Size matters: Influence of center size on quality of diabetes control in children and adolescents with type 1 diabetes—A longitudinal analysis of the DPV cohort

Size matters: Influence of center size on quality of diabetes control in children and adolescents with type 1 diabetes—A longitudinal analysis of the DPV cohort

Background Treatment of patients with type 1 diabetes requires experience and a specific infrastructure. Therefore, center size might influence outcome in diabetes treatment. Objective To analyze the influence of center size on the quality of diabetes treatment in children and adolescents in Germany...

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Veröffentlicht in:Pediatric diabetes 2022-02, Vol.23 (1), p.64-72
Hauptverfasser: Hackl, Lukas, Bonfig, Walter, Bechtold‐Dalla Pozza, Susanne, Lanzinger, Stefanie, Treptau, Nicole, Raile, Klemens, Elpel, Ulf, Ludwig, Karl‐Heinz, Buchal, Gebhard, Holl, Reinhard W.
Format: Artikel
Sprache:eng
Schlagworte:
Adolescent
Adolescents
Austria - epidemiology
center size
Child
Children
Cohort Studies
Diabetes
Diabetes mellitus (insulin dependent)
diabetes mellitus type 1
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 1 - therapy
Female
Germany - epidemiology
Health Facilities - classification
Health Facilities - standards
Health Facilities - statistics & numerical data
Hemoglobin
Humans
Hypoglycemia
Influence
Insulin
Longitudinal Studies
Male
Metabolism
Patients
Pediatrics
Quality control
quality improvement
Quality of Health Care - standards
Quality of Health Care - statistics & numerical data
Teenagers
Type 1 Diabetes: Clinical Care and Technology
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Zusammenfassung:Background Treatment of patients with type 1 diabetes requires experience and a specific infrastructure. Therefore, center size might influence outcome in diabetes treatment. Objective To analyze the influence of center size on the quality of diabetes treatment in children and adolescents in Germany and Austria. Patients and methods In 2009 and 2018, we analyzed metabolic control, acute complications, and rates of recommended screening tests in the DPV cohort. Diabetes centers were classified according to the number of patients from “XS” to “XL” (
ISSN:1399-543X
1399-5448
DOI:10.1111/pedi.13283