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Screening for Diabetes Complications during the COVID-19 Outbreak in South Korea

Authors
 Yu Shin Park  ;  Soo Young Kim  ;  Eun-Cheol Park  ;  Sung-In Jang 
Citation
 INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, Vol.19(9) : 5436, 2022-04 
Journal Title
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
ISSN
 1661-7827 
Issue Date
2022-04
MeSH
COVID-19* / epidemiology ; Diabetes Complications* / complications ; Diabetes Complications* / epidemiology ; Diabetes Mellitus, Type 2* / epidemiology ; Diabetic Nephropathies* / diagnosis ; Diabetic Nephropathies* / epidemiology ; Diabetic Nephropathies* / etiology ; Diabetic Retinopathy* / epidemiology ; Disease Outbreaks ; Humans ; Republic of Korea / epidemiology
Keywords
COVID-19 ; diabetes ; diabetic nephropathy ; diabetic retinopathy
Abstract
This study aimed to investigate the implementation of diabetes complications screening in South Korea during the coronavirus disease (COVID-19) outbreak. Data from the Korea Community Health Surveys conducted in 2019 and 2020 were used. This study included 51,471 participants. Multiple level analysis was used to investigate the relationships between screening for diabetic retinopathy and diabetic nephropathy and variables of both individual- and community-level factors in 2019 and 2020, before and after the COVID-19 outbreak. Diabetes nephropathy complications screening in 2020 had a lower odds ratio. However, regions heavily affected by COVID-19 showed a negative association with diabetes complications screening after the COVID-19 outbreak. For those being treated with medication for diabetes, there was a significant negative association with diabetic nephropathy screening after the outbreak. The COVID-19 outbreak was associated with a reduction in the use of diabetes nephropathy complications screening. Additionally, only regions heavily affected by COVID-19 spread showed a negative association with diabetes complications screening compared to before the COVID-19 outbreak. In this regard, it appears that many patients were unable to attend outpatient care due to COVID-19. As such, these patients should be encouraged to visit clinics for diabetes complications screening. Furthermore, alternative methods need to be developed to support these patients. Through these efforts, the development of diabetes-related complications should be prevented, and the costs associated with these complications will be reduced.
Files in This Item:
T202201628.pdf Download
DOI
10.3390/ijerph19095436
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
Jang, Sung In(장성인) ORCID logo https://orcid.org/0000-0002-0760-2878
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/188803
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