Journal article

Publication year: 2019

Pages: 255-262

Journal: Pediatric Diabetes

Volume number: 20

Issue number: 3

ISSN: 1399-543X

eISSN: 1399-5448

Open access status: Gold

DOI Link: https://doi.org/10.1111/pedi.12831

Publisher: Wiley

Abstract: 
Background Standardized patient registries provide a unique basis to get insight into cystic fibrosis (CF)-related diabetes (CFRD), the most common comorbidity in CF. Methods A total of 3853 CFRD patients from the European CF Society Patient Registry (ECFSPR) and 752 from the German/Austrian diabetes prospective follow-up (diabetes patienten verlaufsdokumentation [DPV]) were studied. To adjust for age and sex, multivariable regression was used (SAS 9.4). Results DPV subjects were younger (26.5 [20.2-32.6] vs 28.3 [21.7-36.0] years, P < 0.001) and more often female (59.6 vs 50.9%, P < 0.001). In both registries, F508del homozygotes were most frequent, with higher proportion in DPV (80.9 vs 57.8%, P = 0.003). After adjustment, lung-transplantation (LTX) was more common in ECFSPR (18.9 vs 4.9%, P < 0.001), although duration since LTX (4.8 +/- 0.2 vs 5.5 +/- 0.7 years, P = 0.33) did not differ. In DPV patients without LTX, a lower BMI (19.6 +/- 0.1 vs 21.0 +/- 0.1 kg/m(2), P < 0.001), higher proportion of underweight (41.2 vs 20.2%, P < 0.001) and a tendency towards worse lung function (%FEV1: 42.3 +/- 4.2 vs 48.3 +/- 0.5%, P = 0.16) were observed. Conclusions Between both registries, demographic and clinical differences of CFRD were present. Besides different kind of data sources, diverse treatment structures between countries may play a role. The results may further indicate a more serious illness in patients treated in specialized diabetes clinics, documenting their data in DPV.

Harvard Citation style: Prinz, N., Zolin, A., Konrad, K., Naehrlich, L., Laubner, K., Olesen, H., et al. (2019) Characteristics of cystic fibrosis-related diabetes: Data from two different sources the European cystic fibrosis society patient registry and German/Austrian diabetes prospective follow-up registry, Pediatric Diabetes, 20(3), pp. 255-262. https://doi.org/10.1111/pedi.12831

APA Citation style: Prinz, N., Zolin, A., Konrad, K., Naehrlich, L., Laubner, K., Olesen, H., Bauer, M., Jung, A., Frischer, T., & Holl, R. (2019). Characteristics of cystic fibrosis-related diabetes: Data from two different sources the European cystic fibrosis society patient registry and German/Austrian diabetes prospective follow-up registry. Pediatric Diabetes. 20(3), 255-262. https://doi.org/10.1111/pedi.12831