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Temporal trends in diabetic ketoacidosis at diagnosis of paediatric type 1 diabetes between 2006 and 2016: results from 13 countries in three continents
V. Cherubini, JM. Grimsmann, K. Åkesson, NH. Birkebæk, O. Cinek, K. Dovč, R. Gesuita, JW. Gregory, R. Hanas, SE. Hofer, RW. Holl, C. Jefferies, G. Joner, BR. King, EJ. Mayer-Davis, AS. Peña, B. Rami-Merhar, U. Schierloh, T. Skrivarhaug, Z....
Jazyk angličtina Země Německo
Typ dokumentu časopisecké články, práce podpořená grantem
NLK
ProQuest Central
od 1999-01-01 do Před 1 rokem
Medline Complete (EBSCOhost)
od 2000-01-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 1999-01-01 do Před 1 rokem
Public Health Database (ProQuest)
od 1999-01-01 do Před 1 rokem
- MeSH
- diabetes mellitus 1. typu epidemiologie genetika metabolismus MeSH
- diabetická ketoacidóza epidemiologie genetika metabolismus MeSH
- dítě MeSH
- lidé MeSH
- předškolní dítě MeSH
- retrospektivní studie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Dánsko MeSH
- Německo MeSH
- Slovinsko MeSH
AIMS/HYPOTHESIS: The aim of this work was to evaluate geographical variability and trends in the prevalence of diabetic ketoacidosis (DKA), between 2006 and 2016, at the diagnosis of childhood-onset type 1 diabetes in 13 countries over three continents. METHODS: An international retrospective study on DKA at diagnosis of diabetes was conducted. Data on age, sex, date of diabetes diagnosis, ethnic minority status and presence of DKA at diabetes onset were obtained from Australia, Austria, Czechia, Denmark, Germany, Italy, Luxembourg, New Zealand, Norway, Slovenia, Sweden, USA and the UK (Wales). Mean prevalence was estimated for the entire period, both overall and by country, adjusted for sex and age group. Temporal trends in annual prevalence of DKA were estimated using logistic regression analysis for each country, before and after adjustment for sex, age group and ethnic minority status. RESULTS: During the study period, new-onset type 1 diabetes was diagnosed in 59,000 children (median age [interquartile range], 9.0 years [5.5-11.7]; male sex, 52.9%). The overall adjusted DKA prevalence was 29.9%, with the lowest prevalence in Sweden and Denmark and the highest in Luxembourg and Italy. The adjusted DKA prevalence significantly increased over time in Australia, Germany and the USA while it decreased in Italy. Preschool children, adolescents and children from ethnic minority groups were at highest risk of DKA at diabetes diagnosis in most countries. A significantly higher risk was also found for females in Denmark, Germany and Slovenia. CONCLUSIONS/INTERPRETATION: DKA prevalence at type 1 diabetes diagnosis varied considerably across countries, albeit it was generally high and showed a slight increase between 2006 and 2016. Increased awareness of symptoms to prevent delay in diagnosis is warranted, especially in preschool children, adolescents and children from ethnic minority groups.
DECCP Clinique Pédiatrique Centre Hospitalier Luxembourg Luxembourg
Department of Biomedical and Clinical Sciences Linköping University Linköping Sweden
Department of Child Health University Hospital of Wales Cardiff UK
Department of Endocrinology Starship Children's Health Auckland New Zealand
Department of Pediatric and Adolescent Medicine Medical University of Vienna Vienna Austria
Department of Pediatrics 1 Medical University of Innsbruck Innsbruck Austria
Department of Pediatrics Aarhus University Hospital Aarhus Denmark
Department of Pediatrics and Adolescent Medicine Copenhagen University Hospital Herlev Denmark
Department of Pediatrics NU Hospital Group Uddevalla Sweden
Department of Pediatrics Ryhov County Hospital Jönköping Sweden
Departments of Nutrition and Medicine University of North Carolina Chapel Hill NC USA
Division of Paediatric and Adolescent Medicine Oslo University Hospital Oslo Norway
Division of Population Medicine School of Medicine Cardiff University Cardiff UK
German Center for Diabetes Research Munich Neuherberg Germany
Institute of Clinical Medicine University of Oslo Oslo Norway
Paediatrics Robinson Research Institute The University of Adelaide Adelaide SA Australia
Sahlgrenska Academy Institute of Clinical Sciences Gothenburg University Gothenburg Sweden
Citace poskytuje Crossref.org
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- $a Cherubini, Valentino $u Division of Pediatric Diabetology, Department of Women's and Children's Health, Salesi Hospital, Ancona, Italy
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- $a Temporal trends in diabetic ketoacidosis at diagnosis of paediatric type 1 diabetes between 2006 and 2016: results from 13 countries in three continents / $c V. Cherubini, JM. Grimsmann, K. Åkesson, NH. Birkebæk, O. Cinek, K. Dovč, R. Gesuita, JW. Gregory, R. Hanas, SE. Hofer, RW. Holl, C. Jefferies, G. Joner, BR. King, EJ. Mayer-Davis, AS. Peña, B. Rami-Merhar, U. Schierloh, T. Skrivarhaug, Z. Sumnik, J. Svensson, JT. Warner, N. Bratina, D. Dabelea
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- $a AIMS/HYPOTHESIS: The aim of this work was to evaluate geographical variability and trends in the prevalence of diabetic ketoacidosis (DKA), between 2006 and 2016, at the diagnosis of childhood-onset type 1 diabetes in 13 countries over three continents. METHODS: An international retrospective study on DKA at diagnosis of diabetes was conducted. Data on age, sex, date of diabetes diagnosis, ethnic minority status and presence of DKA at diabetes onset were obtained from Australia, Austria, Czechia, Denmark, Germany, Italy, Luxembourg, New Zealand, Norway, Slovenia, Sweden, USA and the UK (Wales). Mean prevalence was estimated for the entire period, both overall and by country, adjusted for sex and age group. Temporal trends in annual prevalence of DKA were estimated using logistic regression analysis for each country, before and after adjustment for sex, age group and ethnic minority status. RESULTS: During the study period, new-onset type 1 diabetes was diagnosed in 59,000 children (median age [interquartile range], 9.0 years [5.5-11.7]; male sex, 52.9%). The overall adjusted DKA prevalence was 29.9%, with the lowest prevalence in Sweden and Denmark and the highest in Luxembourg and Italy. The adjusted DKA prevalence significantly increased over time in Australia, Germany and the USA while it decreased in Italy. Preschool children, adolescents and children from ethnic minority groups were at highest risk of DKA at diabetes diagnosis in most countries. A significantly higher risk was also found for females in Denmark, Germany and Slovenia. CONCLUSIONS/INTERPRETATION: DKA prevalence at type 1 diabetes diagnosis varied considerably across countries, albeit it was generally high and showed a slight increase between 2006 and 2016. Increased awareness of symptoms to prevent delay in diagnosis is warranted, especially in preschool children, adolescents and children from ethnic minority groups.
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