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  1. Association between diabetes control and visits to a multidisciplinary pediatric diabetes clinic.

    Article - En anglais

    Objective

    To determine if there is a relationship between diabetes outcome as measured by HbA1C and the number of multidisciplinary clinic visits per year in children and youth with diabetes.

    Research Design and Methods

    The number of clinic visits per year, the mean HbA1C (by DCA 2000, Miles, Tarrytown, NY), type of insurance, parental marital status, parental age, maximal parental grade level achieved, family income, self-identified race, and scores on adherence and knowledge tests were compared for 1995 in 360 patients with a mean age of 11.6<4.8 years (1-2 visits, 85 patients ; 3-4 visits, 275 patients), for 1996 in 412 patients with a mean age of 11.6 ± 4.7 years (1-2 visits, 115 patients ; 3-4 visits, 297 patients), and for 1997 in 442 patients with a mean age of 11.8 ± 4.9 years (1-2 visits, 126 patients ; 3-4 visits, 332 patients).

    Results

    There was a significant difference in the mean HbA1C levels between subjects with 1 to 2 visits versus 3 to 4 visits during the 3 years of this study.

    In 1995, the mean HbA1C was 9.0<2.0% for subjects with 1 to 2 visits and 8.3 ± 1.6% for subjects with 3 to 4 visits.

    In 1996, the mean HbA1C was 9.3 ± 2.0% for subjects with 1 to 2 visits and 8.4 ± 1.6% in those with 3 to 4 visits, whereas in 1997, the mean HbA1C was 9.1 ± 1.9% with 1 to 2 visits and 8.3 ± 1.5% with 3 to 4 visits.

    There was a significant difference in the number of visits by the age of the subject.

    The mean age of patients with 1 to 2 visits was 13.6<4. (...)

    Mots-clés Pascal : Diabète, Enfant, Homme, Evolution, Surveillance, Analyse biochimique, Hémoglobine A1c, Consultation, Fréquence, Coopération, Recommandation, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Endocrinopathie

    Mots-clés Pascal anglais : Diabetes mellitus, Child, Human, Evolution, Surveillance, Biochemical analysis, Hemoglobin A1c, Consultation, Frequency, Cooperation, Recommendation, United States, North America, America, Epidemiology, Endocrinopathy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0270421

    Code Inist : 002B21E01C. Création : 16/11/1999.