Targets and teamwork: Understanding differences in pediatric diabetes centers treatment outcomes

Skinner, Timothy C; Lange, Karin S; Hoey, Hilary; Mortensen, Henrik B; Aanstoot, Henk-Jan; Castaňo, Luis; Skovlund, Soren; Swift, Peter Gf; Cameron, Fergus J; Dorchy, Harry R; Palmert, Mark R; Kaprio, Eero; Robert, Jean-Jacques; Danne, Thomas; Neu, Andreas; Shalitin, Shlomit; Chiarelli, Francesco; Chiari, Giovanni; Urakami, Tatsuhiko; Njølstad, Pål R

doi:10.1111/pedi.12606

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Skinner, T. C., Lange, K. S., Hoey, H., Mortensen, H. B., Aanstoot, H.-J., Castaňo, L., Skovlund, S., Swift, P. G., Cameron, F. J., Dorchy, H. R., Palmert, M. R., Kaprio, E., Robert, J.-J., Danne, T., Neu, A., Shalitin, S., Chiarelli, F., Chiari, G., Urakami, T., … Hvidoere Study Group. (2018). Targets and teamwork: Understanding differences in pediatric diabetes centers treatment outcomes. Pediatric Diabetes, 19, 559–565. https://doi.org/10.1111/pedi.12606

Abstract

OBJECTIVE The reason for center differences in metabolic control of childhood diabetes is still unknown. We sought to determine to what extent the targets, expectations, and goals that diabetes care professionals have for their patients is a determinant of center differences in metabolic outcomes.

RESEARCH DESIGN AND METHODS Children, under the age of 11 with type 1 diabetes and their parents treated at the study centers participated. Clinical, medical, and demographic data were obtained, along with blood sample for centralized assay