Rehabilitation in Germany 2004–2016 A Multicenter Analysis Over a Period of 13 Years in Children and Adolescents with Diabetes Mellitus

Schiel, Ralf; Stachow, Rainer; Hermann, Thomas; Satzke, Ina; Büttner, Thomas; Koch, Sibylle; Enderlein, Katja; Bambauer, Rolf; Steveling, Antje; Bollow, Esther; Holl, Reinhard W.; Initiative, D. P. V.

doi:10.1055/a-0594-9311

Cited by 4 publications

(1 citation statement)

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“…Note added in proof: After submission of this work, Schiel et al published an analysis of pediatric patients with diabetes admitted to rehabilitation in Germany based on the DPV registry, which also includes admissions financed by the German Statutory Health Insurance [31].…”

Section: Discussionmentioning

confidence: 99%

Inpatient Rehabilitation for Children and Adolescents With Diabetes in Germany Between 2006 and 2013

Auzanneau

Bohn

Schiel³

et al. 2018

Exp Clin Endocrinol Diabetes

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Introduction In Germany, inpatient rehabilitation is a well-established additive option in the therapeutic concept for children and adolescents with diabetes. However, its contribution in pediatric diabetes care is not known exactly. Our objective was to analyze inpatient rehabilitation in pediatric diabetes over eight years in Germany. Methods We requested secondary data from the German Statutory Pension Insurance Scheme to evaluate all completed inpatient rehabilitations for children and adolescents with diabetes (ICD-code E10-14) reimbursed by this institution between 2006 and 2013. For each type of diabetes, we analyzed the distribution of admissions by year, age-group, sex, nationality, and other documented diagnoses. All analyses were conducted via remote computing with IBM SPSS Version 24. Results Between 2006 and 2013, 5,403 admissions to inpatient rehabilitation for 4,746 children and adolescents with diabetes were documented. For type 1 diabetes (T1D; 88.5% of admissions), the number of yearly admissions increased from 458 in 2006 to 688 in 2013 (p=0.013), especially for age-group>5-10. The increase for type 2 diabetes (T2D) was not significant. Admissions were more frequent for girls (53.6%, p≤0.001), age>10-15 years (42.8%, p=0.001), and German nationality (98.5%). Obesity (T1D: 11.1%; T2D: 87.9%) and mental disorders (T1D: 11.6%; T2D: 27.4%) were the most frequent documented diagnoses in addition to diabetes. Conclusion This study provides a comprehensive overview of inpatient rehabilitation for children and adolescents with diabetes over many years in Germany. Until 2013, inpatient rehabilitation remained important in pediatric diabetes care, especially for children with mental disorders or obesity.

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Section: Discussionmentioning

confidence: 99%

Inpatient Rehabilitation for Children and Adolescents With Diabetes in Germany Between 2006 and 2013

Auzanneau

Bohn

Schiel³

et al. 2018

Exp Clin Endocrinol Diabetes

Self Cite

View full text Add to dashboard Cite

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Versorgung von Diabetes mellitus im Kindes- und Jugendalter, heute und morgen: ein Blick auf Deutschland im Vergleich zu Belgien, Österreich und der Schweiz

Marg

Rami‐Merhar

Casteels

et al. 2020

Monatsschr Kinderheilkd

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BDNF-mediated mitophagy alleviates high-glucose-induced brain microvascular endothelial cell injury

Jin

Zhu

et al. 2019

Apoptosis

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Rehabilitation in Germany 2004–2016 A Multicenter Analysis Over a Period of 13 Years in Children and Adolescents with Diabetes Mellitus

Abstract: There is a change in medical rehabilitation: The number is stable, the proportion of patients using CSII increased, the number of patients living with single parents and the percentage of patients from culturally mixed families increased also.

Cited by 4 publications

References 24 publications

Inpatient Rehabilitation for Children and Adolescents With Diabetes in Germany Between 2006 and 2013

Inpatient Rehabilitation for Children and Adolescents With Diabetes in Germany Between 2006 and 2013

Versorgung von Diabetes mellitus im Kindes- und Jugendalter, heute und morgen: ein Blick auf Deutschland im Vergleich zu Belgien, Österreich und der Schweiz

BDNF-mediated mitophagy alleviates high-glucose-induced brain microvascular endothelial cell injury

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