THU129 Age At Last Pediatric Type 1 Diabetes Visit Predicts A Successful Transition To Adult Diabetes Care

• Published in: Journal of the Endocrine Society 2023-10, Vol.7 (Supplement_1)
• Main Authors: Leung, Joseph M WS, Chen, Leo, Bone, Jeffrey, Fox, Danya A, Zhang, Qian, Amed, Shazhan
• Format: Article
• Language: English
• Subjects: Pediatric Endocrinology
• ISSN: 2472-1972; 2472-1972
• DOI: 10.1210/jendso/bvad114.1381

Disclosure: J.M. Leung: None. L. Chen: None. J. Bone: None. D.A. Fox: None. Q. Zhang: None. S. Amed: None. Introduction: Adolescents with type 1 diabetes are known to experience a substantial gap when transitioning from pediatric to adult care.1 We have previously validated a pediatric diabetes case definition and differentiating algorithm to create an administrative cohort of individuals diagnosed with type 1 diabetes using linked provincial administrative health data (physician billing, hospital discharge abstracts, and pharmacy dispensations) from British Columbia, Canada. 2 The objective of this study was to identify predictors of successful transition from pediatric to adult diabetes care within this cohort. Methods: Using our administrative cohort, we isolated adolescents who were diagnosed with type 1 diabetes between the ages of 0.5 to 18 years in 1992-2020. We excluded individuals whose last healthcare encounter was at age 1 year after LPVBT and only 640 (17.5%) had a duration between LPVBT and FAVAT of ≤1 year (i.e. successful transition). The mean duration between LPVBT and FAVAT was 3.70 years (median 2.46, IQR = 0.68-5.45). For every 1-year increase in the age at LPVBT, there was an increased odds of successful transition in both the unadjusted analysis (OR 1.809, 95% confidence interval (CI) 1.704-1.925, p