P230 Irregular attendance at transition clinics leads to worse clinical outcomesR SMITH1, R Poole1, N Ross2, A Nicholls1, M Masding11Department of Diabetes, Poole Hospital NHS Foundation Trust, Poole, UK, 2Dorset Healthcare University NHS Foundation Trust, Dorset, UKAim: Emerging adulthood in young people with diabetes carries a risk of disengagement from diabetes services. We assessed the impact that such disengagement during transition has upon clinical measures.Methods: Service evaluation involving a retrospective case note review of patients aged 16 or 17 years on 31 December 2012 who should have transitioned across into the young adult clinic to identify what proportion are lost to follow‐up in the three years post transition and to review the impact of this on clinical outcomes.Results: Of 31 patients (mean (SD) age 16.0 (0.4) years, duration of diabetes 6.8 (4.4) years), nine attended regularly (missing no appointments within the three‐year period), and 22 were irregular attenders (missed any appointment within the clinic but subsequently attended at least one appointment in 2015). All patients saw an increase in HbA1c in the year post‐transition compared with pretransition (mean (SD) increase 6.2 mmol/mol (15.4)) with a higher post transition HbA1c in irregular attenders: mean (SD) HbA1c 64.1 mmol/mol (8.7) vs 78.4
Diabetic Medicine – Wiley
Published: Jan 1, 2018
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