Primary care monitoring of HbA1c tests in type 2 diabetic patients in Northern France and impact of the successive COVID-19 pandemic containments. Demoule, D. J., Quindroit, D. P., Frévent, D. C., Collins, P. D. C., Chazard, P. D. E., Beuscart, P. D. J., Berkhout, P. D. C., Calafiore, D. M., & Quersin, D. F. Diabetes Epidemiology and Management, 16:100233, October, 2024. Paper doi abstract bibtex Background French health authorities recommend the testing of HbA1c every 3 to 6 months in patients with diabetes. The successive containments linked to the SARSCoV-2 pandemic may have had a profound impact on the follow-up of diabetic patients in primary care. The objective of this study was to investigate the effect of containments on the volume of HbA1c assays and on HbA1c values of type 2 diabetic patients monitored in primary care in Northern France compared to usual seasonal variations. Methods Epidemiological study of a multicentre retrospective cohort, collecting the number and the value of HbA1c assays from type 2 diabetic patients, carried out in 73 private medical analysis laboratories in Northern France region between October 1, 2018 and October 31, 2022. Results A total of 196,744 patients and 828,037 tests were included. The first and third containments were associated with a significant decrease in the mean number of performed HbA1c tests, the decrease in the 2nd containment did not reach significance. We observed a significant decrease in HbA1c testing during the winter holiday season and the summer months. The variations in HbA1c values were not substantial compared to seasonal variations.
@article{demoule_primary_2024,
title = {Primary care monitoring of {HbA1c} tests in type 2 diabetic patients in {Northern} {France} and impact of the successive {COVID}-19 pandemic containments},
volume = {16},
issn = {2666-9706},
url = {https://www.sciencedirect.com/science/article/pii/S2666970624000386},
doi = {10.1016/j.deman.2024.100233},
abstract = {Background
French health authorities recommend the testing of HbA1c every 3 to 6 months in patients with diabetes. The successive containments linked to the SARSCoV-2 pandemic may have had a profound impact on the follow-up of diabetic patients in primary care. The objective of this study was to investigate the effect of containments on the volume of HbA1c assays and on HbA1c values of type 2 diabetic patients monitored in primary care in Northern France compared to usual seasonal variations.
Methods
Epidemiological study of a multicentre retrospective cohort, collecting the number and the value of HbA1c assays from type 2 diabetic patients, carried out in 73 private medical analysis laboratories in Northern France region between October 1, 2018 and October 31, 2022.
Results
A total of 196,744 patients and 828,037 tests were included. The first and third containments were associated with a significant decrease in the mean number of performed HbA1c tests, the decrease in the 2nd containment did not reach significance. We observed a significant decrease in HbA1c testing during the winter holiday season and the summer months. The variations in HbA1c values were not substantial compared to seasonal variations.},
urldate = {2024-09-16},
journal = {Diabetes Epidemiology and Management},
author = {Demoule, Dr. Julie and Quindroit, Dr. Paul and Frévent, Dr. Camille and Collins, Prof. Dr. Claire and Chazard, Prof. Dr. Emmanuel and Beuscart, Prof. Dr. Jean-Baptiste and Berkhout, Prof. Dr. Christophe and Calafiore, Dr. Matthieu and Quersin, Dr. François},
month = oct,
year = {2024},
keywords = {COVID-19, Diabetes mellitus, Disease management, Glycated hemoglobin, Primary health care, Type 2},
pages = {100233},
}
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The successive containments linked to the SARSCoV-2 pandemic may have had a profound impact on the follow-up of diabetic patients in primary care. The objective of this study was to investigate the effect of containments on the volume of HbA1c assays and on HbA1c values of type 2 diabetic patients monitored in primary care in Northern France compared to usual seasonal variations. Methods Epidemiological study of a multicentre retrospective cohort, collecting the number and the value of HbA1c assays from type 2 diabetic patients, carried out in 73 private medical analysis laboratories in Northern France region between October 1, 2018 and October 31, 2022. Results A total of 196,744 patients and 828,037 tests were included. The first and third containments were associated with a significant decrease in the mean number of performed HbA1c tests, the decrease in the 2nd containment did not reach significance. We observed a significant decrease in HbA1c testing during the winter holiday season and the summer months. The variations in HbA1c values were not substantial compared to seasonal variations.","urldate":"2024-09-16","journal":"Diabetes Epidemiology and Management","author":[{"propositions":[],"lastnames":["Demoule"],"firstnames":["Dr.","Julie"],"suffixes":[]},{"propositions":[],"lastnames":["Quindroit"],"firstnames":["Dr.","Paul"],"suffixes":[]},{"propositions":[],"lastnames":["Frévent"],"firstnames":["Dr.","Camille"],"suffixes":[]},{"propositions":[],"lastnames":["Collins"],"firstnames":["Prof.","Dr.","Claire"],"suffixes":[]},{"propositions":[],"lastnames":["Chazard"],"firstnames":["Prof.","Dr.","Emmanuel"],"suffixes":[]},{"propositions":[],"lastnames":["Beuscart"],"firstnames":["Prof.","Dr.","Jean-Baptiste"],"suffixes":[]},{"propositions":[],"lastnames":["Berkhout"],"firstnames":["Prof.","Dr.","Christophe"],"suffixes":[]},{"propositions":[],"lastnames":["Calafiore"],"firstnames":["Dr.","Matthieu"],"suffixes":[]},{"propositions":[],"lastnames":["Quersin"],"firstnames":["Dr.","François"],"suffixes":[]}],"month":"October","year":"2024","keywords":"COVID-19, Diabetes mellitus, Disease management, Glycated hemoglobin, Primary health care, Type 2","pages":"100233","bibtex":"@article{demoule_primary_2024,\n\ttitle = {Primary care monitoring of {HbA1c} tests in type 2 diabetic patients in {Northern} {France} and impact of the successive {COVID}-19 pandemic containments},\n\tvolume = {16},\n\tissn = {2666-9706},\n\turl = {https://www.sciencedirect.com/science/article/pii/S2666970624000386},\n\tdoi = {10.1016/j.deman.2024.100233},\n\tabstract = {Background\nFrench health authorities recommend the testing of HbA1c every 3 to 6 months in patients with diabetes. The successive containments linked to the SARSCoV-2 pandemic may have had a profound impact on the follow-up of diabetic patients in primary care. The objective of this study was to investigate the effect of containments on the volume of HbA1c assays and on HbA1c values of type 2 diabetic patients monitored in primary care in Northern France compared to usual seasonal variations.\nMethods\nEpidemiological study of a multicentre retrospective cohort, collecting the number and the value of HbA1c assays from type 2 diabetic patients, carried out in 73 private medical analysis laboratories in Northern France region between October 1, 2018 and October 31, 2022.\nResults\nA total of 196,744 patients and 828,037 tests were included. The first and third containments were associated with a significant decrease in the mean number of performed HbA1c tests, the decrease in the 2nd containment did not reach significance. 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