Increasing trend of outpatient management of children with newly diagnosed IDDM. Colorado IDDM Registry, 1978-1988
Increasing trend of outpatient management of children with newly diagnosed IDDM. Colorado IDDM Registry, 1978-1988. J N Kostraba , E C Gay , M Rewers , H P Chase , G J Klingensmith and R F Hamman Department of Preventive Medicine, University of Colorado School of Medicine, Denver 80262. Abstract OBJ...
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Published in | Diabetes care Vol. 15; no. 1; pp. 95 - 100 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Alexandria, VA
American Diabetes Association
01.01.1992
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Subjects | |
Online Access | Get full text |
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Summary: | Increasing trend of outpatient management of children with newly diagnosed IDDM. Colorado IDDM Registry, 1978-1988.
J N Kostraba ,
E C Gay ,
M Rewers ,
H P Chase ,
G J Klingensmith and
R F Hamman
Department of Preventive Medicine, University of Colorado School of Medicine, Denver 80262.
Abstract
OBJECTIVE--To examine the management of newly diagnosed insulin-dependent diabetes mellitus (IDDM) in Colorado over time and
to determine the prevalence of outpatient care at IDDM diagnosis on a statewide basis. RESEARCH DESIGN AND METHODS--The Colorado
IDDM Registry was used to assess medical care at the diagnosis of IDDM in 1182 patients less than 18 yr of age between 1978
and 1988. RESULTS--Twenty-three percent of children with IDDM in Colorado reported never being hospitalized during the diagnosis
period. Treatment of IDDM at diagnosis (outpatient vs. inpatient) did not differ by age, sex, or ethnicity/race. Patients
living in rural counties were less likely to have been treated as outpatients at diagnosis than those living in urban counties.
Physicians at specialized diabetes clinics (e.g., The Barbara Davis Center for Childhood Diabetes and The Childrens Hospital)
were more likely to treat newly diagnosed children in an outpatient setting than physicians not affiliated with these clinics.
The proportion of patients receiving only outpatient care at IDDM diagnosis increased from 6% in 1978 to 35% in 1988. This
increase can be attributed to three factors: 1) an increase in the number of Colorado children diagnosed at The Barbara Davis
Center, where outpatient care is strongly advocated; 2) a change in treatment practices at The Childrens Hospital away from
routine hospitalization at onset; and 3) a steady increase in outpatient care for newly diagnosed diabetic children by physicians
who were not affiliated with the aforementioned specialized diabetes clinics. CONCLUSIONS--The relatively new practice of
outpatient care at diagnosis of IDDM increased between 1978 and 1988 in Colorado, in both specialized diabetes clinics and
physicians' practices not affiliated with specialized clinics. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0149-5992 1935-5548 |
DOI: | 10.2337/diacare.15.1.95 |