Do children and adolescents with type 1 diabetes suffer from a lack of resources in France? Results from a benchmark study in the New Aquitaine region.
Archives de Pédiatrie. 2021-05-01; 28(4): 301-306
DOI: 10.1016/j.arcped.2021.02.007
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Campas-Lebecque MN(1), Pochelu S(2), Vautier V(2), Bacheré N(3), Beau C(4), Benoit M(5), Cammas B(6), Carré M(7), Chevrel J(8), Compain F(9),Fargeot-Espaliat A(10), Franc M(11), Galtier A(12), Gambert C(9), Lacoste A(13), Lienhardt A(14), Martineau L(15), Oilleau L(16), Percot-Blondy M(17), TambouraA(18), Valade A(7), Barat P(2).
Author information:
(1)Unité d’endocrinologie et diabétologie pédiatrique, CHU de Bordeaux, place
Amélie Rabat Léon, 33076 Bordeaux, France. Electronic address:
.
(2)Unité d’endocrinologie et diabétologie pédiatrique, CHU de Bordeaux, place
Amélie Rabat Léon, 33076 Bordeaux, France.
(3)Unité de pédiatrie, CH Layné, 40024 Mont De Marsan, France.
(4)Unité de pédiatrie, CH Libourne, 112, rue de la Marne, 33505 Libourne, France.
(5)Unité de pédiatrie, CH de Saintonge, 11, boulevard Ambroise-Paré, 17108
Saintes, France.
(6)22, rue Guillemin, 33300 Bordeaux, France.
(7)Unité de pédiatrie, CH Côte-Basque, 13, avenue Jacques-Loeb, BP, 64109
Bayonne, France.
(8)Unité de pédiatrie, CH Côte-d’argent, boulevard Yves-Du-Manoir, 40107 Dax,
France.
(9)Unité de pédiatrie, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers,
France.
(10)Unité de pédiatrie, CH de Brive, 1, boulevard du Dr-Verlhac, 19312 Brive La
Gaillarde, France.
(11)Unité de pédiatrie, CH Agen-Nérac, 47923 Agen, France.
(12)Unité de pédiatrie, CH Samuel Pozzi, 9, boulevard Pr-Calmette, 24100
Bergerac, France.
(13)Polyclinique Bordeaux Rive Droite, 24, rue des Cavailles, 33310 Lormont,
France.
(14)Unité d’endocrinologie et diabétologie pédiatrique, CHU Dupuytren, 8, avenue
Larrey, 87042 Limoges, France.
(15)Unité de pédiatrie, CH d’Angoulême, rond point de Girac, 16959 Angoulême,
France.
(16)Unité de pédiatrie, CH de Pau, 4, boulevard Hauterive, 64046 Pau, France.
(17)Unité de pédiatrie, CH de Périgueux, 80, avenue Pompidou, 24019 Périgueux,
France.
(18)Unité de pédiatrie, CH de Rochefort, 1, avenue de Béligon, 17301 Rochefort,
France.
BACKGROUND: A benchmark study was conducted in the southwest of France, in the
New Aquitaine region, to investigate metabolic outcomes and availability of
resources in pediatric diabetes units. We assessed whether the level of care was
in accordance with the International Society for Pediatric and Adolescent
Diabetes recommendations.
METHODS: Demographic and clinical data were collected, as were all HbA1c tests
for the 2017 calendar year. Pediatricians specialized in diabetes care were
invited to complete an online survey concerning means allocated to the management
of type 1 diabetes in their centers.
RESULTS: Sixteen centers provided data for 1277 patients and 3873 clinical
visits. A total of 1115 children suffering from diabetes for more than 1 year
were studied. Median HbA1c was 8% (7.4-8.6) for the whole region. Only 29.2% of
children had good metabolic control in accordance with the