Excess mortality across countries in the Western World since the COVID-19 pandemic: ‘Our World in Data’ estimates of January 2020 to December 2022

BMJ Public Health, Год журнала: 2024, Номер 2(1), С. e000282 - e000282

Опубликована: Май 1, 2024

Introduction Excess mortality during the COVID-19 pandemic has been substantial. Insight into excess death rates in years following WHO’s declaration is crucial for government leaders and policymakers to evaluate their health crisis policies. This study explores Western World from 2020 until 2022. Methods All-cause reports were abstracted countries using ‘Our Data’ database. assessed as a deviation between reported number of deaths country certain week or month 2022 expected that period under normal conditions. For baseline deaths, Karlinsky Kobak’s estimate model was used. uses historical data 2015 2019 accounts seasonal variation year-to-year trends mortality. Results The total 47 3 098 456 1 January 31 December documented 41 (87%) 2020, 42 (89%) 2021 43 (91%) In year onset implementation containment measures, records present 033 122 (P-score 11.4%). 2021, which both measures vaccines used address virus spread infection, highest reported: 256 942 13.8%). 2022, when most lifted continued, preliminary 808 392 8.8%). Conclusions remained high three consecutive years, despite vaccines. raises serious concerns. Government need thoroughly investigate underlying causes persistent

Язык: Английский

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Diabetes and climate change: current evidence and implications for people with diabetes, clinicians and policy stakeholders

Diabetologia, Год журнала: 2023, Номер 66(6), С. 1003 - 1015

Опубликована: Март 25, 2023

Abstract Climate change will be a major challenge for the world’s health systems in coming decades. Elevated temperatures and increasing frequencies of heat waves, wildfires, heavy precipitation other weather extremes can affect many ways, especially if chronic diseases are already present. Impaired responses to stress, including compromised vasodilation sweating, diabetes-related comorbidities, insulin resistance low-grade inflammation make people with diabetes particularly vulnerable environmental risk factors, such as extreme events air pollution. Additionally, multiple pathogens show an increased rate transmission under conditions climate have altered immune system, which increases worse course infectious diseases. In this review, we summarise recent studies on impact climate-change-associated discuss individuals may specifically prone these due their clinical features. Knowledge high-risk groups help develop implement tailored prevention management strategies mitigate detrimental effect diabetes. Graphical abstract

Язык: Английский

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The impact of the COVID-19 pandemic and associated disruptions in health-care provision on clinical outcomes in people with diabetes: a systematic review

The Lancet Diabetes & Endocrinology, Год журнала: 2024, Номер 12(2), С. 132 - 148

Опубликована: Янв. 23, 2024

Язык: Английский

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Prevalence of diabetes distress among type 2 diabetes mellitus patients in India: a systematic review and meta-analysis

Health Psychology and Behavioral Medicine, Год журнала: 2024, Номер 12(1)

Опубликована: Март 5, 2024

The burden of type 2 diabetes mellitus (T2DM) in India is on the rise, with projections indicating a staggering 134 million cases by 2045. Managing T2DM demands strict adherence, often resulting mental strain and burnout. Diabetes distress (DD), unique psychological burden, significantly affects motivation self-care, contributing to increased morbidity mortality.

Язык: Английский

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Comparison of incidence trends of early-onset and late-onset type 2 diabetes in the Asia-Pacific region, 1990-2021: a join point regression analysis based on the global burden of disease study 2021

Frontiers in Endocrinology, Год журнала: 2025, Номер 16

Опубликована: Фев. 19, 2025

This study evaluated the incidence trends of early-onset (diagnosed at ages 15-39) and late-onset age 40 above) type 2 diabetes mellitus (T2DM) in Asia-Pacific region, including World Health Organization (WHO) South-East Asia Region (SEARO) Western Pacific (WPRO), assessed impact COVID-19 pandemic. Using data from Global Burden Diseases Study (GBD) 2021, we analyzed age-standardized rate (ASIR) using Join point regression to determine annual percentage change (APC). To assess pandemic's impact, calculated excess for 2020 2021 by subtracting predicted ASIR observed ASIR. In recent years, particularly during pandemic, T2DM region accelerated significantly. SEARO's APC rose 2.24% between 2011-2019 5.45% 2019-2021. Similarly, WPRO's increased 1.71% 1999-2017 5.01% 2017-2021. was 269.6 per 100,000 WPRO 248.4 SEARO. Conversely, growth SEARO slowed after 2017 (APC 1.92% 2005-2017 vs. 1.04% 2017-2021), while saw a decline 1.06% 2007-2017 -1.10% 2017-2021). During pandemic exceeded historical predictions, showing positive reveals significant increase highlighting need targeted public health interventions.

