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

Sękowski, Kuba; Grudziąż-Sękowska, Justyna; Goryński, Paweł; Pinkas, Jarosław; Jankowski, Mateusz

doi:10.3390/ijerph191610030

Cited by 11 publications

(12 citation statements)

References 40 publications

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“…According to the WHO estimates, partial or complete suspension of regular health services in the field of hypertension, diabetes, and diabetes-related complications, cancer, and cardiovascular outbreaks due to the COVID-19 pandemic were observed in 53% of countries worldwide (13,33). Previously published data indicated a markable decrease in urological and diabetes care utilization in Poland (23)(24)(25). Findings from this study showed that half of the adults in Poland declared that they had to visit a doctor, but this was not possible due to barriers to accessing health services during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…A decrease in healthcare uptake during the COVID-19 pandemic may contribute to a health debt, and thus delay the diagnosis and treatment of diseases ( 22 ). Moreover, barriers to accessing health services during the pandemic may deepen health inequalities ( 23 ). However, there are limited data on health services during the COVID-19 pandemic in Poland, mostly focused on hospital admissions ( 23 – 25 ).…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, barriers to accessing health services during the pandemic may deepen health inequalities (23). However, there are limited data on health services during the COVID-19 pandemic in Poland, mostly focused on hospital admissions (23)(24)(25). Rajwa et al (24) showed that between 2019 and 2020, the number of urological visits in Poland decreased by 22.4% and the number of urologic urgent admissions decreased by 11.8%.…”

Section: Introductionmentioning

confidence: 99%

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Barriers to accessing health services during the COVID-19 pandemic in Poland: A nationwide cross-sectional survey among 109,928 adults in Poland

Mularczyk-Tomczewska

Żarnowski

Gujski

et al. 2022

Front. Public Health

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IntroductionThe COVID-19 pandemic has significant socio-economic implications for numerous industries, including healthcare. Disruptions of essential health services were reported by nearly all countries around the world. A detailed assessment of the healthcare uptake is necessary to estimate the potential health effects of the COVID-19 pandemic on the population. This study aimed to assess the prevalence of barriers to accessing health services during the COVID-19 pandemic in Poland as well as to identify factors associated with the disturbed access to healthcare during the pandemic.MethodsThis cross-sectional survey was carried out among Internet users in Poland using the computer-assisted web interview technique. Data were collected between October and December 2021. The questionnaire included 32 questions on sociodemographic characteristics, the COVID-19 pandemic, health status, daily habits as well as the use of healthcare during the COVID-19 pandemic.ResultsData were obtained from 102928 adults, the mean age was 48.0 ± 14.2 years, and 57.2% were females. Most of the respondents had visited a doctor during the past 12 months (70.4%). Almost half of adults in Poland (49.7%) reported barriers to access health services in the past 12 months. Out of 51,105 respondents who had experienced barriers to accessing health services during the COVID-19 pandemic, only 54.3% had visited a doctor in the past 12 months. Long waiting time (39.5%) and temporary closure of healthcare facilities/transformation into a COVID-19 dedicated center (28.8%) were the most common barriers indicated by the respondents. In multivariable logistic regression, female gender, age 18–49 years, lack of higher education, living in cities between 51,000 and 200,000 residents or above 500,000 residents, and having at least one chronic disease were significantly (p < 0.05) associated with higher odds of experiencing barriers to accessing health services during the COVID-19 pandemic.ConclusionsThis study confirmed that the COVID-19 pandemic has worsened access to health services in Poland. During the pandemic, new barriers to accessing health services, such as the temporary closure of healthcare facilities for non-COVID patients were revealed. Findings from this study provided patients' perspectives on barriers to accessing health services in Poland that may be used by policymakers to reduce health inequalities.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Barriers to accessing health services during the COVID-19 pandemic in Poland: A nationwide cross-sectional survey among 109,928 adults in Poland

Mularczyk-Tomczewska

Żarnowski

Gujski

et al. 2022

Front. Public Health

Self Cite

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“…Findings from this study also underline the positive influence of having a family member with diabetes on the level of awareness of diabetes among other family members. The COVID-19 pandemic has a negative impact on diabetes care in Poland ( 13 , 46 ), so public health interventions aimed to increase the level of public awareness of diabetes are needed to reduce the diabetes burden in Poland. Further studies should analyze the impact of the health system and diabetes education provided by healthcare workers on public awareness of diabetes.…”

