Results of a specific and structured program in the transition of young patients with type 1 diabetes from the paediatric center to an adult hospital. The experience of a decade

Results of a specific and structured program in the transition of young patients with type 1 diabetes from the paediatric center to an adult hospital. The experience of a decade

Evaluate the results of a healthcare and therapeutic education programme (TEP) aimed at young patients with type 1 diabetes (T1D) transferred from a paediatric centre. This was a prospective, pre-postest in young T1D patients transferred from 2005-2015. The programme has four phases: coordinated tra...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Endocrinologia, diabetes y nutricion diabetes y nutricion, 2021-02, Vol.68 (2), p.82-91
Hauptverfasser: Vidal Flor, Mercè, Jansà I Morató, Margarida, Roca Espino, Daria, Viñals Domenech, Clara, Quirós López, Carmen, Mesa Pineda, Álex, Yoldi Vergara, Carmen, Cardona-Hernandez, Roque, Giménez Álvarez, Marga, Esmatjes Mompó, Enric, Conget Donlo, Ignacio
Format: Artikel
Sprache:eng ; spa
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 91
container_issue 2
container_start_page 82
container_title Endocrinologia, diabetes y nutricion
container_volume 68
creator Vidal Flor, Mercè
Jansà I Morató, Margarida
Roca Espino, Daria
Viñals Domenech, Clara
Quirós López, Carmen
Mesa Pineda, Álex
Yoldi Vergara, Carmen
Cardona-Hernandez, Roque
Giménez Álvarez, Marga
Esmatjes Mompó, Enric
Conget Donlo, Ignacio
description Evaluate the results of a healthcare and therapeutic education programme (TEP) aimed at young patients with type 1 diabetes (T1D) transferred from a paediatric centre. This was a prospective, pre-postest in young T1D patients transferred from 2005-2015. The programme has four phases: coordinated transfer, evaluation and objective pacting, knowledge (DKQ2) adherence (SCI-R.es) and quality of life (DQoL and SF12). Results were compared according to Multiple Daily Injections (MDI) vs. Continuous Subcutaneous Insulin Infusión (CSII) and adherence (SCI-R.es  65%). A total of 330 patients were transferred (age 18.19 ± 0.82 years, 49% females, glycated haemoglobin [HbA ] 8.6 ± 1.4%). The programme was completed by 68%, and 61% did a group course. While no changes in HbA1c were observed at one year (8.3 ± 1.4 vs. 8.2 ± 1.4%), there were changes in severe hypoglycaemias/patient/year (0.23 ± 0.64 to 0.05 ± 0.34 p  5 hypoglycaemias/patient/week (6.9% vs. 3.9% p = 0.09). DQK2 knowledge increased (25.7 ± 3.6 vs. 27.8 ± 3.8 p 
doi_str_mv 10.1016/j.endinu.2020.06.001
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_2441612642</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2441612642</sourcerecordid><originalsourceid>FETCH-LOGICAL-p211t-98e28ac771678aab16fe546296a34403b8b1080c3a30acdbaffc27b636aa560e3</originalsourceid><addsrcrecordid>eNo1kM1q3DAQx0WhJCHJG5Qyx17WGUle2XssoW0CgUJIzstYGmcVbFmVZJJ9rL5h1SY9DQy__8eMEJ8kNhKluXpuODgf1kahwgZNgyg_iDO11bhB2alTcZnzMyIq3W47JU_EqVY7qXo0Z-L3Ped1KhmWEQhyZOtHb4GCg1zSasua2EFMy1OiGXyAcmAoiUL2xS_hr-y4rOEJIhXPoRq9-HKAcowMEpyngQtnGNMy_5NG4rosqWbYinOCstQ0IFdbwGHJ0ReaGnioLL9GTtXU8ls7x5YcX4iPI02ZL9_nuXj8_u3h-mZz9_PH7fXXu01UUpbNrmfVk-06abqeaJBm5G1r1M6QblvUQz9I7NFq0kjWDTSOVnWD0YZoa5D1ufjy5luP_7VyLvvZZ8vTRIGXNe9V20ojlWlVRT-_o-sws9vH5GdKx_3_N-s_fvqC-A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2441612642</pqid></control><display><type>article</type><title>Results of a specific and structured program in the transition of young patients with type 1 diabetes from the paediatric center to an adult hospital. The experience of a decade</title><source>Alma/SFX Local Collection</source><creator>Vidal Flor, Mercè ; Jansà I Morató, Margarida ; Roca Espino, Daria ; Viñals Domenech, Clara ; Quirós López, Carmen ; Mesa Pineda, Álex ; Yoldi Vergara, Carmen ; Cardona-Hernandez, Roque ; Giménez Álvarez, Marga ; Esmatjes Mompó, Enric ; Conget