Knowledge, attitudes, and practices in pediatric hypoglycemia in Italy (KAPPHy study)
Rattachement africain : it. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
PURPOSE: Childhood hypoglycemia is associated with relevant morbidity and likely long-term neurological sequelae. Diagnostic thresholds and management strategies remain quite heterogeneous, particularly beyond the neonatal period. We aimed to evaluate current diagnostic and therapeutic practices for pediatric hypoglycemia management in Italy among members of the Italian Society of Pediatric Endocrinology and Diabetology (SIEDP) and the Italian Society of Metabolic Diseases and Newborn Screening (SIMMESN). METHODS: An anonymous electronic survey including 43 questions about management of pediatric hypoglycemia was sent to SIEDP and SIMMESN members. Descriptive statistics and comparative statistical analysis between respondents of the two societies were run. RESULTS: A total of 118 respondents participated. Most of them reported direct clinical experience in pediatric hypoglycemia and routinely used critical sampling during hypoglycemic episodes. Diagnostic thresholds were heterogeneous: 34.7% reported 50 mg/dL, 33.1% 60 mg/dL, and 22.0% 70 mg/dL. Comparative analysis between societies showed no differences in most diagnostic procedures, but significant differences emerged in diagnostic thresholds (p = 0.005), with SIMMESN members selected 60 mg/dL more frequently (adjusted p = 0.020), and SIEDP members more frequently 70 mg/dL (adjusted p = 0.013). SIMMESN members reported more frequent use of genetic testing for etiological diagnosis. SIEDP respondents showed a frequent used of continuous glucose monitoring in the follow-up. CONCLUSION: Management of pediatric hypoglycemia in Italy is largely aligned with international recommendations. Clinically relevant variability persists, particularly in diagnostic thresholds, adoption of molecular analysis, and technologies, likely reflecting different clinical focus and patient populations. Our findings highlight the need for harmonized national recommendations and shared diagnostic definitions across scientific societies.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Knowledge, attitudes, and practices in pediatric hypoglycemia in Italy (KAPPHy study)
- Date Crossref
- 22/07/2026
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Bambino Gesù Children's Hospital pays non établi dans la noticeÉtablissement de santé
-
Vita-Salute San Raffaele University pays non établi dans la noticeUniversité ou école supérieure
-
Istituti di Ricovero e Cura a Carattere Scientifico pays non établi dans la noticeÉtablissement de santé
-
Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele pays non établi dans la noticeÉtablissement de santé
-
University of Milan Department of Clinical Sciences and Community Health pays non établi dans la noticeUniversité ou école supérieure
-
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico pays non établi dans la noticeÉtablissement de santé
-
University of Naples Federico II pays non établi dans la noticeUniversité ou école supérieure
-
University of L'Aquila Department of Biotechnological and Applied Clinical Sciences pays non établi dans la noticeUniversité ou école supérieure
-
Division of Metabolic Diseases and Hepatology pays non établi dans la noticeInstitution
-
IRCCS San Raffaele Institute Pediatric Unit pays non établi dans la noticeStructure de recherche
-
Clinical Metabolic Reference Center pays non établi dans la noticeÉtablissement de santé
-
University of Naples "Federico II" Department of Translational Medicine pays non établi dans la noticeUniversité ou école supérieure
Bambino Gesù Children's Hospital, Vita-Salute San Raffaele University et Istituti di Ricovero e Cura a Carattere Scientifico, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.