Premium
Transfer from pediatric to adult health care: effects on diabetes outcomes
Author(s) -
Lyons Sarah K,
Becker Dorothy J,
Helgeson Vicki S
Publication year - 2014
Publication title -
pediatric diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 75
eISSN - 1399-5448
pISSN - 1399-543X
DOI - 10.1111/pedi.12106
Subject(s) - medicine , glycemic , observational study , diabetes mellitus , attendance , health care , adult care , medline , intensive care medicine , family medicine , intervention (counseling) , type 1 diabetes , pediatrics , young adult , gerontology , nursing , endocrinology , political science , law , economics , economic growth
The transfer from pediatric to adult diabetes health care for emerging adults with type 1 diabetes ( T1D ) has received increasing attention in the literature. This review analyzes the effect of this health care transfer on the outcomes of diabetes care visit attendance, glycemic control, and acute diabetes‐related complications, and assesses the methodological strength of the studies reporting observational and interventional data. Observational studies, often limited by incomplete data, report a decline in diabetes care visits but an improvement or no change in hemoglobin A1c ( HbA1c ) after transfer to adult care. Results from studies reporting a transition intervention are restricted by lack of appropriate control groups and the collection of data both before and after transfer of care. Very few methodologically strong studies are available to guide clinicians with the transition from pediatric to adult care, and these shortcomings should be addressed in future studies designed to facilitate and improve the care of emerging adults with T1D .