title: Survey on the use of insulin pumps in Italy: comparison between pediatric and adult age groups (IMITA study).
abstract: OBJECTIVE
  The aim of the study was to evaluate and compare continuous subcutaneous insulin infusion (CSII) use in pediatric and adult age groups.
  
  
  METHODS
  Data were collected with a questionnaire sent by e-mail to CSII-experienced Diabetes Centers. The questionnaire assessed: (1) number of CSII-treated patients; (2) patient demographic data and characteristics; (3) structure and organization of Diabetes Centers providing CSII therapy; (4) pump characteristics (conventional pump, sensor-augmented pump); and (5) CSII dropouts.
  
  
  RESULTS
  A total of 217 out of 1093 Italian centers participated: 51 pediatric (23.5 %) and 166 (76.5 %) adult centers (AP). Compared to a survey performed in 2005, there was a significant increase in the number of pediatric units when compared to adult units (112 vs 37 %, respectively, p < 0.05). Pediatric age is characterized by a greater concern for quality of life and injections, and a higher dropout rate (10.6 vs 8.9 %) mainly related to pump wearability and site reactions. A complete diabetes-care team is associated with a superior use of technology (fewer dropouts, increased CGM and advanced bolus use) which is, however, still used in a small percentage of patients.
  
  
  CONCLUSIONS
  In Italy, the number of CSII-treated pediatric patients (PP) is growing more significantly when compared to adults. Only 60 % of all patients are using advanced functions and 20 % are using CGMs continuously. This confirms the great interest in diabetes technology that is growing in pediatric diabetologists. However, much improvement is warranted in the organization and specialized training of pediatric, adult and transitional facilities.
authors.affiliation: Pediatric Department and Diabetes Research Institute (OSR-DRI), IRCCS Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy. bonfanti.riccardo@hsr.it.
authors.forename: R
authors.initials: R
authors.lastname: Bonfanti
authors.affiliation: Unit of Endocrine Disease and Diabetology, A.O Papa Giovanni XXIII, Bergamo, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Lepore
authors.affiliation: Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Bozzetto
authors.affiliation: Unit of Diabetology and Endocrinology, P.O. Metropolitano, ASL 3, Genoa, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Corsi
authors.affiliation: Department of Endocrinology and Diabetology, ASL Salerno, Salerno, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Di Blasi
authors.affiliation: Unit of Diabetology, A.O. Spedali Civili, Brescia, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Girelli
authors.affiliation: Division of Endocrinology, Diabetology and Metabolism, A.O Città della Salute e della Scienza, Turin, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Grassi
authors.affiliation: Department of Pediatrics, Second University of Naples, Naples, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Iafusco
authors.affiliation: Department of Pediatrics, University of Turin, Turin, Italy.
authors.forename: I
authors.initials: I
authors.lastname: Rabbone
authors.affiliation: Unit of Endocrinology and Diabetes, IRCCS Bambino Gesù Children's Hospital, Rome, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Schiaffini
authors.affiliation: Section of Internal Medicine, Endocrinology, Andrology and Metabolic Diseases, Department of Emergency and Organ Transplantation, University of Aldo Moro, Bari, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Laviola
authors.affiliation: Department of Medicine, DIMED, Metabolic Diseases, University of Padua, Padua, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Bruttomesso
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003920:Diabetes Mellitus / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007332:Insulin Infusion Systems / Q000009:adverse effects* / Q000523:psychology / Q000592:standards; D007558:Italy; D008297:Male; D010361:Patients / Q000523:psychology; D011795:Surveys and Questionnaires
keywords: CGM; CSII; Children; Diabetes; Pumps; T1DM