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Metabolic control, healthcare satisfaction and costs 1 month after diagnosis of type 1 diabetes: a randomised controlled trial of hospital-based care vs. hospital-based home care.

Tiberg, Irén LU ; Steen Carlsson, Katarina LU ; Carlsson, Annelie LU and Hallström, Inger LU (2012) In Pediatric Diabetes 13(8). p.625-631
Abstract
Procedures for the initial management of children newly diagnosed with diabetes vary greatly worldwide and the evidence available is insufficient for conclusively determining the best process regarding hospital-based or home-based care. The aim of the study was to compare two different regimens for children with newly diagnosed type 1 diabetes; hospital-based care and hospital-based home care (HBHC), defined as specialist care in a home-based setting. A randomised controlled trial, including 60 children, took place at a university hospital in Sweden during the period of March 2008 to September 2011. After 2-3 d with hospital-based care, children from 3 to 15 yr of age were randomised to either continued hospital-based care for a total of... (More)
Procedures for the initial management of children newly diagnosed with diabetes vary greatly worldwide and the evidence available is insufficient for conclusively determining the best process regarding hospital-based or home-based care. The aim of the study was to compare two different regimens for children with newly diagnosed type 1 diabetes; hospital-based care and hospital-based home care (HBHC), defined as specialist care in a home-based setting. A randomised controlled trial, including 60 children, took place at a university hospital in Sweden during the period of March 2008 to September 2011. After 2-3 d with hospital-based care, children from 3 to 15 yr of age were randomised to either continued hospital-based care for a total of 1-2 wk or to HBHC. This article presents results 1 month after diagnosis. No differences were shown in the daily mean glucose level or in its variability when the children received care but, after discharge, children who received HBHC showed lower mean plasma glucose values and lower variability compared to children who received hospital-based care. Children in HBHC had fewer episodes of hypoglycaemia during the first month after diagnosis. In the HBHC group, parents were more satisfied with the healthcare received and healthcare costs for the first month were 30% lower as compared to hospital-based care. The results 1 month after diagnosis support the HBHC programme as being a safe and cost-effective way of providing care. A follow-up will continue for 2 yr to evaluate which process was best for the majority of families over time. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Pediatric Diabetes
volume
13
issue
8
pages
625 - 631
publisher
Wiley-Blackwell
external identifiers
  • wos:000311418600006
  • pmid:22759218
  • scopus:84870066122
ISSN
1399-543X
DOI
10.1111/j.1399-5448.2012.00879.x
language
English
LU publication?
yes
id
c95a46f4-aea0-41ff-bc50-ea1fe6069b1e (old id 2967531)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22759218?dopt=Abstract
http://onlinelibrary.wiley.com/doi/10.1111/j.1399-5448.2012.00879.x/abstract?systemMessage=Wiley+Online+Library+will+be+disrupted+on+11+May+from+10%3A00-12%3A00+BST+(05%3A00-07%3A00+EDT)+for+essential+maintenance
date added to LUP
2012-08-09 16:02:01
date last changed
2017-01-01 07:32:07
@article{c95a46f4-aea0-41ff-bc50-ea1fe6069b1e,
  abstract     = {Procedures for the initial management of children newly diagnosed with diabetes vary greatly worldwide and the evidence available is insufficient for conclusively determining the best process regarding hospital-based or home-based care. The aim of the study was to compare two different regimens for children with newly diagnosed type 1 diabetes; hospital-based care and hospital-based home care (HBHC), defined as specialist care in a home-based setting. A randomised controlled trial, including 60 children, took place at a university hospital in Sweden during the period of March 2008 to September 2011. After 2-3 d with hospital-based care, children from 3 to 15 yr of age were randomised to either continued hospital-based care for a total of 1-2 wk or to HBHC. This article presents results 1 month after diagnosis. No differences were shown in the daily mean glucose level or in its variability when the children received care but, after discharge, children who received HBHC showed lower mean plasma glucose values and lower variability compared to children who received hospital-based care. Children in HBHC had fewer episodes of hypoglycaemia during the first month after diagnosis. In the HBHC group, parents were more satisfied with the healthcare received and healthcare costs for the first month were 30% lower as compared to hospital-based care. The results 1 month after diagnosis support the HBHC programme as being a safe and cost-effective way of providing care. A follow-up will continue for 2 yr to evaluate which process was best for the majority of families over time.},
  author       = {Tiberg, Irén and Steen Carlsson, Katarina and Carlsson, Annelie and Hallström, Inger},
  issn         = {1399-543X},
  language     = {eng},
  number       = {8},
  pages        = {625--631},
  publisher    = {Wiley-Blackwell},
  series       = {Pediatric Diabetes},
  title        = {Metabolic control, healthcare satisfaction and costs 1 month after diagnosis of type 1 diabetes: a randomised controlled trial of hospital-based care vs. hospital-based home care.},
  url          = {http://dx.doi.org/10.1111/j.1399-5448.2012.00879.x},
  volume       = {13},
  year         = {2012},
}