Cargando…

Implementation of the Publicly Funded Prenatal Screening Programme in Poland during the COVID-19 Pandemic: A Cross-Sectional Study

The COVID-19 pandemic in 2020 affected the entire healthcare system in Poland, causing medical personnel to be relocated to other duties and limiting patients’ contacts with healthcare professionals. A large part of the planned diagnostics and treatment was delayed due to lack of equipment and perso...

Descripción completa

Detalles Bibliográficos
Autores principales: Czuba, Bartosz, Mlodawski, Jakub, Kajdy, Anna, Sys, Dorota, Cnota, Wojciech, Mlodawska, Marta, Kwiatkowski, Sebastian, Guzik, Pawel, Wielgos, Miroslaw, Rybak-Krzyszkowska, Magda, Fuchs, Anna, Swiercz, Grzegorz, Borowski, Dariusz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911175/
https://www.ncbi.nlm.nih.gov/pubmed/35268408
http://dx.doi.org/10.3390/jcm11051317
_version_ 1784666721641037824
author Czuba, Bartosz
Mlodawski, Jakub
Kajdy, Anna
Sys, Dorota
Cnota, Wojciech
Mlodawska, Marta
Kwiatkowski, Sebastian
Guzik, Pawel
Wielgos, Miroslaw
Rybak-Krzyszkowska, Magda
Fuchs, Anna
Swiercz, Grzegorz
Borowski, Dariusz
author_facet Czuba, Bartosz
Mlodawski, Jakub
Kajdy, Anna
Sys, Dorota
Cnota, Wojciech
Mlodawska, Marta
Kwiatkowski, Sebastian
Guzik, Pawel
Wielgos, Miroslaw
Rybak-Krzyszkowska, Magda
Fuchs, Anna
Swiercz, Grzegorz
Borowski, Dariusz
author_sort Czuba, Bartosz
collection PubMed
description The COVID-19 pandemic in 2020 affected the entire healthcare system in Poland, causing medical personnel to be relocated to other duties and limiting patients’ contacts with healthcare professionals. A large part of the planned diagnostics and treatment was delayed due to lack of equipment and personnel. Against this background, we analysed the implementation of the publicly funded prenatal screening programme (PSP) in Poland compared to the previous year. This is a cross-sectional study. We used nationwide datasets on the implementation of the prenatal testing programme over the period 2019–2020, datasets from the Statistics Poland on birth and the data on the development of the COVID-19 epidemic in Poland. In the year 2020, we observed a 12.41% decrease in woman enrolled to the programme compared to 2019. However, the decrease concerned only women under 35 years of age. With respect to the number of deliveries in the calendar year, the number of patients enrolled in the programme decreased by 3% (31% vs. 34%, p < 0.001). We also observed an increase in estriol measurements per the number of patients included in the programme, and a reduction in the number of PAPP-A tests in the first trimester, which proves an increased share of the triple test in the prenatal diagnosis of chromosomal aberrations. With respect to the number of deliveries, the number of amniocentesis procedures performed under PSP decreased by 0.19% (1.8% vs. 1.99%, p < 0.0001). In 2020, compared to the previous year, the number of patients included in the prenatal testing programme in Poland decreased. In terms of the number of births in Poland, the number of integrated screening tests also decreased, at the expense of increasing the percentage of triple tests. There were also significant reductions in the number of invasive diagnostic tests.
format Online
Article
Text
id pubmed-8911175
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-89111752022-03-11 Implementation of the Publicly Funded Prenatal Screening Programme in Poland during the COVID-19 Pandemic: A Cross-Sectional Study Czuba, Bartosz Mlodawski, Jakub Kajdy, Anna Sys, Dorota Cnota, Wojciech Mlodawska, Marta Kwiatkowski, Sebastian Guzik, Pawel Wielgos, Miroslaw Rybak-Krzyszkowska, Magda Fuchs, Anna Swiercz, Grzegorz Borowski, Dariusz J Clin Med Article The COVID-19 pandemic in 2020 affected the entire healthcare system in Poland, causing medical personnel to be relocated to other duties and limiting patients’ contacts with healthcare professionals. A large part of the planned diagnostics and treatment was delayed due to lack of equipment and personnel. Against this background, we analysed the implementation of the publicly funded prenatal screening programme (PSP) in Poland compared to the previous year. This is a cross-sectional study. We used nationwide datasets on the implementation of the prenatal testing programme over the period 2019–2020, datasets from the Statistics