Evidence map›Paper›PMID 36797704›Full record

ArticleBMC health services research2023

Diabetes during the COVID-19 pandemic: are people getting access to the right level of care?

Gideon Meyerowitz-Katz, Shahana Ferdousi, Glen Maberly, Thomas Astell-Burt

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 5 citations in OpenAlex.

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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

4 authors at 3 institutions in 1 country.

Gideon Meyerowitz-KatzWestern Sydney Local Health District, Blacktown Hospital, 18 Blacktown Road, Blacktown, NSW, 2148, Australia. Gideon.meyerowitzkatz@health.nsw.gov.au.
Shahana FerdousiWentwest, Western Sydney Primary Health Network, Campbelltown, NSW, Australia.
Glen MaberlyWestern Sydney Local Health District, Blacktown Hospital, 18 Blacktown Road, Blacktown, NSW, 2148, Australia.
Thomas Astell-BurtPopulation Wellbeing and Environment Research Lab, School of Health and Society, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.
Sydney Local Health District · AUCamden and Campbelltown Hospitals · AUUniversity of Wollongong · AU

Funding

NHMRC 1140317
6 · The paper itself

Abstract

introductionAvoidance of health services, in particular hospital and community services, is problematic for people with diabetes. Evidence has demonstrated that such missed attendances are associated with worse health, faster declines in functioning, and higher rates of mortality long-term. This paper investigated the impact of the pandemic on healthcare access across community and hospital care, including Virtual Care (VC) using several large datasets of General Practice (GP) and hospital services in western Sydney.

methodsA retrospective cohort study using a time-series database of 173,805 HbA

resultsThe average rate of diabetes in Emergency Department fell from 17.8% pre-pandemic to 11% after January 2020 (p < 0.001). This rate varied substantially over time, and correlated well with large outbreaks of COVID-19 in the state. Conversely, attendances of people with diabetes to GP clinics, especially using VC services, increased substantially over the pandemic period. DISCUSSION/

conclusionDuring the pandemic there was a substantial avoidance of hospital care by patients with diabetes. However, this may have been replaced by VC offered in the community for those with less severe diseases.

Indexed as

COVID-19Diabetes MellitusEmergency Service, HospitalHealth Services AccessibilityHumansPandemicsRetrospective StudiesChronic DiseaseCOVID-19DiabetesEpidemiologyPopulation Health

Identifiers

PMID36797704
PMCPMC9933792
OpenAlexW4321111882

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.