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01-01-2012 | Original Paper

The effect of socioeconomic deprivation on efficacy of continuous subcutaneous insulin infusion: a retrospective paediatric case-controlled survey

Authors: Senthil Senniappan, Paul Hine, Wing Tang, Judith Campbell, Mark Bone, Vengudi Sankar, Mark Robinson, Claire Smith, Chris Cooper, Rakesh Amin, on behalf of the North West England Paediatric Diabetes Network

Published in: European Journal of Pediatrics | Issue 1/2012

Abstract

We aimed to retrospectively evaluate the efficacy of continuous subcutaneous insulin infusion (CSII) therapy in relation to social deprivation in an urban paediatric type 1 diabetic population. Data were compared between 51 children on CSII therapy (mean age 11.2 years and duration of follow-up 1.9 years) and matched controls on multiple daily injection (MDI) therapy. Social deprivation was measured using the UK Office of National Statistics 2007 Index of Multiple Deprivation. Using linear mixed modelling analysis, lower HbA1c levels at 24 months were associated with CSII not MDI therapy (P = 0.02), after adjustment for known variables. Children with the least educated parents showed a rise in HbA1c levels from baseline on MDI therapy (least versus most educated tertile; HbA1c change +0.5% [95% confidence interval −0.1 to 1.1] versus 0% [−0.8 to 0.8]), whereas this was not observed in CSII therapy (least versus most educated tertile; HbA1c change −0.3% [−0.7 to +0.1] versus −0.2% [−0.7 to +0.3], P value for ANCOVA = 0.02, after adjusting for income and employment). Conclusion: Parental educational deprivation was associated with a failure of MDI but not CSII therapy. These outcomes need confirmation by larger studies.

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Title: The effect of socioeconomic deprivation on efficacy of continuous subcutaneous insulin infusion: a retrospective paediatric case-controlled survey
Authors: Senthil Senniappan
Paul Hine
Wing Tang
Judith Campbell
Mark Bone
Vengudi Sankar
Mark Robinson
Claire Smith
Chris Cooper
Rakesh Amin
on behalf of the North West England Paediatric Diabetes Network
Publication date: 01-01-2012
Publisher: Springer-Verlag
Published in: European Journal of Pediatrics / Issue 1/2012
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI: https://doi.org/10.1007/s00431-011-1482-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The effect of socioeconomic deprivation on efficacy of continuous subcutaneous insulin infusion: a retrospective paediatric case-controlled survey

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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