Type 1 diabetes management and hospitalisation in the over 25's at an Australian outer urban diabetes clinic.
Benchmarking
Diabetes complications
Diabetes in pregnancy
HbA1c
Management audit
Type 1 diabetes mellitus
Journal
BMC endocrine disorders
ISSN: 1472-6823
Titre abrégé: BMC Endocr Disord
Pays: England
ID NLM: 101088676
Informations de publication
Date de publication:
31 May 2022
31 May 2022
Historique:
received:
23
08
2021
accepted:
25
05
2022
entrez:
1
6
2022
pubmed:
2
6
2022
medline:
3
6
2022
Statut:
epublish
Résumé
To describe clinic management and referral pathways among adults with type 1 diabetes (T1D) aged > 25 years attending a public outpatient diabetes service. Retrospective cohort study of people with T1D aged > 25 years seen by endocrinologists in one Australian urban public outpatient in 2017. Electronic and paper medical records were reviewed using a dataset adapted from the UK National Institute for Health and Care Excellence 2015 guidelines. Among the 111 people with T1D (mean age 41 ± 13 years, 55% men, mean body mass index 27.1 ± 5.6 kg/m A high proportion of people with T1D accessed public specialist care either during pregnancy or after a largely avoidable acute glycaemia-related hospital presentation. Subsequent care was in line with national specialist standards. This area has a "wait for acute event" rather than "complication prevention" model of care, associated with under-referral to the local multidisciplinary specialist service. Understanding how widespread this model of care is, and ways to reduce its prevalence, are urgently required.
Identifiants
pubmed: 35641973
doi: 10.1186/s12902-022-01057-9
pii: 10.1186/s12902-022-01057-9
pmc: PMC9158186
doi:
Substances chimiques
Glycated Hemoglobin A
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
143Informations de copyright
© 2022. The Author(s).
Références
Ann Fam Med. 2004 Jan-Feb;2(1):26-32
pubmed: 15053280
J Diabetes Complications. 2018 Apr;32(4):411-417
pubmed: 29426748
Diabetes Care. 2020 Jan;43(Suppl 1):S37-S47
pubmed: 31862747
Diabetes Technol Ther. 2019 Feb;21(2):66-72
pubmed: 30657336
BMC Pregnancy Childbirth. 2018 Oct 15;18(1):402
pubmed: 30322376
Diabet Med. 2015 Aug;32(8):1036-50
pubmed: 25510978
BMC Health Serv Res. 2007 Dec 05;7:199
pubmed: 18053255
Diabetes Care. 2015 Oct;38(10):1876-82
pubmed: 26283737
Diabet Med. 2014 Jul;31(7):847-53
pubmed: 24654672
N Engl J Med. 1993 Sep 30;329(14):977-86
pubmed: 8366922
Diabetes Care. 2020 Jan;43(Suppl 1):S7-S13
pubmed: 31862744
Diabetes Care. 2014;37(1):9-16
pubmed: 24356592
Curr Med Res Opin. 2007 Dec;23(12):2921-7
pubmed: 17931464
J Paediatr Child Health. 2019 Jan;55(1):82-86
pubmed: 30051636
Intern Med J. 2018 Apr;48(4):396-402
pubmed: 29034986
Diab Vasc Dis Res. 2017 Jul;14(4):265-276
pubmed: 28393534
Med J Aust. 2006 Sep 18;185(6):305-9
pubmed: 16999670
Diabet Med. 2011 Dec;28(12):1494-500
pubmed: 21838769
J Clin Endocrinol Metab. 2013 Dec;98(12):4639-45
pubmed: 24152689
Diabet Med. 2005 Oct;22(10):1379-85
pubmed: 16176200
Lancet Diabetes Endocrinol. 2015 Jun;3(6):472-485
pubmed: 25995125
Cochrane Database Syst Rev. 2012 Dec 12;12:CD004136
pubmed: 23235603
QJM. 2001 Aug;94(8):435-44
pubmed: 11493721
Clin Diabetes. 2019 Jan;37(1):11-34
pubmed: 30705493
Intern Med J. 2019 Jul;49(7):911-914
pubmed: 31295788
BMJ. 2002 Oct 5;325(7367):746
pubmed: 12364302
Diabetologia. 2016 Jun;59(6):1177-85
pubmed: 26796634
Med J Aust. 2010 Jun 7;192(11):637-40
pubmed: 20528716
Lancet. 2008 Jan 12;371(9607):117-25
pubmed: 18191683