Язык: Английский

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The impact of telehealth education on self-management in patients with coexisting type 2 diabetes mellitus and hypertension: a 26-week randomized controlled trial

Journal of Endocrinological Investigation, Год журнала: 2024, Номер 47(9), С. 2361 - 2369

Опубликована: Фев. 14, 2024

Язык: Английский

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A Hybrid Model of In-Person and Telemedicine Diabetes Education and Care for Management of Patients with Uncontrolled Type 2 Diabetes Mellitus: Findings and Implications from a Multicenter Prospective Study

Telemedicine Reports, Год журнала: 2024, Номер 5(1), С. 46 - 57

Опубликована: Фев. 1, 2024

Background: Patients with uncontrolled type 2 diabetes mellitus (T2DM) require close follow-up, support, and education to achieve glycemic control, especially during the initiation or intensification of insulin therapy self-care management. This study aimed describe evaluate impact implementing a hybrid model in-person telemedicine care on control for patients T2DM (hemoglobin A1c [HbA1c] ≥9%) coronavirus disease pandemic. Methods: prospective multicenter-cohort pre-/post-intervention was conducted T2DM. included three chronic illness centers affiliated Family Community Medicine Department at Prince Sultan Military Medical City in Riyadh, Saudi Arabia. A (onsite) developed. involved initial physicians' clinic clinic, followed by services tele-follow-ups, an average 4-month follow-up period. Results: Of enrolled 181 patients, more than half participants were women (n = 103, 56.9%). The mean age (standard deviation) 58.64 ± 11.23 years duration 13.80 8.55 years. majority 144; 79.6%) therapy. Overall, all centers, had significantly reduced HbA1c from 10.47 1.23% 7.87 1.59% (mean difference reduction 2.59% [95% confidence interval (CI) 2.34–2.85%], p < 0.001). At level each center, differences 3.17% (95% CI 2.81–3.53%), 2.49% 1.92–3.06%), 2.16% 1.76–2.57%) A, B, C, respectively (all Conclusion: findings showed that effectively managed Consequently, role management could be further expanded as part routine primary settings better minimize nonessential visits when appropriate.

Язык: Английский

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The effect of the pandemic on the care of other health conditions

Elsevier eBooks, Год журнала: 2025, Номер unknown, С. 835 - 852

Опубликована: Янв. 1, 2025

Язык: Английский

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Diabetes disparities in diabetes health care access and outcomes during the Covid-19 Pandemic in the United States

Expert Review of Pharmacoeconomics & Outcomes Research, Год журнала: 2025, Номер unknown

Опубликована: Янв. 22, 2025

To investigate the impact of COVID-19 on hospitalization and consequent diabetes-related complications in patients with type 2 diabetes mellitus (diabetes). We conducted a retrospective cohort study diabetes. Interrupted time series analysis (ITS) was used to analyze monthly trends rates, including short- long-term complications, 1-year before after onset COVID-19. Persons experienced significant (p < 0.001) rapid drop hospital admission rates at COVID-19, then rose significantly = 0.003) higher than pre-COVID-19 levels. Older age, lower education, income levels were associated base-level greater rate reduction onset. ITS showed from short-term surged level six months Hospital admissions due decreased immediately post-COVID-19, but pre-COVID levels, experiencing nephropathy, angiography, dermatological post-COVID-19. had negative access, resulting increased complications. Long-term effects deferred care may persist, emphasizing need for continued education toward improved self-management.

Язык: Английский

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The Effectiveness of a Primary Care Diabetes Education and Self‐Management Program in Ireland: A 6‐Month Follow‐Up Study

Endocrinology Diabetes & Metabolism, Год журнала: 2025, Номер 8(2)

Опубликована: Фев. 19, 2025

ABSTRACT Aims Self‐management education is recognised as an essential element of comprehensive diabetes care. This study aims to assess the impact DESMOND (Diabetes Education and Self‐Management for Ongoing Newly Diagnosed) structured self‐management programme administered by a registered dietitian in primary‐care setting on key clinical indicators (HbA1c, weight BMI) participants who returned locally developed 6‐month follow‐up session. Methods A retrospective analysis was conducted attended 6‐h during 2018 Midwest Ireland. Paired sample t‐tests McNemar chi‐square tests were used any differences between baseline 6 months post‐intervention. Results There 66 participants, mean age 63 years. At follow‐up, HbA1c reduced 6.45 mmol/mol (standard deviation (SD): 15.02 mmol/mol, p = 0.006). The number below 53 cut‐off increased from 52% at 71% ( < 0.001). reduction 1.4 kg (SD: 4.4 kg, 0.21) found follow‐up. Those overweight BMI category decreased 30.2% 26.4%, clinically significant result. Conclusion Better glycaemic control improvements seen among program supports emerging evidence effectiveness Further research required determine optimal contact time frequency sessions order sustain observed improvement outcomes.

Язык: Английский

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