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Association between the reduction of face-to-face appointments and the control of patients with type 2 diabetes mellitus during the Covid-19 pandemic in Catalonia

AIM: To analyse the relation between face-to-face appointments and management of patients with type 2 diabetes mellitus (T2DM) visited in primary care practices (PCP). METHODS: Retrospective study in 287 primary care practices (PCPs) attending>300,000 patients with T2DM. We analysed the results o...

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Autores principales: Coma, Ermengol, Miró, Queralt, Medina, Manuel, Marin-Gomez, Francesc X., Cos, Xavier, Benítez, Mència, Mas, Ariadna, Fàbregas, Mireia, Fina, Francesc, Lejardi, Yolanda, Vidal-Alaball, Josep
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Authors. Published by Elsevier B.V. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592525/
https://www.ncbi.nlm.nih.gov/pubmed/34752800
http://dx.doi.org/10.1016/j.diabres.2021.109127
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author Coma, Ermengol
Miró, Queralt
Medina, Manuel
Marin-Gomez, Francesc X.
Cos, Xavier
Benítez, Mència
Mas, Ariadna
Fàbregas, Mireia
Fina, Francesc
Lejardi, Yolanda
Vidal-Alaball, Josep
author_facet Coma, Ermengol
Miró, Queralt
Medina, Manuel
Marin-Gomez, Francesc X.
Cos, Xavier
Benítez, Mència
Mas, Ariadna
Fàbregas, Mireia
Fina, Francesc
Lejardi, Yolanda
Vidal-Alaball, Josep
author_sort Coma, Ermengol
collection PubMed
description AIM: To analyse the relation between face-to-face appointments and management of patients with type 2 diabetes mellitus (T2DM) visited in primary care practices (PCP). METHODS: Retrospective study in 287 primary care practices (PCPs) attending>300,000 patients with T2DM. We analysed the results of 9 diabetes-related indicators of the Healthcare quality standard, comprising foot and retinopathy screening, blood pressure (BP) and glycemic control; and the incidence of T2DM. We calculated each indicator’s percentage of change in 2020 with respect to the results of 2019. RESULTS: Indicators’ results were reduced in 2020 compared to 2019, highlighting the indicators of foot and retinopathy screening (-51.6% and −25.7%, respectively); the glycemic control indicator (-21.2%); the BP control indicator (–33.7%) and the incidence of T2DM (-25.6%). Conversely, the percentage of type 2 diabetes patients with HbA1c > 10% increased by 34%. PCPs with<11 weekly face-to-face appointments offered per professional had greater reductions than those PCPs with more than 40. For instance, a reduction of −60.7% vs −38.2% (p-value < 0.001) in the foot screening’s indicator; −27.5% vs −12.5% (p-value < 0.001) in glycemic control and −40.2 vs −24.3% (p-value < 0.001) in BP control. CONCLUSIONS: Reducing face-to-face visits offered may impact T2DM patients’ follow-up and thus worsen their control.
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spelling pubmed-85925252021-11-16 Association between the reduction of face-to-face appointments and the control of patients with type 2 diabetes mellitus during the Covid-19 pandemic in Catalonia Coma, Ermengol Miró, Queralt Medina, Manuel Marin-Gomez, Francesc X. Cos, Xavier Benítez, Mència Mas, Ariadna Fàbregas, Mireia Fina, Francesc Lejardi, Yolanda Vidal-Alaball, Josep Diabetes Res Clin Pract Article AIM: To analyse the relation between face-to-face appointments and management of patients with type 2 diabetes mellitus (T2DM) visited in primary care practices (PCP). METHODS: Retrospective study in 287 primary care practices (PCPs) attending>300,000 patients with T2DM. We analysed the results of 9 diabetes-related indicators of the Healthcare quality standard, comprising foot and retinopathy screening, blood pressure (BP) and glycemic control; and the incidence of T2DM. We calculated each indicator’s percentage of change in 2020 with respect to the results of 2019. RESULTS: Indicators’ results were reduced in 2020 compared to 2019, highlighting the indicators of foot and retinopathy screening (-51.6% and −25.7%, respectively); the glycemic control indicator (-21.2%); the BP control indicator (–33.7%) and the incidence of T2DM (-25.6%). Conversely, the percentage of type 2 diabetes patients with HbA1c > 10% increased by 34%. PCPs with<11 weekly face-to-face appointments offered per professional had greater reductions than those PCPs with more than 40. For instance, a reduction of −60.7% vs −38.2% (p-value < 0.001) in the foot screening’s indicator; −27.5% vs −12.5% (p-value < 0.001) in glycemic control and −40.2 vs −24.3% (p-value < 0.001) in BP control. CONCLUSIONS: Reducing face-to-face visits offered may impact T2DM patients’ follow-up and thus worsen their control. The Authors. Published by Elsevier B.V. 2021-12 2021-11-06 /pmc/articles/PMC8592525/ /pubmed/34752800 http://dx.doi.org/10.1016/j.diabres.2021.109127 Text en © 2021 The Authors Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Coma, Ermengol
Miró, Queralt
Medina, Manuel
Marin-Gomez, Francesc X.
Cos, Xavier
Benítez, Mència
Mas, Ariadna
Fàbregas, Mireia
Fina, Francesc
Lejardi, Yolanda
Vidal-Alaball, Josep
Association between the reduction of face-to-face appointments and the control of patients with type 2 diabetes mellitus during the Covid-19 pandemic in Catalonia
title Association between the reduction of face-to-face appointments and the control of patients with type 2 diabetes mellitus during the Covid-19 pandemic in Catalonia
title_full Association between the reduction of face-to-face appointments and the control of patients with type 2 diabetes mellitus during the Covid-19 pandemic in Catalonia
title_fullStr Association between the reduction of face-to-face appointments and the control of patients with type 2 diabetes mellitus during the Covid-19 pandemic in Catalonia
title_full_unstemmed Association between the reduction of face-to-face appointments and the control of patients with type 2 diabetes mellitus during the Covid-19 pandemic in Catalonia
title_short Association between the reduction of face-to-face appointments and the control of patients with type 2 diabetes mellitus during the Covid-19 pandemic in Catalonia
title_sort association between the reduction of face-to-face appointments and the control of patients with type 2 diabetes mellitus during the covid-19 pandemic in catalonia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592525/
https://www.ncbi.nlm.nih.gov/pubmed/34752800
http://dx.doi.org/10.1016/j.diabres.2021.109127
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