Evidence map›Paper›PMID 34120672›Full record

ArticlePrimary health care research & development2021

The impact of COVID-19 on the care of people living with noncommunicable diseases in low- and middle-income countries: an online survey of physicians and pharmacists in nine countries.

Chris Bullen, Jessica McCormack, Amanda Calder, Varsha Parag, Kannan Subramaniam, Anurita Majumdar, Pai-Hui Huang, Ratna Devi, Luna El Bizri, Felicity Goodyear-Smith

Abstract read
In one paragraph

Article in Primary health care research & development, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

  1. The Nexus of Sports-Based Development and Education of Mental Health and Physical Fitness.International journal of environmental research and public health · 2023
    Trial
  2. Common surgical masks and unattended blood pressure changes in treated hypertensive patients.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Trial
  3. Article
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  7. Managing type 2 diabetes during the COVID-19 pandemic in Ghana: a qualitative study.Cardiovascular diabetology. Endocrinology reports · 2025
    Article
  8. Article
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  16. The Implications of the Pandemic with Covid-19 in the Glycemic Control of People with Type 2 Diabetes.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Article
  17. Review
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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

10 authors.

Chris BullenNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand.ORCID 0000-0001-6807-2930
Jessica McCormackNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-6389-9610
Amanda CalderNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-0948-2224
Varsha ParagNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand.ORCID 0000-0001-6971-5782
Kannan SubramaniamMedical Affairs and Clinical Research, Viatris Ltd, Auckland, New Zealand.ORCID 0000-0001-5551-4103
Anurita MajumdarMedical Affairs and Clinical Research, Pfizer PFE Private Limited (A Viatris Company), Singapore.
Pai-Hui HuangMedical Affairs and Clinical Research, Viatris Taiwan, Taipei, Taiwan.
Ratna DeviInternational Alliance of Patient's Organizations, IAPO, London, UK.
Luna El BizriHigher Institute of Public Health, St Joseph's University, Beirut, Lebanon.ORCID 0000-0001-9317-2132
Felicity Goodyear-SmithProfessor of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-6657-9401

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global COVID-19 pandemic has disrupted healthcare worldwide. In low- and middle-income countries (LMICs), where people may have limited access to affordable quality care, the COVID-19 pandemic has the potential to have a particularly adverse impact on the health and healthcare of individuals with noncommunicable diseases (NCDs). A World Health Organization survey found that disruption of delivery of healthcare for NCDs was more significant in LMICs than in high-income countries. However, the study did not elicit insights into the day-to-day impacts of COVID-19 on healthcare by front-line healthcare workers (FLHCWs).

aimTo gain insights directly from FLHCWs working in countries with a high NCD burden, and thereby identify opportunities to improve the provision of healthcare during the current pandemic and in future healthcare emergencies.

methodsWe recruited selected frontline healthcare workers (general practitioners, pharmacists, and other medical specialists) from nine countries to complete an online survey (n = 1347). Survey questions focused on the impact of COVID-19 pandemic on clinical practice and NCDs; barriers to clinical care during the pandemic; and innovative responses to the many challenges presented by the pandemic.

findingsThe majority of FLHCWs responding to our survey reported that their care of patients had been impacted both adversely and positively by the public health measures imposed. Most FLHCs (95%) reported a deterioration in the mental health of their patients.

conclusionsContinuity of care for NCDs as part of pandemic preparedness is needed so that chronic conditions are not exacerbated by public health measures and the direct impacts of the pandemic.

Indexed as

Continuity of Patient CareCOVID-19Delivery of Health CareDeveloping CountriesNoncommunicable DiseasesAdultFemaleHumansMaleMiddle AgedPandemicsPharmacistsPhysiciansSurveys and QuestionnairesYoung AdultCOVID-19general practitionersnoncommunicable diseasesonline surveypharmacistsprimary care

Identifiers

PMID34120672
PMCPMC8220477

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.