Poland on birth and the data on the development of the COVID-19 epidemic in Poland. In the year 2020, we observed a 12.41% decrease in woman enrolled to the programme compared to 2019. However, the decrease concerned only women under 35 years of age. With respect to the number of deliveries in the calendar year, the number of patients enrolled in the programme decreased by 3% (31% vs. 34%, p < 0.001). We also observed an increase in estriol measurements per the number of patients included in the programme, and a reduction in the number of PAPP-A tests in the first trimester, which proves an increased share of the triple test in the prenatal diagnosis of chromosomal aberrations. With respect to the number of deliveries, the number of amniocentesis procedures performed under PSP decreased by 0.19% (1.8% vs. 1.99%, p < 0.0001). In 2020, compared to the previous year, the number of patients included in the prenatal testing programme in Poland decreased. In terms of the number of births in Poland, the number of integrated screening tests also decreased, at the expense of increasing the percentage of triple tests. There were also significant reductions in the number of invasive diagnostic tests. MDPI 2022-02-27 /pmc/articles/PMC8911175/ /pubmed/35268408 http://dx.doi.org/10.3390/jcm11051317 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Czuba, Bartosz
Mlodawski, Jakub
Kajdy, Anna
Sys, Dorota
Cnota, Wojciech
Mlodawska, Marta
Kwiatkowski, Sebastian
Guzik, Pawel
Wielgos, Miroslaw
Rybak-Krzyszkowska, Magda
Fuchs, Anna
Swiercz, Grzegorz
Borowski, Dariusz
Implementation of the Publicly Funded Prenatal Screening Programme in Poland during the COVID-19 Pandemic: A Cross-Sectional Study
title Implementation of the Publicly Funded Prenatal Screening Programme in Poland during the COVID-19 Pandemic: A Cross-Sectional Study
title_full Implementation of the Publicly Funded Prenatal Screening Programme in Poland during the COVID-19 Pandemic: A Cross-Sectional Study
title_fullStr Implementation of the Publicly Funded Prenatal Screening Programme in Poland during the COVID-19 Pandemic: A Cross-Sectional Study
title_full_unstemmed Implementation of the Publicly Funded Prenatal Screening Programme in Poland during the COVID-19 Pandemic: A Cross-Sectional Study
title_short Implementation of the Publicly Funded Prenatal Screening Programme in Poland during the COVID-19 Pandemic: A Cross-Sectional Study
title_sort implementation of the publicly funded prenatal screening programme in poland during the covid-19 pandemic: a cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911175/
https://www.ncbi.nlm.nih.gov/pubmed/35268408
http://dx.doi.org/10.3390/jcm11051317
work_keys_str_mv AT czubabartosz implementationofthepubliclyfundedprenatalscreeningprogrammeinpolandduringthecovid19pandemicacrosssectionalstudy
AT mlodawskijakub implementationofthepubliclyfundedprenatalscreeningprogrammeinpolandduringthecovid19pandemicacrosssectionalstudy
AT kajdyanna implementationofthepubliclyfundedprenatalscreeningprogrammeinpolandduringthecovid19pandemicacrosssectionalstudy
AT sysdorota implementationofthepubliclyfundedprenatalscreeningprogrammeinpolandduringthecovid19pandemicacrosssectionalstudy
AT cnotawojciech implementationofthepubliclyfundedprenatalscreeningprogrammeinpolandduringthecovid19pandemicacrosssectionalstudy
AT mlodawskamarta implementationofthepubliclyfundedprenatalscreeningprogrammeinpolandduringthecovid19pandemicacrosssectionalstudy
AT kwiatkowskisebastian implementationofthepubliclyfundedprenatalscreeningprogrammeinpolandduringthecovid19pandemicacrosssectionalstudy
AT guzikpawel implementationofthepubliclyfundedprenatalscreeningprogrammeinpolandduringthecovid19pandemicacrosssectionalstudy
AT wielgosmiroslaw implementationofthepubliclyfundedprenatalscreeningprogrammeinpolandduringthecovid19pandemicacrosssectionalstudy
AT rybakkrzyszkowskamagda implementationofthepubliclyfundedprenatalscreeningprogrammeinpolandduringthecovid19pandemicacrosssectionalstudy
AT fuchsanna implementationofthepubliclyfundedprenatalscreeningprogrammeinpolandduringthecovid19pandemicacrosssectionalstudy
AT swierczgrzegorz implementationofthepubliclyfundedprenatalscreeningprogrammeinpolandduringthecovid19pandemicacrosssectionalstudy
AT borowskidariusz implementationofthepubliclyfundedprenatalscreeningprogrammeinpolandduringthecovid19pandemicacrosssectionalstudy