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首页> 外文期刊>Canadian journal of diabetes >Transition of Youth With Type 2 Diabetes: Predictors of Health-Care Utilization After Transition to Adult Care From Population-Based Administrative Data
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Transition of Youth With Type 2 Diabetes: Predictors of Health-Care Utilization After Transition to Adult Care From Population-Based Administrative Data

机译：Transition of Youth With Type 2 Diabetes: Predictors of Health-Care Utilization After Transition to Adult Care From Population-Based Administrative Data

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Objectives: In this study, we aimed to compare health-care visits pre-and posttransition from pediatric to adult care between youth with type 2 and type 1 diabetes. Methods: We linked a clinical database with the Manitoba Population Research Data Repository to compare health-care visits 2 years before and after transition, and investigated baseline factors influ-encing health-care engagement. Results: Youth with type 2 diabetes (n=196) vs type 1 diabetes (n=456) were more likely to be female (61 vs 44), older at diagnosis (13.6 vs 10.6 years), live in northern regions and to be in the lowest socioeconomic status quartile (53 vs 5.4). Seventy-six percent of youth with type 2 diabetes attended a follow-up visit within 2 years of transition compared to 97 of youth with type 1 diabetes. Youth with type 2 diabetes had higher rates of hospitalization pretransition (19.6 vs 11.6 admissions/100 patient years) and posttransition (24.7 vs 11.7 admissions/100 patient years) and fewer medical visits (pre transition: 2.4 vs 3.0 visits/person year p<0.01; posttransition: 1.6 vs 2.1 visits/person year p<0.01). Accounting for sex, geography, age, education, socioeconomic status and diabetes type, achieving 4 visits in 2 years posttransition was predicted by the number of visits pretransition (odds ratio, 1.35; 95 confidence interval, 1.23 to 1.49) and diabetes type (type 2 diabetes: odds ratio, 0.57; 95 confidence interval, 0.34 to 0.98). Conclusions: Youth with type 2 diabetes attend fewer medical follow-up visits pre-and posttransition to adult care compared to youth with type 1 diabetes. Focused, informed, specific transition planning is needed that addresses the unique characteristics of this population. (C) 2021 Canadian Diabetes Association.

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