Process or outcome measure | Non-specialists | District hospital specialists | Tertiary specialists | Statistical significance* (p value) |
---|---|---|---|---|
Multiple of mean glycated haemoglobin | 1.69 | 1.60 | 1.47 | < 0.001 (< 0.001) |
Clinic attendance rate (%) | 81.5 | 90.0 | 70.5 | < 0.001 (< 0.001) |
Admitted with diabetes (%) | 13.4 | 6.9 | 8.0 | 0.033 (NS) |
Admission rate with diabetes (/child/year) | 0.22 | 0.08 | 0.14 | < 0.001 (< 0.001) |
Admitted with hypoglycaemia (%) | 7.2 | 1.6 | 2.6 | 0.003 (< 0.001) |
Admission rate with hypoglycaemia (/child/year) | 0.09 | 0.02 | 0.03 | < 0.001 (0.001) |
Admitted with ketoacidosis or for stabilisation (%) | 8.7 | 5.7 | 6.6 | NS |
Admission rate with ketoacidosis or for stabilisation (/child/year) | 0.14 | 0.06 | 0.13 | 0.007 (NS) |
Mean nights in hospital at diagnosis | 5.7 | 4.9 | 2.5 | < 0.001 |
Seen by dietitian (% of clinic visits) | 29.4 | 45.0 | 7.1 | < 0.001 (< 0.001) |
Height measured (% of clinic visits) | 92.8 | 91.1 | 90.2 | NS |
Height plotted (% of clinic visits) | 58.6 | 56.1 | 77.9 | < 0.001 (< 0.001) |
Weight measured (% of clinic visits) | 93.4 | 93.1 | 90.7 | NS |
Weight plotted (% of clinic visits) | 58.4 | 57.3 | 75.4 | < 0.001 (< 0.001) |
Blood pressure measured (%) | 80.2 | 61.8 | 78.5 | 0.043 (NS) |
Screened for microalbuminuria (%) | 25.9 | 42.6 | 67.7 | < 0.001 (< 0.001) |
Retinal examination recorded (%) | 51.9 | 45.5 | 67.7 | 0.035 (0.035) |
2-150 In parentheses: significance after adjustment for significant confounding variables.