Evidence map›Paper›PMID 32686287›Full record

ArticlePediatric diabetes2020

COVID-19 outbreak and pediatric diabetes: Perceptions of health care professionals worldwide.

Nancy Samir Elbarbary, Tiago Jeronimo Dos Santos, Carine de Beaufort, Juliana Chizo Agwu, Luis Eduardo Calliari, Andrea Enzo Scaramuzza

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric diabetes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 3 syntheses or guidelines pooled it, 109 citations in OpenAlex.

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  11. Covid 19 and diabetes in children: advances and strategies.Diabetology & metabolic syndrome · 2024
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 6 countries.

Nancy Samir ElbarbaryDiabetes Unit, Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.ORCID 0000-0001-8713-0657
Tiago Jeronimo Dos SantosDepartment of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0001-9682-0289
Carine de BeaufortDECCP, Clinique Pédiatrique/CH de Luxembourg, Luxembourg, GD de, Luxembourg.ORCID 0000-0003-4310-6799
Juliana Chizo AgwuSandwell and West Birmingham NHS Trust, Birmingham, UK.ORCID 0000-0002-8593-187X
Luis Eduardo CalliariPediatric Endocrine Unit, Pediatric Department, Santa Casa School of Medical Sciences, Sao Paulo, Brazil.ORCID 0000-0003-2085-5316
Andrea Enzo ScaramuzzaDiabetes and Endocrinology and Nutrition, Division of Pediatrics, ASST Cremona, Ospedale Maggiore di Cremona, Cremona, Italy.ORCID 0000-0002-1518-8515
Ain Shams University · EGCentre Hospitalier de Luxembourg · LUFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITSandwell & West Birmingham Hospitals NHS Trust · GBSanta Casa Hospital · BRUniversidad Autónoma de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus diasease (COVID-19) is an infectious disease that started in Wuhan, China in late 2019 and later spread around the world. Diabetes has been recognized as a possible risk factor for COVID-19 complications.

objectiveInternational Society for Pediatric and Adolescent Diabetes (ISPAD) investigated perceptions, challenges and experience of health care professionals (HCP) taking care of children and young people with diabetes worldwide during COVID-19 pandemic.

methodsFrom 21st April to 17th May 2020, during COVID-19 pandemic, a web-based survey was sent to ISPAD members and former participants of ISPAD conferences by email.

resultsResponders from 215 diabetes centers from 75 countries completed the survey. Majority were from UK (35; 16.3%), USA (20; 9.3%), and India (15; 7%). HCP were mostly pediatric endocrinologists (64%). During COVID-19 pandemic, 16.5% of responders continued face-to-face consultation while most changed to telephone (32%) or video (18%) consultations. 19% reported a shortage of medical supplies. 22% reported a delay in diagnosis of patients with new-onset diabetes, while 15% reported a higher incidence of DKA. 12% reported having one or more patients with COVID-19. Most of the 86 children and adolescents with diabetes and COVID-19 had only mild/moderate symptoms, while 5 required admission to an intensive care unit. No deaths were reported.

conclusionsThis large global survey during COVID-19 pandemic showed that many HCP adapted to the pandemic by resorting to telemedicine. One fourth of HCP reported delays in diagnosis and an increased rate of DKA. The emergence of COVID-19 pandemic had an important impact on family's behavior that might have led to increase in diabetic ketoacidosis presentation.

Indexed as

COVID-19AdolescentChildCross-Sectional StudiesDelayed DiagnosisDelivery of Health CareDiabetes Mellitus, Type 1Health PersonnelHumansIncidencePandemicsPractice Patterns, Physicians'Surveys and QuestionnairesTelemedicinechildrenCOVID-19diabetesdiabetic ketoacidosistelemedicine

Identifiers

PMID32686287
PMCPMC7404589
OpenAlexW3043706688

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.