPMC12017242

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Registered trials

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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.