Association between diabetes control and visits to a multidisciplinary pediatric diabetes clinic
Association between diabetes control and visits to a multidisciplinary pediatric diabetes clinic
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DOI：
10.1542/peds.103.5.948
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发表时间：
1999-05-01
期刊：
影响因子：
8
通讯作者：
Carpenter, S
中科院分区：
文献类型：
--
作者：
Kaufman, FR;Halvorson, M;Carpenter, S
目标。确定HbA1C测量的糖尿病结局与儿童和青少年糖尿病患者每年多学科门诊就诊次数之间是否存在关系。研究设计与方法。诊所访问的数量,每年平均糖化血红蛋白(DCA 2000英里,塔里敦,纽约),类型的保险,父母的婚姻状况、父母年龄,父母最大的年级水平,家庭收入,认同种族,和依从性和知识考试成绩相比1995年的360患者平均年龄为11.6 + / - 4.8年(1 - 2,85名患者,3 - 4,275名患者),为1996年的412患者平均年龄为11.6 + / - 4.7年(1 - 2,115例;1997年442例患者，平均年龄11.8±4.9岁（1-2次就诊，126例；3-4次就诊，332例）。在3年的研究中，1 - 2次就诊的受试者与3 - 4次就诊的受试者的平均HbA1C水平有显著差异。1995年，就诊1 - 2次的患者平均HbA1C为9.0 +/- 2.0%，就诊3 - 4次的患者平均HbA1C为8.3 +/- 1.6%。1996年，1 ~ 2次就诊的患者平均HbA1C为9.3 +/- 2.0%，3 ~ 4次就诊的患者平均HbA1C为8.4 +/- 1.6%，而1997年，1 ~ 2次就诊的患者平均HbA1C为9.1 +/- 1.9%，3 ~ 4次就诊的患者平均HbA1C为8.3 +/- 1.5%。不同年龄的受试者的访问次数有显著差异。1 ~ 2次就诊患者的平均年龄为13.6±4.5岁；10.8±4.6岁，就诊3 ~ 4次。然而，对于年龄组来说
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 +/- 4.5 years; it was 10.8 +/- 4.6 years with 3 to 4 visits. However, for age groups