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Horm Res Paediatr. 2017;87(6):377-384. doi: 10.1159/000475595. Epub 2017 May 15.

Predictors of Loss to Follow-Up among Children with Type 2 Diabetes.

Author information

1
Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
2
Jaeb Center for Health Research, Tampa, Florida, USA.
3
Department of Pediatric Endocrinology, Yale University, New Haven, Connecticut, USA.
4
Barbara Davis Center for Childhood Diabetes, Department of Pediatrics, University of Colorado, Aurora, Colorado, USA.
5
Children's Mercy Kansas City, Kansas City, Missouri, USA.
6
Indiana University School of Medicine, Indianapolis, Indiana, USA.
7
Albert Einstein College of Medicine, Bronx, New York, USA.
8
University of Oklahoma College of Medicine, Oklahoma City, Oklahoma, USA.
9
University Hospital Cleveland Medical Center, Cleveland, Ohio, USA.

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 <18 years versus those aged 10 to <13 years and 6.57 (2.67, 16.15) for those aged ≥18 years versus those aged 10 to <13 years. Among patients living more than 50 miles from the clinic, 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.

KEYWORDS:

Endocrinology; Loss to follow-up; Obesity; Pediatrics; Type 2 diabetes mellitus

PMID:
28505610
DOI:
10.1159/000475595
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