• Atencion primaria · Apr 2024

    Multicenter Study

    [Diabetes control and visits to the family doctor during the COVID-19 pandemic: a multicenter study in primary care].

    • Francisco Javier Cuevas Fernández, Juan Luis Delgado Estévez, Marcel Hernández Lorenzo, Cristóbal Manuel Segovia Martínez, Antonio Cabrera León, and Armando Aguirre-Jaime.
    • Gerencia de Atención primaria de Tenerife, Santa Cruz de Tenerife, España; Área de Medina Preventiva y Salud Pública, Universidad de La Laguna, Santa Cruz de Tenerife, España.
    • Aten Primaria. 2024 Apr 1; 56 (4): 102815102815.

    ObjectivesTo determine whether in patients with type 2 diabetes (DM2) the changes in their relationship with family doctors during the COVID-19 pandemic, in-person (iPC) and telematic (TC) consultations, were associated with control of their disease.DesignMulticentric study of retrospective follow-up.SettingSeven health centers in Tenerife, Spain.Participants3543 patients with DM2.Main MeasurementsSex, age, iPC, TC and DM2 control using glycosylated hemoglobin (A1c) during the period 2019-2021. Logistic regression models were fitted with DM2 control as an effect, and with the other measurements as independent variables.Results50% were women. 38% were less than 65 years old. A1c was measured in 84% of patients in 2019, 68% in 2020, and 77% in 2021. 58.4% had good control in 2019, 46.1% in 2020, and 50.3% in 2021. Median iPC were 7 in 2019, 4 in 2020 and 5 in 2021 (p<0.001). The OR(95%CI) of good control in 2019 were 1.04(1.04-1.05) per year of age and 1.03(1.01-1.04) for each iPC; In 2020 they were 1.04 (1.03-1.05) per year of age, 1.05 (1.04-1.07) for each iPC and 1.04 (1.02-1.07) for each TC; in 2021 they were 1.04 (1.04-1.05) per year of age, 1.05 (1.03-1.06) for each iPC and 1.02 (1.00-1.04) for each TC.ConclusionsThe control of patients with DM2 during the period 2019-2021 had a direct relationship with the change in the frequency of consultations at the health center, with differences depending on the type of consultation and the age of the patient.Copyright © 2023 The Author(s). Publicado por Elsevier España S.L.U. All rights reserved.

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