Quality of care in patients with type 1 diabetes during the COVID-19 pandemic: a cohort study from Southern Brazil.
Diabetol Metab Syndr
; 14(1): 75, 2022 May 21.
Article
in English
| MEDLINE | ID: covidwho-1902406
ABSTRACT
BACKGROUND:
Optimal glycemic control is the main goal for patients with diabetes. The results of type 1 diabetes patients' neglected demands during the pandemic can determine a long-term negative clinical, social, and economic impact, and result in worse diabetes control and a higher incidence of chronic complications. Therefore, this study aims to evaluate the impact of the COVID-19 outbreak in the quality of care of patients with type 1 diabetes in Southern Brazil.METHODS:
Cohort study based on electronic medical records of patients with type 1 diabetes, with scheduled appointments between January 1st 2020, and November 6th 2020, at a university public hospital. The quality indicators used were assessment of albuminuria and/or serum creatinine, lipid profile, thyroid-stimulating hormone, glycated hemoglobin, retinopathy, and neuropathy. McNemar test was used to analyze categorical variables and the Wilcoxon test for continuous variables.RESULTS:
Out of 289 patients, 49.5% were women aged 40 ± 12 years old. During the pandemic, 252 patients had at least one face-to-face appointment canceled. The quality of care indicators showed a significant worsening during the COVID-19 pandemic compared to the previous year (p < 0.001). In 2019, 23.2% of the participants had all the indicators evaluated, while in 2020, during the pandemic, only 3.5% had all of them evaluated.CONCLUSION:
The COVID-19 pandemic hindered the offer of comprehensive and quality care to patients with type 1 diabetes.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Diabetol Metab Syndr
Year:
2022
Document Type:
Article
Affiliation country:
S13098-022-00845-6
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