ArticlePloS one2022
The impact of the Covid-19 pandemic on the incidence of diseases and the provision of primary care: A registry-based study.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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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.
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.
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Who cites it
19 citing papers in PubMed, 31 citations in OpenAlex.
- Changes in Thyroglossal Duct Cyst Case Volume During the COVID-19 Pandemic.Laryngoscope investigative otolaryngology · 2025Article
- Pediatric Radiation Oncology in the Era of COVID-19: A Single Institution Analysis.Cancer reports (Hoboken, N.J.) · 2025Article
- Article
- Insights into the morbidity profiles of epidemiologically excluded COVID-19 patients in primary care settings during the third wave of the pandemic in the Anuradhapura District, Sri Lanka.BMC primary care · 2025Article
- Impact of the COVID-19 pandemic on the incidence of cardiometabolic risk factors among workers: results from the Japan Epidemiology Collaboration on Occupational Health study.Journal of epidemiology and community health · 2025Article
- Impact of COVID-19 on unmet needs for healthcare in Peru: an interrupted time series analysis.PLOS global public health · 2025Article
- Monitoring COVID-19 in Belgian general practice: A tool for syndromic surveillance based on electronic health records.The European journal of general practice · 2024Observational
- COVID-19 Health Impact: A Use Case for Syndromic Surveillance System Monitoring Based on Primary Care Patient Registries in the Netherlands.JMIR public health and surveillance · 2024Article
- A general framework for developing computable clinical phenotype algorithms.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Impacts of COVID-19 on clinical indicators and mortality in patients with chronic conditions in Catalonia, Spain: A retrospective population-based cohort study.Journal of global health · 2024Observational
- Assessment of the dynamics of inpatient health care delivery in Poland before and throughout the COVID-19 pandemic.Scientific reports · 2024Article
- Chronic Obstructive Pulmonary Disease Mortality and Hospitalization during the COVID-19 Pandemic Compared with before the Pandemic: A Systematic Review and Meta-Analysis.Journal of personalized medicine · 2024Review
- Health Outcomes for Older Patients with Chronic Diseases During the First Pandemic Year.Clinical interventions in aging · 2024Observational
- The Incidence of Myasthenia Gravis in the Province of Ferrara, Italy, in the Period of 2008-2022: An Update on a 40-Year Observation and the Influence of the COVID-19 Pandemic.Journal of clinical medicine · 2023Article
- A comparative study on COVID-19 disease severity and outcome among patients admitted before and after vaccination at tertiary care hospital.Journal of family medicine and primary care · 2023Article
- The Impact of the COVID-19 Pandemic on the Registration and Care Provision of Mental Health Problems in General Practice: Registry-Based Study.JMIR public health and surveillance · 2023Article
- Observational
- Burden of COVID-19 on primary care in Belgium: a prospective nationwide observational study from March to August 2020.Archives of public health = Archives belges de sante publique · 2022Article
- Integrated Primary Care and Public Health: A Case Study of Multidisciplinary Rehabilitation and Lifestyle Intervention in Persons With Post-COVID-19 Condition.International journal of public health · 2022Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe Covid-19 pandemic had a tremendous impact on healthcare but uncertainty remains about the extent to which primary care provision was affected. Therefore, this paper aims to assess the impact on primary care provision and the evolution of the incidence of disease during the first year of the Covid-19 pandemic in Flanders (Belgium).
methodsCare provision was defined as the number of new entries added to a patient's medical history. Pre-pandemic care provision (February 1, 2018-January 31, 2020) was compared with care provision during the pandemic (February 1, 2020-January 31, 2021). A large morbidity registry (Intego) was used. Regression models compared the effect of demographic characteristics on care provision and on acute and chronic diagnoses incidence both prior and during the pandemic.
resultsDuring the first year of the Covid-19 pandemic, overall care provision increased with 9.1% (95%CI 8.5%;9.6%). There was an increase in acute diagnoses of 5.1% (95%CI 4.2%;6.0%) and a decrease in the selected chronic diagnoses of 12.8% (95% CI 7.0%;18.4%). Obesity was an exception with an overall incidence increase. The pandemic led to strong fluctuations in care provision that were not the same for all types of care and all demographic groups in Flanders. Relative to other groups in the population, the pandemic caused a reduction in care provision for children aged 0-17 year and patients from a lower socio-economic situation.
conclusionThis paper strengthened the claim that Covid-19 should be considered as a syndemic instead of a pandemic. During the first Covid-19 year, overall care provision and the incidence of acute diagnoses increased, whereas chronic diseases' incidence decreased, except for obesity diagnoses which increased. More granular, care provision and chronic diseases' incidence decreased during the lockdowns, especially for people with a lower socio-economic status. After the lockdowns they both returned to baseline.
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