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

Ashley Shoemaker, Peiyao Cheng, Robin L. Gal, Craig Kollman, William V. Tamborlane, Georgeanna J. Klingensmith, Mark A. Clements, Tamara S. Hannon, Rubina Heptulla, Joane Less, Jamie Wood

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 Pe­diatric 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.

Original languageEnglish (US)
JournalHormone Research in Paediatrics
DOIs
StateAccepted/In press - May 15 2017

Fingerprint

Type 2 Diabetes Mellitus
Lost to Follow-Up
Logistic Models
Pediatrics
Distance Education
Registries
Odds Ratio
Demography
Confidence Intervals

Keywords

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

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

Shoemaker, A., Cheng, P., Gal, R. L., Kollman, C., Tamborlane, W. V., Klingensmith, G. J., ... Wood, J. (Accepted/In press). Predictors of Loss to Follow-Up among Children with Type 2 Diabetes. Hormone Research in Paediatrics. https://doi.org/10.1159/000475595

Predictors of Loss to Follow-Up among Children with Type 2 Diabetes. / Shoemaker, Ashley; Cheng, Peiyao; Gal, Robin L.; Kollman, Craig; Tamborlane, William V.; Klingensmith, Georgeanna J.; Clements, Mark A.; Hannon, Tamara S.; Heptulla, Rubina; Less, Joane; Wood, Jamie.

In: Hormone Research in Paediatrics, 15.05.2017.

Research output: Contribution to journalArticle

Shoemaker, A, Cheng, P, Gal, RL, Kollman, C, Tamborlane, WV, Klingensmith, GJ, Clements, MA, Hannon, TS, Heptulla, R, Less, J & Wood, J 2017, 'Predictors of Loss to Follow-Up among Children with Type 2 Diabetes', Hormone Research in Paediatrics. https://doi.org/10.1159/000475595
Shoemaker A, Cheng P, Gal RL, Kollman C, Tamborlane WV, Klingensmith GJ et al. Predictors of Loss to Follow-Up among Children with Type 2 Diabetes. Hormone Research in Paediatrics. 2017 May 15. https://doi.org/10.1159/000475595
Shoemaker, Ashley ; Cheng, Peiyao ; Gal, Robin L. ; Kollman, Craig ; Tamborlane, William V. ; Klingensmith, Georgeanna J. ; Clements, Mark A. ; Hannon, Tamara S. ; Heptulla, Rubina ; Less, Joane ; Wood, Jamie. / Predictors of Loss to Follow-Up among Children with Type 2 Diabetes. In: Hormone Research in Paediatrics. 2017.
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