Donlo, Ignacio</creator><creatorcontrib>Vidal Flor, Mercè ; Jansà I Morató, Margarida ; Roca Espino, Daria ; Viñals Domenech, Clara ; Quirós López, Carmen ; Mesa Pineda, Álex ; Yoldi Vergara, Carmen ; Cardona-Hernandez, Roque ; Giménez Álvarez, Marga ; Esmatjes Mompó, Enric ; Conget Donlo, Ignacio</creatorcontrib><description>Evaluate the results of a healthcare and therapeutic education programme (TEP) aimed at young patients with type 1 diabetes (T1D) transferred from a paediatric centre. This was a prospective, pre-postest in young T1D patients transferred from 2005-2015. The programme has four phases: coordinated transfer, evaluation and objective pacting, knowledge (DKQ2) adherence (SCI-R.es) and quality of life (DQoL and SF12). Results were compared according to Multiple Daily Injections (MDI) vs. Continuous Subcutaneous Insulin Infusión (CSII) and adherence (SCI-R.es &lt; 65 vs. &gt; 65%). A total of 330 patients were transferred (age 18.19 ± 0.82 years, 49% females, glycated haemoglobin [HbA ] 8.6 ± 1.4%). The programme was completed by 68%, and 61% did a group course. While no changes in HbA1c were observed at one year (8.3 ± 1.4 vs. 8.2 ± 1.4%), there were changes in severe hypoglycaemias/patient/year (0.23 ± 0.64 to 0.05 ± 0.34 p &lt; 0.001) and mild &gt; 5 hypoglycaemias/patient/week (6.9% vs. 3.9% p = 0.09). DQK2 knowledge increased (25.7 ± 3.6 vs. 27.8 ± 3.8 p &lt; 0.001), with no changes in quality of life or grade of adherence. Patients with CSII (n = 21) performed more blood glucose controls and showed greater programme adherence with no changes in metabolic control. Patients with the best initial adherence presented the best control (p &lt; 0.0001). A lower initial HbA1c and receiving the group course were associated with better clinical HbA1c results ≥ 0.5% (p &lt; 0.05) CONCLUSIONS: The TEP improved some parameters of metabolic control without modifying the quality of life in young T1D patients. When comparing patients on MDI vs. CSII, there were no differences in metabolic control but there were when differences were evaluated considering treatment adherence.</description><identifier>EISSN: 2530-0172</identifier><identifier>EISSN: 2530-0180</identifier><identifier>DOI: 10.1016/j.endinu.2020.06.001</identifier><identifier>PMID: 32912806</identifier><language>eng ; spa</language><publisher>Spain</publisher><ispartof>Endocrinologia, diabetes y nutricion, 2021-02, Vol.68 (2), p.82-91</ispartof><rights>Copyright © 2020 SEEN y SED. Publicado por Elsevier España, S.L.U. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32912806$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vidal Flor, Mercè</creatorcontrib><creatorcontrib>Jansà I Morató, Margarida</creatorcontrib><creatorcontrib>Roca Espino, Daria</creatorcontrib><creatorcontrib>Viñals Domenech, Clara</creatorcontrib><creatorcontrib>Quirós López, Carmen</creatorcontrib><creatorcontrib>Mesa Pineda, Álex</creatorcontrib><creatorcontrib>Yoldi Vergara, Carmen</creatorcontrib><creatorcontrib>Cardona-Hernandez, Roque</creatorcontrib><creatorcontrib>Giménez Álvarez, Marga</creatorcontrib><creatorcontrib>Esmatjes Mompó, Enric</creatorcontrib><creatorcontrib>Conget Donlo, Ignacio</creatorcontrib><title>Results of a specific and structured program in the transition of young patients with type 1 diabetes from the paediatric center to an adult hospital. The experience of a decade</title><title>Endocrinologia, diabetes y nutricion</title><addtitle>Endocrinol Diabetes Nutr</addtitle><description>Evaluate the results of a healthcare and therapeutic education programme (TEP) aimed at young patients with type 1 diabetes (T1D) transferred from a paediatric centre. This was a prospective, pre-postest in young T1D patients transferred from 2005-2015. The programme has four phases: coordinated transfer, evaluation and objective pacting, knowledge (DKQ2) adherence (SCI-R.es) and quality of life (DQoL