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
Statins use amidst the pandemic: prescribing, dispensing, adherence, persistence, and correlation with COVID-19 statistics in nationwide real-world data from Poland
Frontiers in Pharmacology,
Год журнала:
2024,
Номер
15
Опубликована: Апрель 9, 2024
Background
Adherence
to
medications
presents
a
significant
challenge
in
healthcare.
Statins,
used
primary
and
secondary
prevention
of
cardiovascular
disease,
are
particular
importance
for
public
health.
The
outbreak
the
COVID-19
pandemic
resulted
additional
healthcare
system-related
barriers
impeding
execution
therapies.
This
study
aimed
assess
use
as
well
adherence
persistence
statins
national
cohort
38
million
Polish
citizens
during
pandemic.
Methods
A
retrospective
analysis
prescription
dispensation
data
all
users
from
payer
organization
covering
years
2020–2022
was
conducted.
Medication
assessed
using
Possession
Ratio,
30-day
cut-off
accepted.
National
on
cases
related
deaths
were
obtained
ECDC.
Results
identified
7,189,716
(approximately
19%
population)
who
dispensed
at
least
1
pack
within
period.
Over
that
time,
there
continuous
increasing
trend
prescribing
dispensing
statins.
Despite
total
increase
18.9%
number
prescribed
tablets,
percentage
tablets
remained
similar,
averaging
86%.
Overall
adherent
patients
48.2%.
For
random
sample
100,000
patients,
mean
period
therapy
2022
6.2+/-
5.3
months.
During
lockdown
period,
lower
by
6.8%
5.9%,
respectively
(
p
<
0.05).
However,
fluctuations
or
COVID-19-related
per
week
had
no
major
impact
Conclusion
time
pandemic,
statin
Poland.
suggests
that,
despite
potential
limitations
posed
COVID-19,
access
easy,
which
may
be
attributed
mass-scale
implementation
e-prescription
system.
it
is
crucial
realise
approximately
1/7
doses
never
dispensed,
overall
levels
low.
underscores
necessity
concerted
efforts
change
this
scenario
Язык: Английский
Impact of COVID-19 restrictions on diabetes mellitus management in Qatari primary care settings
Ahmed Sameer Al Nuaimi,
Muhammad Tanveer Alam,
Mariam Hassan
и другие.
Discover Health Systems,
Год журнала:
2024,
Номер
3(1)
Опубликована: Янв. 5, 2024
Abstract
Introduction
In
2019,
Coronavirus
Diseases
2019
(COVID-19)
emerged
as
a
pandemic
making
diabetic
patients
among
the
most
vulnerable
to
this
virus.
Previous
studies
showed
contradicting
evidence
for
impact
of
“lockdown”
on
management
patients.
New
models
service
delivery
were
introduced
in
Primary
Health
Care
Corporation
(PHCC)
(Qatar’s
largest
primary
care
provider)
ameliorate
risk
infection
both
and
health
workers
including
converting
face
chronic
disease
appointments
(NCD,
antenatal,
preventive
visits)
telephone
video
consultations.
This
study
aimed
compare
access
outcomes
PHCC
registered
diabetics
pre-COVID
during
COVID-19
lockdown
period.
Methods
The
was
conducted
3
year
historic
cohort
using
PHCC’s
electronic
record
system.
Individuals
with
an
established
diagnosis
diabetes
mellitus
(DM)
before
January
having
at
least
one
clinical
encounter
per
center
period
starting
Jan
Dec
2021
recruited.
Pre-COVID-19
defined
interval
between
February
2020,
while
2020
December
2021.
used
paired
observation
approach
selected
process
indicators
services
line
guidelines
(at
two
HbA1C
tests
done
each
following
year—low-density
lipids
(LDL)
test,
ophthalmology
screening,
podiatry
assessment,
education
dietetics
clinic
consultations)
outcome
(blood
pressure
readings
results
laboratory
tests:
blood
HbA1c
serum
LDL
level).
Results
associated
overall
mean
reduction
0.9
Similarly,
annual
assessments
also
impacted.
Of
these,
probability
achieving
designed
target
reduced
by
almost
half
(paired
OR=0.47)
compared
pre-
Conversely,
significant
increase
screening
consultation
observed
OR=1.84,
1.62
1.94
respectively)
COVID-19.
inadequate
glycemic
control
(HbA1C
>
=7%)
significantly
increased
32%
Likewise,
experiencing
inadequately
controlled
47%
pandemic.
Inadequately
(LDL
2.6
mmol/L+)
9%.
Conclusions
Qatar
has
highlighted
resilience
introduction
virtual
consultations
restrictions.
Only
indicator
impacted
restrictions,
namely
individual
year.
However,
according
measurements
noticeable
deterioration
Язык: Английский
Hypertension in Adults With Diabetes in Southeast Asia: A Systematic Review
Journal of Clinical Hypertension,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 15, 2024
ABSTRACT
Diabetes
is
one
of
the
most
pressing
health
issues
in
Southeast
Asian
region,
and
hypertension
has
been
commonly
reported
as
a
comorbidity
adults
with
diabetes.
This
systematic
review
aimed
to
synthesize
evidence
on
prevalence
management
diabetes
countries.
A
literature
search
was
conducted
Ovid
MEDLINE
Embase
Classic
+
from
database
inception
until
March
15,
2024.
Studies
were
included
if
(1)
they
countries,
(2)
study
populations
diabetes,
(3)
there
information
related
or
blood
pressure
(BP)
results.
Of
7486
abstracts
found,
90
studies
qualified
for
this
review.
Most
70%
higher
(ranging
29.4%
93.4%).
Despite
high
prevalence,
substantial
proportion
these
did
not
receive
adequate
BP
control,
indicating
control
rate
less
than
40%.
There
limited
prescription
antihypertensive
therapies
medication
adherence.
lack
4
11
countries
region.
highlights
that
remains
significant
challenge
Asia.
Given
ongoing
epidemiological
transition,
increasing
older
population
region
who
are
likely
accumulate
multiple
chronic
conditions
complicating
strategies,
urgent
need
improve
those
Язык: Английский