Area Deprivation and Regional Disparities in Treatment And
Diabetes Care Volume 41, December 2018 2517 Marie Auzanneau,1,2 Stefanie Lanzinger,1,2 Area Deprivation and Regional Barbara Bohn,1,2 Peter Kroschwald,3 Ursula Kuhnle-Krahl,4 Disparities in Treatment and Paul Martin Holterhus,5 Kerstin Placzek,6 Johannes Hamann,7 Rainer Bachran,8 Outcome Quality of 29,284 Joachim Rosenbauer,2,9 and Werner Maier,2,10 on behalf of the Pediatric Patients With Type 1 DPV Initiative Diabetes in Germany: A Cross- sectional Multicenter DPV EPIDEMIOLOGY/HEALTH SERVICES RESEARCH Analysis Diabetes Care 2018;41:2517–2525 | https://doi.org/10.2337/dc18-0724 1Institute of Epidemiology and Medical Biome- try, ZIBMT, University of Ulm, Ulm, Germany 2German Center for Diabetes Research (DZD), Neuherberg, Germany 3Children’s Hospital, Ruppiner Kliniken GmbH, OBJECTIVE Hochschulklinikum der Medizinischen Hochschule This study analyzed whether area deprivation is associated with disparities in health Brandenburg, Neuruppin, Germany 4 care of pediatric type 1 diabetes in Germany. Practice for Pediatric Endocrinology and Dia- betology, Gauting, Germany 5 RESEARCH DESIGN AND METHODS Division of Pediatric Endocrinology and Diabe- tes, Department of Pediatrics, University Hospital We selected patients <20 years of age with type 1 diabetes and German residence of Schleswig-Holstein, Campus Kiel/Christian- documented in the “diabetes patient follow-up” (Diabetes-Patienten-Verlaufsdo- Albrechts University of Kiel, Kiel, Germany 6 kumentation [DPV]) registry for 2015/2016. Area deprivation was assessed by Pediatric and Adolescent Medicine, University Hospital, Martin-Luther University, Halle, Germany quintiles of the German Index of MultipleDeprivation (GIMD 2010) at the district level 7Department of Pediatrics, St. Marien Hospital and was assigned to patients.
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