and SF12). Results were compared according to Multiple Daily Injections (MDI) vs. Continuous Subcutaneous Insulin Infusión (CSII) and adherence (SCI-R.es &lt; 65 vs. &gt; 65%). A total of 330 patients were transferred (age 18.19 ± 0.82 years, 49% females, glycated haemoglobin [HbA ] 8.6 ± 1.4%). The programme was completed by 68%, and 61% did a group course. While no changes in HbA1c were observed at one year (8.3 ± 1.4 vs. 8.2 ± 1.4%), there were changes in severe hypoglycaemias/patient/year (0.23 ± 0.64 to 0.05 ± 0.34 p &lt; 0.001) and mild &gt; 5 hypoglycaemias/patient/week (6.9% vs. 3.9% p = 0.09). DQK2 knowledge increased (25.7 ± 3.6 vs. 27.8 ± 3.8 p &lt; 0.001), with no changes in quality of life or grade of adherence. Patients with CSII (n = 21) performed more blood glucose controls and showed greater programme adherence with no changes in metabolic control. Patients with the best initial adherence presented the best control (p &lt; 0.0001). A lower initial HbA1c and receiving the group course were associated with better clinical HbA1c results ≥ 0.5% (p &lt; 0.05) CONCLUSIONS: The TEP improved some parameters of metabolic control without modifying the quality of life in young T1D patients. When comparing patients on MDI vs. CSII, there were no differences in metabolic control but there were when differences were evaluated considering treatment adherence.</description><issn>2530-0172</issn><issn>2530-0180</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNo1kM1q3DAQx0WhJCHJG5Qyx17WGUle2XssoW0CgUJIzstYGmcVbFmVZJJ9rL5h1SY9DQy__8eMEJ8kNhKluXpuODgf1kahwgZNgyg_iDO11bhB2alTcZnzMyIq3W47JU_EqVY7qXo0Z-L3Ped1KhmWEQhyZOtHb4GCg1zSasua2EFMy1OiGXyAcmAoiUL2xS_hr-y4rOEJIhXPoRq9-HKAcowMEpyngQtnGNMy_5NG4rosqWbYinOCstQ0IFdbwGHJ0ReaGnioLL9GTtXU8ls7x5YcX4iPI02ZL9_nuXj8_u3h-mZz9_PH7fXXu01UUpbNrmfVk-06abqeaJBm5G1r1M6QblvUQz9I7NFq0kjWDTSOVnWD0YZoa5D1ufjy5luP_7VyLvvZZ8vTRIGXNe9V20ojlWlVRT-_o-sws9vH5GdKx_3_N-s_fvqC-A</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>Vidal Flor, Mercè</creator><creator>Jansà I Morató, Margarida</creator><creator>Roca Espino, Daria</creator><creator>Viñals Domenech, Clara</creator><creator>Quirós López, Carmen</creator><creator>Mesa Pineda, Álex</creator><creator>Yoldi Vergara, Carmen</creator><creator>Cardona-Hernandez, Roque</creator><creator>Giménez Álvarez, Marga</creator><creator>Esmatjes Mompó, Enric</creator><creator>Conget Donlo, Ignacio</creator><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>202102</creationdate><title>Results of a specific and structured program in the transition of young patients with type 1 diabetes from the paediatric center to an adult hospital. The experience of a decade</title><author>Vidal Flor, Mercè ; Jansà I Morató, Margarida ; Roca Espino, Daria ; Viñals Domenech, Clara ; Quirós López, Carmen ; Mesa Pineda, Álex ; Yoldi Vergara, Carmen ; Cardona-Hernandez, Roque ; Giménez Álvarez, Marga ; Esmatjes Mompó, Enric ; Conget Donlo, Ignacio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-98e28ac771678aab16fe546296a34403b8b1080c3a30acdbaffc27b636aa560e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; spa</language><creationdate>2021</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vidal Flor, Mercè</creatorcontrib><creatorcontrib>Jansà I Morató, Margarida</creatorcontrib><creatorcontrib>Roca Espino, Daria</creatorcontrib><creatorcontrib>Viñals Domenech, Clara</creatorcontrib><creatorcontrib>Quirós López, Carmen</creatorcontrib><creatorcontrib>Mesa Pineda, Álex</creatorcontrib><creatorcontrib>Yoldi Vergara, Carmen</creatorcontrib><creatorcontrib>Cardona-Hernandez, Roque</creatorcontrib><creatorcontrib>Giménez Álvarez, Marga</creatorcontrib><creatorcontrib>Esmatjes Mompó, Enric</creatorcontrib><creatorcontrib>Conget Donlo, Ignacio</creatorcontrib><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Endocrinologia, diabetes y nutricion</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vidal