Factors determining diabetes care outcomes in patients with type 1 diabetes after transition from pediatric to adult health care: a systematic review

Research Question: What factors determine diabetes care outcomes for young adults with type 1 diabetes after transition from paediatric to adult health care services? Criteria for considering studies for this review: Types of participants: People aged 15-19 years inclusive with diagnosis of type 1 diabetes who have been transitioned from paediatric to adult health care services. Types of outcome measures: The primary outcomes are: Diabetes control as measured by HbA1c at follow-up Loss to follow-up Adherence to insulin therapy Incidence of hospital admission for acute complications Frequency and regularity of clinic attendance Secondary outcomes: Uptake of screening for long term diabetes complications Cost effectiveness of intervention Health related quality of life Patient satisfaction