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. 2021 Mar 21:2:704807.
doi: 10.3389/fcdhc.2021.704807. eCollection 2021.

COVID-19 Pandemic Influence on Diabetes Management in Croatia

Ivan Cerovečki  1 , Marija Švajda  2
Affiliations

COVID-19 Pandemic Influence on Diabetes Management in Croatia

Ivan Cerovečki et al. Front Clin Diabetes Healthc. .

Abstract

Aim: The study aims to investigate the effects of the COVID-19 pandemic on diabetes management and diabetes patients' healthcare utilization patterns in Croatia.

Methods: Using data contained in the Croatian diabetes registry (CroDiab), Central Health Information System of the Republic of Croatia (CEZIH), and the Croatian hospitalization database (BSO), indicators including the total number of registered diabetes patients, number of newly diagnosed diabetes cases, number of diabetes-related primary care visits and hospitalizations, and key diabetes control indicators were analyzed. Yearly values from 2017 until 2020 were compared.

Results: The age-adjusted prevalence rate increased significantly from 2017 until 2019 (2017: 6,858/100,000; 2018: 7,053/100,000; 2019: 7,160/100,000). In 2020 the age-adjusted prevalence rate was 7,088/100,000, but the decrease was insignificant compared to 2019. The age-adjusted rate of new cases decreased from 2017 until 2019 (2017: 910/100,000; 2018: 876/100,000; 2019: 845/100,000), with a significant decrease in 2020 (692/100,000) compared to 2019. The number of diabetes panels increased from 2017 (117,676) to 2018 (131,815), with a slight decrease in 2019 (127,742) and a sharp decrease in 2020 (104,159). A similar trend was observed regarding the numbers of diabetes patients with panels, visits to primary healthcare providers for diabetes-related problems and diabetes patients who visited their primary healthcare provider. A slightly different trend was observed regarding diabetes-related hospitalizations. In 2017 there were 91,192 diabetes-related hospitalizations; the number decreased to 83,219 in 2018, increased again to 102,087 in 2019 and decreased to 85,006 in 2020. The number of hospitalized diabetes patients displayed a similar tendency.

Conclusion: The COVID-19 pandemic has had a negative effect on the utilisation of healthcare by diabetes patients, which may have long-term consequences for their general health.

Keywords: COVID-19; CroDiab; diabetes regulation; hospitalizations; primary healthcare.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Number of completed diabetes control panels and patients with completed diabetes control panels per yearly quarter 2017 - 2020.
Figure 2
Figure 2
Number of diabetes-related primary healthcare visits per yearly quarter 2017 - 2020.
Figure 3
Figure 3
Number of diabetes-related hospitalisations and patients hospitalised for diabetes per yearly quarter 2017 - 2020.
Figure 4
Figure 4
Average systolic blood pressure values in diabetes patients in Croatia per year, 2017 - 2020.
Figure 5
Figure 5
Average total cholesterol values in diabetes patients in Croatia per year, 2017 - 2020.
Figure 6
Figure 6
Average fasting glucose values in diabetes patients in Croatia per year, 2017 – 2020.
Figure 7
Figure 7
Average HbA1c percentages in diabetes patients in Croatia per year, 2017 - 2020.
See this image and copyright information in PMC

References

    1. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med (2020) 382(18):1708–20. doi: 10.1056/nejmoa2002032 - DOI - PMC - PubMed
    1. Barach P, Fisher SD, Adams MJ, Burstein GR, Brophy PD, Kuo DZ, et al. . Disruption of Healthcare: Will the COVID Pandemic Worsen non-COVID Outcomes and Disease Outbreaks? Prog Pediatr Cardiol (2020) 59:101254. doi: 10.1016/j.ppedcard.2020.101254 - DOI - PMC - PubMed
    1. Watt T, Firth F, Fisher R, Thorlby R, Kelly E. Use of Primary Care During the COVID-19 Pandemic: Patient-Level Data Analysis of the Impact of COVID-19 on Primary Care Activity in England. London, United Kingdom: The Health Foundation; Available at: https://www.health.org.uk/news-and-comment/charts-and-infographics/use-o...(Accessed: April 5, 2021).
    1. Coma E, Mora N, Méndez L, Mora N, Méndez L, Benítez M, Hermosilla E, Fàbregas M, et al. . Primary Care in the Time of COVID-19: Monitoring the Effect of the Pandemic and the Lockdown Measures on 34 Quality of Care Indicators Calculated for 288 Primary Care Practices Covering About 6 Million People in Catalonia. BMC Fam Pract (2020) 21:208. doi: 10.1186/s12875-020-01278-8 - DOI - PMC - PubMed
    1. De Rosa S, Spaccarotella C, Basso C, Spaccarotella C, Basso C, Calabrò MP, Curcio A, Filardi PP, et al. . Reduction of Hospitalizations for Myocardial Infarction in Italy in the COVID-19 Era. Eur Heart J (2020) 41(22):2083–8. doi: 10.1093/eurheartj/ehaa409. ehaa409 - DOI - PMC - PubMed

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