Section: Discussionmentioning

confidence: 99%

Public knowledge and awareness of diabetes mellitus, its risk factors, complications, and prevention methods among adults in Poland—A 2022 nationwide cross-sectional survey

Sękowski

Grudziąż-Sękowska

Pinkas

et al. 2022

Front. Public Health

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IntroductionRegular monitoring of public awareness of diabetes is necessary to provide effective educational and preventive strategies. This study aimed to assess (1) public knowledge and awareness of diabetes among adults in Poland, as well as (2) to identify sociodemographic factors associated with public awareness of diabetes.MethodsThis cross-sectional survey was carried out between 24 and 27 June 2022, on a non-probability random quota sample of 1,051 adults in Poland. The questionnaire included ten questions related to the awareness of risk factors, symptoms, and complications of diabetes.ResultsAmong the respondents, 10.5% had diabetes and 43.8% declared that they have a history of diabetes in their family. Only 17.3% of respondents declared a good level of knowledge of diabetes. Out of 10 symptoms of diabetes analyzed in this study, high blood sugar (80.7%) and chronic fatigue (74.6%) were the most recognized. Out of 8 diabetes risk factors analyzed in this study, overweight/obesity (80.4%) and unhealthy diet (74.1%) were the most recognized diabetes risk factors, while only 22.7% of respondents indicated tobacco use. The diabetic foot was the most recognized diabetes complication (79.8%), but approximately half of the respondents indicated vision problems (56.9%), kidney damage (52.1%), or cardiovascular diseases (50.2%) as diabetes complications. Female gender, having higher education and having a family member with diabetes were the most im-portent factors associated (p < 0.05) with a higher level of awareness of diabetes.ConclusionsThis study demonstrated insufficient public awareness of diabetes among adults in Poland. Gender and educational level were the most important factors significantly associated with the awareness of the selected aspects of diabetes, while self-reported financial situation and place of residence had none or marginal influence. The presented data manifest the importance of adopting a comprehensive education strategy regarding diabetes in Poland

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“…It is well-known that DM plays a key role in global morbidity and mortality [ 9 ]. Worldwide in 2019, before the outbreak of the SARS-CoV-2 infection, nearly 463 million people aged between 20 and 79 had diabetes as comorbidity [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Predictors of New-Onset Diabetes in Hospitalized Patients with SARS-CoV-2 Infection

Făgărășan

Rusu

Cristea

et al. 2022

IJERPH

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The pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is one of the world’s most disruptive health crises. The presence of diabetes plays an important role in the severity of the infection, and a rise in newly diagnosed diabetes cases has been identified. The aim of this retrospective study was to determine the incidence of new-onset diabetes (NOD) and predictive factors with their cut-off values for patients hospitalized with COVID-19. All patients (n = 219) hospitalized for COVID-19 during three consecutive months were included. NOD was diagnosed in 26.48% of patients. The severity of the infection, hospital admission values for fasting plasma glucose, lactate dehydrogenase (LDH), PaO2/FiO2 ratio, the peak values for leucocytes, neutrophils, C-reactive protein, triglycerides, and the need for care in the intensive care unit were predictors for the occurrence of NOD in univariate analysis, while only LDH level remained a significant predictor in the multivariable analysis. In conclusion, the results of the study showed a high incidence of NOD in patients hospitalized with COVID-19 and identified LDH levels at hospital admission as a significant predictor of NOD during SARS-CoV-2 infection. However, the persistence of NOD after the COVID-19 infection is not known, therefore, the results must be interpreted with caution.

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

Cited by 11 publications

References 40 publications

Barriers to accessing health services during the COVID-19 pandemic in Poland: A nationwide cross-sectional survey among 109,928 adults in Poland

Barriers to accessing health services during the COVID-19 pandemic in Poland: A nationwide cross-sectional survey among 109,928 adults in Poland

Public knowledge and awareness of diabetes mellitus, its risk factors, complications, and prevention methods among adults in Poland—A 2022 nationwide cross-sectional survey

Predictors of New-Onset Diabetes in Hospitalized Patients with SARS-CoV-2 Infection

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