Use of continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes mellitus: a systematic mapping review

Abstract Background Among the treatments for type 1 diabetes mellitus (T1DM), Continuous Subcutaneous Insulin Infusion (CSII) is a device that infuses insulin through the subcutaneous tissue in an uninterrupted manner and that comes closest to the physiological secretion of insulin. The use of CSII...

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Main Authors: Carolina Spinelli Alvarenga, Rebecca Ortiz La Banca, Rhyquelle Rhibna Neris, Valéria de Cássia Sparapani, Miguel Fuentealba-Torres, Denisse Cartagena-Ramos, Camila Lima Leal, Marcos Venicio Esper, Lucila Castanheira Nascimento
Format: Article
Language:English
Published: BMC 2022-02-01
Series:BMC Endocrine Disorders
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Online Access:https://doi.org/10.1186/s12902-022-00950-7
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author Carolina Spinelli Alvarenga
Rebecca Ortiz La Banca
Rhyquelle Rhibna Neris
Valéria de Cássia Sparapani
Miguel Fuentealba-Torres
Denisse Cartagena-Ramos
Camila Lima Leal
Marcos Venicio Esper
Lucila Castanheira Nascimento
author_facet Carolina Spinelli Alvarenga
Rebecca Ortiz La Banca
Rhyquelle Rhibna Neris
Valéria de Cássia Sparapani
Miguel Fuentealba-Torres
Denisse Cartagena-Ramos
Camila Lima Leal
Marcos Venicio Esper
Lucila Castanheira Nascimento
author_sort Carolina Spinelli Alvarenga
collection DOAJ
description Abstract Background Among the treatments for type 1 diabetes mellitus (T1DM), Continuous Subcutaneous Insulin Infusion (CSII) is a device that infuses insulin through the subcutaneous tissue in an uninterrupted manner and that comes closest to the physiological secretion of insulin. The use of CSII can provide the family with greater security and children and adolescents have more autonomy in relation to the treatment of T1DM. There is a lack of reviews that systematically gather the mounting evidence about the use of CSII in children and adolescents with T1DM. Therefore, the aim of this review was to group and describe primary and secondary studies on the use of CSII in children and adolescents with T1DM. Methods A systematic mapping review was performed based on searches in the following databases: PubMed, Embase, CINAHL, Lilacs and PsycINFO, using a combination of descriptors and keywords. The screening of the studies was carried out with the aid of the Rayyan software and reading in full was conducted independently by two reviewers. The data extraction of the studies was performed using an extraction tool adapted and validated by researchers specialized in diabetes. The data were analyzed according to the content analysis technique. The map from geocoding of the studies was produced using the ArcGis 10.5 software. Results A total of 113 studies were included in the review, including primary studies, literature reviews and gray literature publications. The content analysis of the results of the studies allowed for the identification of four categories: 1) metabolic control; 2) support networks; 3) benefits of using CSII; and 4) challenges of using CSII, each category having its respective subcategories. The review also made it possible to conduct a rigorous mapping of the literature on the use of CSII considering the location of development and the design of the studies. Conclusions The use of CSII should be indicated by health professionals able to prepare children, adolescents, and their families for the treatment of T1DM, and, despite being a technological device, it may not be suitable for the entire pediatric population.
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spelling doaj.art-d0eb526f3af144fe8c63977084216bcc2022-12-21T17:24:15ZengBMCBMC Endocrine Disorders1472-68232022-02-0122111510.1186/s12902-022-00950-7Use of continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes mellitus: a systematic mapping reviewCarolina Spinelli Alvarenga0Rebecca Ortiz La Banca1Rhyquelle Rhibna Neris2Valéria de Cássia Sparapani3Miguel Fuentealba-Torres4Denisse Cartagena-Ramos5Camila Lima Leal6Marcos Venicio Esper7Lucila Castanheira Nascimento8Public Health Nursing Graduate Program, University of São Paulo at Ribeirão Preto College of NursingJoslin Diabetes Center, Harvard Medical SchoolPublic Health Nursing Graduate Program, University of São Paulo at Ribeirão Preto College of NursingFederal University of Santa CatarinaUniversidad de los AndesUniversidad Andrés BelloPublic Health Nursing Graduate Program, University of São Paulo at Ribeirão Preto College of NursingInterunit Doctoral Program in Nursing, University of São Paulo College of Nursing and the University of São Paulo at Ribeirão Preto College of NursingMaternal-Infant and Public Health Nursing Department, University of São Paulo at Ribeirão Preto College of Nursing, PAHO/WHO Collaborating Centre for Nursing Research DevelopmentAbstract Background Among the treatments for type 1 diabetes mellitus (T1DM), Continuous Subcutaneous Insulin Infusion (CSII) is a device that infuses insulin through the subcutaneous tissue in an uninterrupted manner and that comes closest to the physiological secretion of insulin. The use of CSII can provide the family with greater security and children and adolescents have more autonomy in relation to the treatment of T1DM. There is a lack of reviews that systematically gather the mounting evidence about the use of CSII in children and adolescents with T1DM. Therefore, the aim of this review was to group and describe primary and secondary studies on the use of CSII in children and adolescents with T1DM. Methods A systematic mapping review was performed based on searches in the following databases: PubMed, Embase, CINAHL, Lilacs and PsycINFO, using a combination of descriptors and keywords. The screening of the studies was carried out with the aid of the Rayyan software and reading in full was conducted independently by two reviewers. The data extraction of the studies was performed using an extraction tool adapted and validated by researchers specialized in diabetes. The data were analyzed according to the content analysis technique. The map from geocoding of the studies was produced using the ArcGis 10.5 software. Results A total of 113 studies were included in the review, including primary studies, literature reviews and gray literature publications. The content analysis of the results of the studies allowed for the identification of four categories: 1) metabolic control; 2) support networks; 3) benefits of using CSII; and 4) challenges of using CSII, each category having its respective subcategories. The review also made it possible to conduct a rigorous mapping of the literature on the use of CSII considering the location of development and the design of the studies. Conclusions The use of CSII should be indicated by health professionals able to prepare children, adolescents, and their families for the treatment of T1DM, and, despite being a technological device, it may not be suitable for the entire pediatric population.https://doi.org/10.1186/s12902-022-00950-7ChildAdolescentDiabetes mellitus, type 1Insulin infusion systemsReviewPediatric nursing
spellingShingle Carolina Spinelli Alvarenga
Rebecca Ortiz La Banca
Rhyquelle Rhibna Neris
Valéria de Cássia Sparapani
Miguel Fuentealba-Torres
Denisse Cartagena-Ramos
Camila Lima Leal
Marcos Venicio Esper
Lucila Castanheira Nascimento
Use of continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes mellitus: a systematic mapping review
BMC Endocrine Disorders
Child
Adolescent
Diabetes mellitus, type 1
Insulin infusion systems
Review
Pediatric nursing
title Use of continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes mellitus: a systematic mapping review
title_full Use of continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes mellitus: a systematic mapping review
title_fullStr Use of continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes mellitus: a systematic mapping review
title_full_unstemmed Use of continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes mellitus: a systematic mapping review
title_short Use of continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes mellitus: a systematic mapping review
title_sort use of continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes mellitus a systematic mapping review
topic Child
Adolescent
Diabetes mellitus, type 1
Insulin infusion systems
Review
Pediatric nursing
url https://doi.org/10.1186/s12902-022-00950-7
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