862-P: Impact of COVID-19 on Pediatric Endocrinology Practice and Diabetes Care in Children: A Survey

Autor:	Madhumita Sinha, Melissa Chambers
Rok vydání:	2021
Předmět:	medicine.medical_specialty Telemedicine Diabetic ketoacidosis Pediatric endocrinology business.industry Endocrinology Diabetes and Metabolism medicine.disease Mental health Underserved Population Family medicine Diabetes mellitus Pandemic Internal Medicine medicine Anxiety medicine.symptom business
Zdroj:	Diabetes. 70
ISSN:	1939-327X 0012-1797
DOI:	10.2337/db21-862-p
Popis:	Objective: As the global pandemic caused by the SARS-CoV-2 virus continues unabated, healthcare delivery has been altered significantly impacting patients and providers. We examined the impact of COVID-19 on pediatric endocrinology practice and the challenges faced in pediatric diabetes care. Methods: A 27-item electronic survey was designed, pilot-tested, and deployed to pediatric endocrinology providers using the e-mail discussion lists of the American Academy of Pediatrics, Section on Endocrinology, and the Pediatric Endocrinology Clinical Case Mailing List (May and June 2020). The survey had questions regarding changes in practice, telemedicine use, and observed changes in diabetes disease manifestation. Results: 114 unique responses were analyzed, 79.3% were female respondents. Most (95.6%) providers surveyed were practicing in the United States, and 87.7% reported a decline in their patient volume. Telemedicine use was common [97% (95% CI: 92.4% - 99.4%)] and recent [83.3% (95% CI: 75.2% - 89.7%)] with 98% utilizing remote glycemia monitoring tools. Children with diabetes in underserved and remote locations faced significant barriers to telemedicine use such as lack of connectivity (61%), and devices (59%). Negative consequences on health due to the pandemic included, delay in diabetes diagnosis (33.3%), lack of follow-up (22.0%) and higher diabetic ketoacidosis cases (22.0%). Increased anxiety was commonly reported (66%). Conclusion: The COVID-19 pandemic has led to decline in patient volumes, with rapid adaptation to telemedicine use. Providers noted negative effects due to the pandemic on diabetes care including mental health. Benefits from telemedicine use were observed with a digital divide in underserved populations. Disclosure M. Chambers: None. M. Sinha: None. Funding National Institute of Diabetes and Digestive and Kidney Diseases
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::6982c6a102c82c2ffcbcb14dc10fa568 https://doi.org/10.2337/db21-862-p Zobrazit plný text záznamu