Primary care monitoring of HbA1c tests in type 2 diabetic patients in Northern France and impact of the successive COVID-19 pandemic containments

IF 1 Q4 ENDOCRINOLOGY & METABOLISM Diabetes epidemiology and management Pub Date : 2024-06-26 DOI:10.1016/j.deman.2024.100233

Dr. Julie Demoule , Dr. Paul Quindroit , Dr. Camille Frévent , Prof. Dr. Claire Collins , Prof. Dr. Emmanuel Chazard , Prof. Dr. Jean-Baptiste Beuscart , Prof. Dr. Christophe Berkhout , Dr. Matthieu Calafiore , Dr. François Quersin

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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.

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法国北部 2 型糖尿病患者 HbA1c 检测的初级保健监测以及连续遏制 COVID-19 大流行的影响

背景法国卫生当局建议糖尿病患者每 3 至 6 个月检测一次 HbA1c。与 SARSCoV-2 大流行相关的连续遏制措施可能对基层医疗机构的糖尿病患者随访产生了深远影响。本研究的目的是调查与通常的季节性变化相比，疫情遏制对 HbA1c 检测量的影响，以及对法国北部初级医疗机构监测的 2 型糖尿病患者 HbA1c 值的影响。方法2018年10月1日至2022年10月31日期间，在法国北部地区的73家私人医学分析实验室开展了一项多中心回顾性队列流行病学研究，收集了2型糖尿病患者的HbA1c检测数量和数值。第一轮和第三轮遏制与所进行的 HbA1c 检测平均次数的显著下降有关，而第二轮遏制的下降并不显著。我们观察到，在寒假和夏季，HbA1c 检测次数明显减少。与季节性变化相比，HbA1c 值的变化不大。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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