Diabetes care in pediatric refugees from Africa or Middle East - experiences from Germany and Austria based on real-world data from the DPV registry.

Prinz N, Konrad K, Brack C, Hahn E, Herbst A, Icks A, Grulich-Henn J, Jorch N, Kastendieck C, Monkemoller K, Razum O, et al. (2019)
European journal of endocrinology 181(1): 31-38.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
Prinz, Nicole; Konrad, Katja; Brack, Christoph; Hahn, Eva; Herbst, Antje; Icks, Andrea; Grulich-Henn, Juergen; Jorch, Norbert; Kastendieck, Christian; Monkemoller, Kirsten; Razum, OliverUniBi; Seigleder-Schweiger, Claudia
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Abstract / Bemerkung
OBJECTIVE: With increasing migration to Europe, diabetes diagnosis and treatment of refugees became challenging. To describe current experience with pediatric refugees in Germany and Austria.; DESIGN AND METHODS: 43,137 patients (<21 years) with type 1 diabetes from the diabetes patient follow-up registry (DPV) were studied, and divided by refugee status into patients born in Middle East (n=365) or Africa (n=175) and native patients (child and parents born in Germany/Austria; G/A: n=42,597). Groups were compared using multivariable regression adjusted for age, sex and diabetes duration (SAS 9.4). In refugees the first year after arrival was studied, and for native children the most recent year of care.; RESULTS: After adjustment, HbA1c was highest in refugees (ME vs. AFR vs. G/A: 72.3±1.0 vs. 75.0±1.4 vs. 66.0±0.1 mmol/mol, each p<0.001) and microalbuminuria (9.9 vs 13.6 vs. 6.5%, each p<0.05) was more prevalent. African children experienced severe hypoglycemia (17.8±4.3 vs. 25.4±8.7 vs. 11.5±0.3 per 100 patient years) significantly more often, whereas hypoglycemia with coma (5.1±1.1 vs. 4.1±1.6 vs. 2.6±0.1 per 100 patient years) and retinopathy (2.1 vs. n/a vs. 0.2%) were significantly more common in children from Middle East compared to natives. Insulin pumps were used in a markedly larger proportion of native patients (7.4 vs. 13.2 vs. 43.0%, each p<0.001).; CONCLUSIONS: A relevant number of pediatric refugees with type 1 diabetes are treated in German/Austrian diabetes clinics. Refugee children, parents and caregivers are faced with several problems in diabetes therapy and outcome that should be addressed more intensively by pediatric diabetes teams.
Erscheinungsjahr
2019
Zeitschriftentitel
European journal of endocrinology
Band
181
Ausgabe
1
Seite(n)
31-38
ISSN
0804-4643
eISSN
1479-683X
Page URI
https://pub.uni-bielefeld.de/record/2935653

Zitieren

Prinz N, Konrad K, Brack C, et al. Diabetes care in pediatric refugees from Africa or Middle East - experiences from Germany and Austria based on real-world data from the DPV registry. European journal of endocrinology. 2019;181(1):31-38.
Prinz, N., Konrad, K., Brack, C., Hahn, E., Herbst, A., Icks, A., Grulich-Henn, J., et al. (2019). Diabetes care in pediatric refugees from Africa or Middle East - experiences from Germany and Austria based on real-world data from the DPV registry. European journal of endocrinology, 181(1), 31-38. doi:10.1530/EJE-18-0898
Prinz, N., Konrad, K., Brack, C., Hahn, E., Herbst, A., Icks, A., Grulich-Henn, J., Jorch, N., Kastendieck, C., Monkemoller, K., et al. (2019). Diabetes care in pediatric refugees from Africa or Middle East - experiences from Germany and Austria based on real-world data from the DPV registry. European journal of endocrinology 181, 31-38.
Prinz, N., et al., 2019. Diabetes care in pediatric refugees from Africa or Middle East - experiences from Germany and Austria based on real-world data from the DPV registry. European journal of endocrinology, 181(1), p 31-38.
N. Prinz, et al., “Diabetes care in pediatric refugees from Africa or Middle East - experiences from Germany and Austria based on real-world data from the DPV registry.”, European journal of endocrinology, vol. 181, 2019, pp. 31-38.
Prinz, N., Konrad, K., Brack, C., Hahn, E., Herbst, A., Icks, A., Grulich-Henn, J., Jorch, N., Kastendieck, C., Monkemoller, K., Razum, O., Seigleder-Schweiger, C., Witsch, M., Holl, R.: Diabetes care in pediatric refugees from Africa or Middle East - experiences from Germany and Austria based on real-world data from the DPV registry. European journal of endocrinology. 181, 31-38 (2019).
Prinz, Nicole, Konrad, Katja, Brack, Christoph, Hahn, Eva, Herbst, Antje, Icks, Andrea, Grulich-Henn, Juergen, Jorch, Norbert, Kastendieck, Christian, Monkemoller, Kirsten, Razum, Oliver, Seigleder-Schweiger, Claudia, Witsch, Michael, and Holl, Reinhard. “Diabetes care in pediatric refugees from Africa or Middle East - experiences from Germany and Austria based on real-world data from the DPV registry.”. European journal of endocrinology 181.1 (2019): 31-38.

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