Pediatric Endocrinologists' Management of Children With Type 2 Diabetes

作者：Wong Kam; Potter Amy; Mulvaney Shelagh; Russell William E; Schlundt David G; Rothman Russell L^*

来源：Diabetes Care, 2010, 33(3): 512-514.

DOI：10.2337/dc09-1333

OBJECTIVE - To understand physician behaviors and attitudes in managing children with type 2 diabetes.
RESEARCH DESIGN AND METHODS - A survey was mailed to a nationwide sample of pediatric endocrinologists (PEs).
RESULTS - A total of 40% of PEs surveyed responded (211 of 527). Concordance with current monitoring guidelines varied widely, ranging from 36% (foot care) to 93% (blood pressure monitoring). Given clinical vignettes addressing hyperlipidemia, hypertension, and microalbuminuria, only 34% of PEs were full), concordant with current treatment guidelines. Reported barriers included concerns about patient adherence, insufficient scientific evidence about treatment, and lack of familiarity with current recommendations. Providers aged <= 45 years or in clinical practice <10 years reported significantly more aggressive management behaviors and had higher concordance With guidelines.
CONCLUSIONS - Screening and management of pediatric type 2 diabetes varied widely among PEs, Suggesting opportunities for quality improvement. More aggressive management Of type 2 diabetes among younger providers may be related to recent training when type 2 diabetes was more common.

• 出版日期2010-3