학술논문

Evaluation of Pump Discontinuation and Associated Factors in the T1D Exchange Clinic Registry.
Document Type
article
Source
Journal of diabetes science and technology. 11(2)
Subject
T1D Exchange Clinic Network
Humans
Diabetes Mellitus
Type 1
Insulin Infusion Systems
Registries
Longitudinal Studies
Patient Compliance
Adolescent
Adult
Child
Child
Preschool
Female
Male
Young Adult
Glycated Hemoglobin
T1D Exchange
adult
children
continuous subcutaneous insulin infusion
discontinuation factors
pump use
Clinical Research
Pediatric Research Initiative
Pediatric
Diabetes
Autoimmune Disease
6.1 Pharmaceuticals
7.1 Individual care needs
Evaluation of treatments and therapeutic interventions
Management of diseases and conditions
Nutrition and Dietetics
Language
Abstract
BackgroundThe objectives of this study were to examine factors associated with insulin pump discontinuation among children and adults followed longitudinally for 1 year in the multicenter T1D Exchange clinic registry, and to provide participant-reported reasons for stopping pump therapy.MethodsWe longitudinally followed 8935 participants of all ages using an insulin pump at the time of registry enrollment. Logistic regressions were used to identify demographic and clinical factors associated with pump discontinuation. Pump discontinuation was self-reported by participants on a first annual follow-up survey.ResultsThe overall frequency of pump discontinuation was 3%. Discontinuation was higher in adolescents (4%) and young adults (4%) than in younger children (3%) or older adults (1%). In multivariate analysis of children between 6 and