Details:

Alternative Title:
Ann Epidemiol
Personal Author:
Crume, Tessa L. ; Hamman, Richard F. ; Isom, Scott ; Talton, Jennifer ; Divers, Jasmin ; ... More +
Crume, Tessa L. ; Hamman, Richard F. ; Isom, Scott ; Talton, Jennifer ; Divers, Jasmin ; Mayer-Davis, Elizabeth J. ; Zhong, Victor W. ; Liese, Angela D. ; Saydah, Sharon ; Standiford, Debra A. ; Lawrence, Jean M. ; Pihoker, Catherine ; Dabelea, Dana Less -
Corporate Authors:
for the SEARCH for Diabetes in Youth Study Group
Description:
Purpose

The development of a sustainable pediatric diabetes surveillance system for the United States requires a better understanding of issues related to case ascertainment.

Methods

Using the SEARCH for Diabetes in Youth registry, we examined whether time from diabetes diagnosis to case registration differed by diabetes type, patient demographics, and the type of provider reporting the case to the study. Plots for time from diagnosis to registration were developed, and differences by key variables were examined using the log-rank test.

Results

Compared with time to registration for type 1 cases, it took 2.6 (95% confidence interval [CI], 2.5–2.6) times longer to register 50% of type 2 diabetes cases, and 2.3 (95% CI, 2.0–2.5) times longer to register 90% of type 2 cases. For type 1 diabetes cases, a longer time to registration was associated with older age, minority race/ethnicity, and cases, where the referring provider was not an endocrinologist. For type 2 diabetes cases, older age, non-Hispanic white race/ethnicity, and cases reported by providers other than an endocrinologist took longer to identify and register.

Conclusions

These findings highlight the need for continued childhood diabetes surveillance to identify future trends and influences on changes in prevalence and incidence.


Subject:
[+]
Adolescent
Age Factors
Child
Child, Preschool
Diabetes Mellitus, Type 1
Diabetes Mellitus, Type 2
Ethnicity
Female
Humans
Infant
Male
Needs Assessment
Prevalence
Racial Groups
Registries
Retrospective Studies
Risk Assessment
Sex Factors
Statistics, Nonparametric
Young Adult

Source:
Ann Epidemiol. 26(9):631-637.
Pubmed ID:
27664849
Pubmed Central ID:
PMC5322941
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:4e939d2f8ac871053482a20ffd4c7b002a35c5334b539b714f2a71cf079c9fe1
File Type:

Supporting Files

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