Receipt of Recommended Complications and Comorbidities Screening in Youth and Young Adults with Type 1 Diabetes: Associations with Metabolic Status and Satisfaction with Care

Details

• Alternative Title:
  Pediatr Diabetes
• Personal Author:
  Malik, Faisal S. ; Stafford, Jeanette M. ; Reboussin, Beth A. ; Klingensmith, Georgeanna J. ; Dabelea, Dana ; Lawrence, Jean M. ; Mayer-Davis, Elizabeth ; Saydah, Sharon ; Corathers, Sarah ; Pihoker, Catherine
• Description:
  OBJECTIVES
  
  This study sought to: 1) Assess the prevalence of diabetes complications and comorbidities screening as recommended by the American Diabetes Association (ADA) for youth and young adults (YYAs) with type 1 diabetes (T1D), 2) Examine the association of previously measured metabolic status related to diabetes complications with receipt of recommended clinical screening, and 3) Examine the association of satisfaction with diabetes care with receipt of recommended clinical screening.
  
  METHODS
  
  The study included 2,172 SEARCH for Diabetes in Youth participants with T1D (>10 years old, diabetes duration >5 years). Mean participant age was 17.7 ± 4.3 years with a diabetes duration of 8.1 ± 1.9 years. Linear and multinomial regression models were used to evaluate associations.
  
  RESULTS
  
  Sixty percent of participants reported having 3 or more HbA1c measurements in the past year. In terms of diabetes complications screening, 93% reported having blood pressure measured, 81% having an eye examination, 71% having lipid levels checked, 64% having a foot exam, and 63% completing albuminuria screening in accordance with ADA recommendations. Youth known to have worse glycemic control in the past had higher odds of not meeting HbA1c screening criteria (OR 1.11, 95% CI = 1.05, 1.17); however, after adjusting for race/ethnicity, this was no longer statistically significant. Greater satisfaction with diabetes care was associated with increased odds of meeting screening criteria for most of the ADA-recommended measures.
  
  CONCLUSIONS
  
  Efforts should be made to improve diabetes complications screening efforts for YYAs with T1D, particularly for those at higher risk for diabetes complications.
  
  
• Subjects:
  Adolescent Article Child Diabetes Complications Diabetes Mellitus, Type 1 Female Humans Male Mass Screening Patient Satisfaction Quality Of Care Registries Type 1 Diabetes Mellitus Young Adult Youth

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• Source:
  Pediatr Diabetes. 21(2):349-357
• Pubmed ID:
  31797506
• Pubmed Central ID:
  PMC7597528
• Document Type:
  Journal Article
• Funding:
  P30 DK057516/DK/NIDDK NIH HHS/United States ; U48/CCU419249/CC/CDC HHS/United States ; U18 DP002714/DP/NCCDPHP CDC HHS/United States ; U01 DP000244/DP/NCCDPHP CDC HHS/United States ; U18DP002714/CC/CDC HHS/United States ; UL1 TR000062/TR/NCATS NIH HHS/United States ; U18DP006134/ACL/ACL HHS/United States ; UL1 TR001425/TR/NCATS NIH HHS/United States ; UL1 TR000423/TR/NCATS NIH HHS/United States ; U18DP006139/ACL/ACL HHS/United States ; UC4 DK108173/DK/NIDDK NIH HHS/United States ; U01 DP000247/DP/NCCDPHP CDC HHS/United States ; U18 DP003256/DP/NCCDPHP CDC HHS/United States ; U18 DP002710/DP/NCCDPHP CDC HHS/United States ; UL1 TR00423/TR/NCATS NIH HHS/United States ; P30 DK57516/NH/NIH HHS/United States ; U58/CCU019235‐4/CC/CDC HHS/United States ; U18DP006138/ACL/ACL HHS/United States ; U48/CCU519239/CC/CDC HHS/United States ; UL1 TR000154/TR/NCATS NIH HHS/United States ; 1UC4DK108173/NH/NIH HHS/United States ; U01 DP000248/DP/NCCDPHP CDC HHS/United States ; 00097/CC/CDC HHS/United States ; 1U18DP002709/CC/CDC HHS/United States ; U18DP002710-01/CC/CDC HHS/United States ; U18 DP002709/DP/NCCDPHP CDC HHS/United States ; U18 DP006133/DP/NCCDPHP CDC HHS/United States ; U18DP006131/ACL/ACL HHS/United States ; DP-10-001/CC/CDC HHS/United States ; U18 DP006139/DP/NCCDPHP CDC HHS/United States ; UL1 TR000077/TR/NCATS NIH HHS/United States ; DP-05-069/CC/CDC HHS/United States ; U18DP006136/ACL/ACL HHS/United States ; U18DP000247-06A1/CC/CDC HHS/United States ; U01 DP000250/DP/NCCDPHP CDC HHS/United States ; U48/CCU919219/CC/CDC HHS/United States ; K23 DK119465/DK/NIDDK NIH HHS/United States ; U01 DP000246/DP/NCCDPHP CDC HHS/United States ; UL1 TR001450/TR/NCATS NIH HHS/United States ; U01 DP000254/DP/NCCDPHP CDC HHS/United States ; U18DP006133/ACL/ACL HHS/United States ; U18 DP002708/DP/NCCDPHP CDC HHS/United States ; U48/CCU819241‐3/CC/CDC HHS/United States ; HIR 10-001/HX/HSRD VA/United States ; U18DP002708/CC/CDC HHS/United States
• Volume:
  21
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:d9e57c67964b8a0cb225efab66237155f2ee52ace6ca2b53e1088bb1464e8f47
• Download URL:
  https://stacks.cdc.gov/view/cdc/103624/cdc_103624_DS1.pdf
• File Type:
  [PDF - 279.41 KB ]