Document Type
Article
Publication Date
1-1-2017
Identifier
DOI: 10.1159/000475595
Abstract
BACKGROUND/AIMS: Youth with type 2 diabetes (T2D) have poor compliance with medical care. This study aimed to determine which demographic and clinical factors differ between youth with T2D who receive care in a pediatric diabetes center versus youth lost to follow-up for >18 months.
METHODS: Data were analyzed from 496 subjects in the Pe-diatric Diabetes Consortium registry. Enrollment variables were selected a priori and analyzed with univariable and multivariable logistic regression models.
RESULTS: After a median of 1.3 years from enrollment, 55% of patients were lost to follow-up. The final model included age, race/ethnicity, parent education, and estimated distance to study site. The odds ratio (99% confidence interval) of loss to follow-up was 2.87 (1.34, 6.16) for those aged 15 to(2.67, 16.15) for those aged ≥18 years versus those aged 10 toclinic, the odds ra tio of loss to follow-up was 3.11 (1.14, 8.49) versus those living within 5 miles of the site.
CONCLUSION: Older adolescents with T2D are more likely to be lost to follow-up, but other socioeconomic factors were not significant predictors of clinic follow-up.
Journal Title
Horm Res Paediatr
Volume
87
Issue
6
First Page
377
Last Page
384
MeSH Keywords
Adolescent; Diabetes Mellitus, Type 2; Female; Follow-Up Studies; Humans; Male; Models, Biological; Patient Compliance
Keywords
Endocrinology; Loss to follow-up; Obesity; Pediatrics; Type 2 diabetes mellitus
Recommended Citation
Shoemaker, A., Cheng, P., Gal, R. L., Kollman, C., Tamborlane, W. V., Klingensmith, G. J., Clements, M. A., Hannon, T. S., Heptulla, R., Less, J., Wood, J., . Predictors of Loss to Follow-Up among Children with Type 2 Diabetes. Horm Res Paediatr 87, 377-384 (2017).
Included in
Endocrine System Diseases Commons, Endocrinology, Diabetes, and Metabolism Commons, Health Services Research Commons, Pediatrics Commons