Flor, Mercè</au><au>Jansà I Morató, Margarida</au><au>Roca Espino, Daria</au><au>Viñals Domenech, Clara</au><au>Quirós López, Carmen</au><au>Mesa Pineda, Álex</au><au>Yoldi Vergara, Carmen</au><au>Cardona-Hernandez, Roque</au><au>Giménez Álvarez, Marga</au><au>Esmatjes Mompó, Enric</au><au>Conget Donlo, Ignacio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results of a specific and structured program in the transition of young patients with type 1 diabetes from the paediatric center to an adult hospital. The experience of a decade</atitle><jtitle>Endocrinologia, diabetes y nutricion</jtitle><addtitle>Endocrinol Diabetes Nutr</addtitle><date>2021-02</date><risdate>2021</risdate><volume>68</volume><issue>2</issue><spage>82</spage><epage>91</epage><pages>82-91</pages><eissn>2530-0172</eissn><eissn>2530-0180</eissn><abstract>Evaluate the results of a healthcare and therapeutic education programme (TEP) aimed at young patients with type 1 diabetes (T1D) transferred from a paediatric centre. This was a prospective, pre-postest in young T1D patients transferred from 2005-2015. The programme has four phases: coordinated transfer, evaluation and objective pacting, knowledge (DKQ2) adherence (SCI-R.es) and quality of life (DQoL and SF12). Results were compared according to Multiple Daily Injections (MDI) vs. Continuous Subcutaneous Insulin Infusión (CSII) and adherence (SCI-R.es &lt; 65 vs. &gt; 65%). A total of 330 patients were transferred (age 18.19 ± 0.82 years, 49% females, glycated haemoglobin [HbA ] 8.6 ± 1.4%). The programme was completed by 68%, and 61% did a group course. While no changes in HbA1c were observed at one year (8.3 ± 1.4 vs. 8.2 ± 1.4%), there were changes in severe hypoglycaemias/patient/year (0.23 ± 0.64 to 0.05 ± 0.34 p &lt; 0.001) and mild &gt; 5 hypoglycaemias/patient/week (6.9% vs. 3.9% p = 0.09). DQK2 knowledge increased (25.7 ± 3.6 vs. 27.8 ± 3.8 p &lt; 0.001), with no changes in quality of life or grade of adherence. Patients with CSII (n = 21) performed more blood glucose controls and showed greater programme adherence with no changes in metabolic control. Patients with the best initial adherence presented the best control (p &lt; 0.0001). A lower initial HbA1c and receiving the group course were associated with better clinical HbA1c results ≥ 0.5% (p &lt; 0.05) CONCLUSIONS: The TEP improved some parameters of metabolic control without modifying the quality of life in young T1D patients. When comparing patients on MDI vs. CSII, there were no differences in metabolic control but there were when differences were evaluated considering treatment adherence.</abstract><cop>Spain</cop><pmid>32912806</pmid><doi>10.1016/j.endinu.2020.06.001</doi><tpages>10</tpages></addata></record>
fulltext fulltext
identifier EISSN: 2530-0172
ispartof Endocrinologia, diabetes y nutricion, 2021-02, Vol.68 (2), p.82-91
issn 2530-0172
2530-0180
language eng ; spa
recordid cdi_proquest_miscellaneous_2441612642
source Alma/SFX Local Collection
title Results of a specific and structured program in the transition of young patients with type 1 diabetes from the paediatric center to an adult hospital. The experience of a decade
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T18%3A31%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Results%20of%20a%20specific%20and%20structured%20program%20in%20the%20transition%20of%20young%20patients%20with%20type%201%20diabetes%20from%20the%20paediatric%20center%20to%20an%20adult%20hospital.%20The%20experience%20of%20a%20decade&rft.jtitle=Endocrinologia,%20diabetes%20y%20nutricion&rft.au=Vidal%20Flor,%20Merc%C3%A8&rft.date=2021-02&rft.volume=68&rft.issue=2&rft.spage=82&rft.epage=91&rft.pages=82-91&rft.eissn=2530-0172&rft_id=info:doi/10.1016/j.endinu.2020.06.001&rft_dat=%3Cproquest_pubme%3E2441612642%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2441612642&rft_id=info:pmid/32912806&rfr_iscdi=true