Assessment of Selected Aspects of the Quality of Life of Children with Type 1 Diabetes Mellitus in Poland

Grudziąż-Sękowska, Justyna; Zamarlik, Monika; Sękowski, Kuba

doi:10.3390/ijerph18042107

Cited by 10 publications

(7 citation statements)

References 47 publications

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“…We can hypothesize that this age group is of particular care due to the early onset of the disease, which has a markable impact on the prognosis and course of the disease [ 47 ]. In the Polish health system, the time spent in the hospital is also used to educate the patient’s careers on diabetes management, as access to such education in outpatient settings is limited [ 48 ]. Among patients with type 2 diabetes, the duration of hospitalization increased with the age.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Analysis of Diabetes-Related Hospitalization in Poland before and during the COVID-19 Pandemic, 2014–2020

Sękowski

Grudziąż-Sękowska

Goryński

et al. 2022

IJERPH

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Diabetes is one of the most common chronic diseases worldwide. The study aimed to present an epidemiological analysis of hospitalization related to diabetes mellitus in Poland between 2014 and 2020 as well as to analyze changes in diabetes-related hospital admissions before and during the COVID-19 pandemic. This study is a retrospective analysis of the national registry dataset of hospital discharge reports on diabetes-related hospitalizations in Poland between 2014 and 2020. The number of diabetes-related hospitalizations varied from 76,220 in 2016 to 45,159 in 2020. The hospitalization rate per 100,000 has decreased from 74.6 in 2019 to 53.0 in 2020 among patients with type 1 diabetes (percentage change: −28.9%). An even greater drop was observed among patients with type 2 diabetes: from 99.4 in 2019 to 61.6 in 2020 (percentage change: −38%). Both among patients with type 1 and type 2 diabetes, a decrease in hospitalization rate was higher among females than males (−31.6% vs. −26.7% and −40.9% vs. −35.2% respectively). When compared to 2019, in 2020, the in-hospital mortality rate increased by 66.7% (60.0% among males and 65.2% among females) among patients hospitalized with type 1 diabetes and by 48.5% (55.2% among females and 42.1% among males) among patients hospitalized with type 2 diabetes. Markable differences in hospitalization rate, duration of hospitalization, as well as in-hospital mortality rate by gender, were observed, which reveal health inequalities.

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Section: Discussionmentioning

confidence: 99%

Epidemiological Analysis of Diabetes-Related Hospitalization in Poland before and during the COVID-19 Pandemic, 2014–2020

Sękowski

Grudziąż-Sękowska

Goryński

et al. 2022

IJERPH

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“…The latter effect is especially important in the case of young patients with diabetes (mainly type 1), as in this period, socialization (taking part in social relations, attending school, etc.) has a key role in maintaining their mental health and wellbeing [49].…”

Section: Low Level Of Knowledge About Risk Factors and Symptoms Of Di...mentioning

confidence: 99%

Diabetes in Poland – public health challenges and opportunities

Sękowski¹,

Grudziąż-Sękowska²,

Pinkas³

et al. 2023

Med Og Nauk Zdr.

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Introduction and Objective. Diabetes, with its medical complications and societal consequences, is one the most difficult concerns for modern society. The purpose of this narrative review is to characterize the selected public health challenges and opportunities resulting from diabetes in Poland, as well as to identify public health measures that may be adopted to lower the diabetes burden in Poland. Review Methods. This narrative review is based on the literature about diabetes in Poland. Scientific papers on diabetes published between 1 January 2010-31 January 2023, available in the PubMed database, were identified using a combination of the following key words: 'diabetes', 'Poland', 'public knowledge', 'management' and 'costs'. Particular attention was paid to the following diabetes-related issues: 1) current and forecast prevalence of diabetes in Poland, 2) diabetic care before and after the COVID-19 pandemic onset, 3) public knowledge of diabetes and diabetes risk factors, and 4) public health interventions to reduce the diabetes burden at the population level. Brief description of the state of knowledge. A continuous growth of both the incidence and the prevalence of diabetes is predicted. Due to insufficient public awareness of diabetes risk factors and symptoms, and the health-debt caused by COVID-19 pandemic, a further rise in the number of diabetic complications is expected, as well as an increase in public spending on health care and social insurance systems. Summary. Public health interventions targeted at preventing diabetes and its complications should not be confined to reducing complications and improving diabetes care, but also include a wide range of initiatives aimed at addressing the fundamental causes of diabetes. Future study should look at the cost-effectiveness of such initiatives in order to mobilize different stakeholders and society.

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“…This indicates a high level of patients' (their guardians) involvement in the therapeutic process [32]. This is despite the fact that the guardians of children and adolescents with T1D declare difficulties in arranging an appropriate number of diabetes consultations [33]. One factor affecting the regularity of follow-up visits may be of a non-cyclical nature.…”

Section: Outpatient Care Utilizationmentioning

confidence: 99%

Healthcare Utilization and Adherence to Treatment Recommendations among Children with Type 1 Diabetes in Poland during the COVID-19 Pandemic

Grudziąż-Sękowska

Sękowski

Kobuszewski

2022

IJERPH

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Type 1 diabetes mellitus (T1D) is, next to obesity and asthma, the most common chronic disease in children in Poland. The results of T1D treatment strongly depend on the patient’s compliance with therapeutic recommendations, which entails the use of necessary health services. Based on a retrospective analysis of the data on health services provided in 2016–2020 to over 15.5 thousand patients with T1D in Poland, we assessed the compliance of the actual model of treatment of T1D in children with the current guidelines. It was found that only about 50% of patients received the number of diabetes consultations corresponding to the recognized standards, with about 15% of children with T1D remaining outside the public healthcare system. In the case of many outpatient services (ophthalmological, neurological, mental health), the number of consultations was extremely low—one order of magnitude lower than in general population and dropped even lower in 2020. This shows that the health needs of children with T1D are not being met within the public healthcare system. The COVID-19 pandemic caused significant limitations in access to healthcare in Poland. Compared to the pre-pandemic period there was a significant decrease (−27% compared to 2019) in the number of hospitalizations, and a substantial increase (+22% compared to 2019) in the number of diabetic ketoacidoses (DKA) cases. The proportion of hospitalizations caused by DKA rose to 8.9% compared to 7.3% in 2019.

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Assessment of Selected Aspects of the Quality of Life of Children with Type 1 Diabetes Mellitus in Poland

Cited by 10 publications

References 47 publications

Epidemiological Analysis of Diabetes-Related Hospitalization in Poland before and during the COVID-19 Pandemic, 2014–2020

Epidemiological Analysis of Diabetes-Related Hospitalization in Poland before and during the COVID-19 Pandemic, 2014–2020

Diabetes in Poland – public health challenges and opportunities

Healthcare Utilization and Adherence to Treatment Recommendations among Children with Type 1 Diabetes in Poland during the COVID-19 Pandemic

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