Evaluation of Pump Discontinuation and Associated Factors in the T1D Exchange Clinic Registry
- Resource Type
- Authors
- Wong, Jenise C; Boyle, Claire; DiMeglio, Linda A; Mastrandrea, Lucy D; Abel, Kimber-Lee; Cengiz, Eda; Cemeroglu, Pinar A; Aleppo, Grazia; Largay, Joseph F; Foster, Nicole C; Beck, Roy W; Adi, Saleh; T1D Exchange Clinic Network
- Source
- Journal of diabetes science and technology, vol 11, iss 2
- Subject
- Adult
Male
Pediatric Research Initiative
Adolescent
Autoimmune Disease
Young Adult
Insulin Infusion Systems
children
7.1 Individual care needs
Clinical Research
T1D Exchange Clinic Network
Diabetes Mellitus
Humans
Registries
Longitudinal Studies
Child
Preschool
Glycated Hemoglobin
Pediatric
Nutrition and Dietetics
T1D Exchange
continuous subcutaneous insulin infusion
Diabetes
Evaluation of treatments and therapeutic interventions
discontinuation factors
pump use
6.1 Pharmaceuticals
Patient Compliance
Female
Management of diseases and conditions
Type 1
- Language
BackgroundThe objectives of this study were to examine factors associated with insulin pump discontinuation among children and adults followed longitudinally for 1 year in the multicenter T1D Exchange clinic registry, and to provide participant-reported reasons for stopping pump therapy.MethodsWe longitudinally followed 8935 participants of all ages using an insulin pump at the time of registry enrollment. Logistic regressions were used to identify demographic and clinical factors associated with pump discontinuation. Pump discontinuation was self-reported by participants on a first annual follow-up survey.ResultsThe overall frequency of pump discontinuation was 3%. Discontinuation was higher in adolescents (4%) and young adults (4%) than in younger children (3%) or older adults (1%). In multivariate analysis of children between 6 and