Racial disparities in treatment and outcomes of children with type 1 diabetes
Pediatric Diabetes Oct 29, 2020
Lipman TH, Smith JA, Patil O, et al. - Through reviewing electronic health records of children (< 18 years) attending a large, pediatric tertiary care diabetes center in the United States between October 1, 2018, and December 31, 2019, researchers sought to evaluate racial disparities in treatments and outcomes between Non‐Hispanic black (NHB), Hispanic and Non‐Hispanic white (NHW) children with type 1 diabetes (T1D). Of the 1,331 children (47% female) with a median (IQR) age of 14.2 (11.5, 16.3) years and T1D period of 5.8 (3.8, 9) years; 1026 (77%) were NHW, 198 (15%) NHB, and 107 (8%) Hispanic. In children with T1D, racial disparities in technology use and diabetes results persist, irrespective of insurance status. Pediatric healthcare providers should remain cognizant of racial disparities in diabetes treatment to ensure equitable care. When studying the etiology of these health disparities, the impact of provider and patient factors should be discussed.
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