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@article{Wan:2019:10.2337/dc19-0363,
author = {Wan, W and Nathan, AG and Zarei, P and Skandari, M and Reid, MW and Raymond, JK and Huang, ES},
doi = {10.2337/dc19-0363},
journal = {Diabetes Care},
pages = {1589--1592},
title = {Cost-effectiveness of shared telemedicine appointments in young adults with T1D: CoYoT1 trial},
url = {http://dx.doi.org/10.2337/dc19-0363},
volume = {42},
year = {2019}
}

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TY  - JOUR
AB  - OBJECTIVE: Young adults(YAs)with type 1 diabetes (T1D) often struggle to achieve glycemic control and maintain routine clinic visits. We aimed to evaluate the societal cost-effectiveness of the Colorado YAswith T1D (CoYoT1) Clinic, an innovative caremodel ofshared medical appointments through home telehealth.RESEARCH DESIGN AND METHODS: Patients self-selected into the CoYoT1 (N=42) or usual care (N=39) groups. RESULTS: Within the trial, we foundno significant differences in 9-month quality-adjusted life; however,the control group had a larger decline from baseline inutility than the CoYoT1 group, indicating a quality of life(QoL) benefit of the intervention (difference in difference mean ± SD: +0.04 ± 0.09, P=0.03). There was no significant difference in total costs. The CoYoT1 group had more study-related visits but fewer non-study office visits and hospitalizations. CONCLUSIONS: The CoYoT1 care model may help YAs with T1D maintain a higher QoLwith no increase in costs.
AU  - Wan,W
AU  - Nathan,AG
AU  - Zarei,P
AU  - Skandari,M
AU  - Reid,MW
AU  - Raymond,JK
AU  - Huang,ES
DO  - 10.2337/dc19-0363
EP  - 1592
PY  - 2019///
SN  - 0149-5992
SP  - 1589
TI  - Cost-effectiveness of shared telemedicine appointments in young adults with T1D: CoYoT1 trial
T2  - Diabetes Care
UR  - http://dx.doi.org/10.2337/dc19-0363
UR  - http://hdl.handle.net/10044/1/70443
VL  - 42
ER  -

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Dr M. Reza Skandari

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