The Challenges of Managing Pediatric Diabetes and Other Endocrine Disorders During the COVID-19 Pandemic: Results From an International Cross-Sectional Electronic Survey
BackgroundFrequency, dimensions, management, and outcomes of the COVID-19 pandemic in children with endocrine disorders and diabetes were assessed.MethodsA cross-sectional electronic survey was distributed to the global network of endocrine societies. Respondents’ professional and practice profiles,...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-11-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2021.735554/full |
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| author | Nancy Samir Elbarbary Tiago Jeronimo dos Santos Tiago Jeronimo dos Santos Carine de Beaufort Carine de Beaufort Esko Wiltshire Esko Wiltshire Aman Pulungan Andrea Enzo Scaramuzza |
| author_facet | Nancy Samir Elbarbary Tiago Jeronimo dos Santos Tiago Jeronimo dos Santos Carine de Beaufort Carine de Beaufort Esko Wiltshire Esko Wiltshire Aman Pulungan Andrea Enzo Scaramuzza |
| author_sort | Nancy Samir Elbarbary |
| collection | DOAJ |
| description | BackgroundFrequency, dimensions, management, and outcomes of the COVID-19 pandemic in children with endocrine disorders and diabetes were assessed.MethodsA cross-sectional electronic survey was distributed to the global network of endocrine societies. Respondents’ professional and practice profiles, clinic sizes, their country of practice, and the impact of COVID-19 on endocrine diseases were investigated.ResultsRespondents from 131 pediatric endocrine centers in 51 countries across all continents completed the survey. Routine check-ups and education were altered in most pediatric endocrine clinics. Over 20% of clinics experienced a shortage of critical medications or essential supplies. ICU treatment was required for patients with diabetes and COVID-19 in 21.2% of centers. In diabetes, 44% of respondents reported increased diabetic ketoacidosis episodes in newly diagnosed cases and 30% in established cases. Biopsychosocial and behavioral changes were explicitly reported to be occurring among pediatric patients with endocrine disorders.ConclusionsThis large global survey conducted during the COVID-19 pandemic highlights that diabetes is more challenging to manage than any other pediatric endocrine disorder, with an increased risk of morbidity. Psychological distress due to COVID-19 needs to be recognized and addressed. The importance of close contact with healthcare professionals should be emphasized, and medical supplies should be readily available to all patients. |
| first_indexed | 2024-12-19T03:05:07Z |
| format | Article |
| id | doaj.art-4bd21a4b7fea49ee9a057326af2f0232 |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-12-19T03:05:07Z |
| publishDate | 2021-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-4bd21a4b7fea49ee9a057326af2f02322022-12-21T20:38:08ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922021-11-011210.3389/fendo.2021.735554735554The Challenges of Managing Pediatric Diabetes and Other Endocrine Disorders During the COVID-19 Pandemic: Results From an International Cross-Sectional Electronic SurveyNancy Samir Elbarbary0Tiago Jeronimo dos Santos1Tiago Jeronimo dos Santos2Carine de Beaufort3Carine de Beaufort4Esko Wiltshire5Esko Wiltshire6Aman Pulungan7Andrea Enzo Scaramuzza8Diabetes Unit, Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, EgyptInstituto Hispalense de Pediatría, Vithas Almería, Almería, SpainDepartment of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, Madrid, SpainDiabetes & Endocrine Care Clinique Pédiatrique (DECCP), Clinique Pédiatrique/Centre Hospitalier (CH) de Luxembourg, Luxembourg, LuxembourgDepartment Pediatric Endocrinology, Free University Hospital Brussels, Brussels, BelgiumDepartment of Paediatrics and Child Health, University of Otago Wellington, Wellington, New ZealandDepartment of Child Health, Capital and Coast District Health Board, Wellington, New ZealandChild Health Department, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, IndonesiaDiabetes and Endocrinology & Nutrition, Division of Pediatrics, Azienda Socio Sanitaria Territoriale (ASST) Cremona, “Ospedale Maggiore di Cremona”, Cremona, ItalyBackgroundFrequency, dimensions, management, and outcomes of the COVID-19 pandemic in children with endocrine disorders and diabetes were assessed.MethodsA cross-sectional electronic survey was distributed to the global network of endocrine societies. Respondents’ professional and practice profiles, clinic sizes, their country of practice, and the impact of COVID-19 on endocrine diseases were investigated.ResultsRespondents from 131 pediatric endocrine centers in 51 countries across all continents completed the survey. Routine check-ups and education were altered in most pediatric endocrine clinics. Over 20% of clinics experienced a shortage of critical medications or essential supplies. ICU treatment was required for patients with diabetes and COVID-19 in 21.2% of centers. In diabetes, 44% of respondents reported increased diabetic ketoacidosis episodes in newly diagnosed cases and 30% in established cases. Biopsychosocial and behavioral changes were explicitly reported to be occurring among pediatric patients with endocrine disorders.ConclusionsThis large global survey conducted during the COVID-19 pandemic highlights that diabetes is more challenging to manage than any other pediatric endocrine disorder, with an increased risk of morbidity. Psychological distress due to COVID-19 needs to be recognized and addressed. The importance of close contact with healthcare professionals should be emphasized, and medical supplies should be readily available to all patients.https://www.frontiersin.org/articles/10.3389/fendo.2021.735554/fullCOVID-19childrendiabetesobesity and metabolic syndromeadrenalthyroid |
| spellingShingle | Nancy Samir Elbarbary Tiago Jeronimo dos Santos Tiago Jeronimo dos Santos Carine de Beaufort Carine de Beaufort Esko Wiltshire Esko Wiltshire Aman Pulungan Andrea Enzo Scaramuzza The Challenges of Managing Pediatric Diabetes and Other Endocrine Disorders During the COVID-19 Pandemic: Results From an International Cross-Sectional Electronic Survey Frontiers in Endocrinology COVID-19 children diabetes obesity and metabolic syndrome adrenal thyroid |
| title | The Challenges of Managing Pediatric Diabetes and Other Endocrine Disorders During the COVID-19 Pandemic: Results From an International Cross-Sectional Electronic Survey |
| title_full | The Challenges of Managing Pediatric Diabetes and Other Endocrine Disorders During the COVID-19 Pandemic: Results From an International Cross-Sectional Electronic Survey |
| title_fullStr | The Challenges of Managing Pediatric Diabetes and Other Endocrine Disorders During the COVID-19 Pandemic: Results From an International Cross-Sectional Electronic Survey |
| title_full_unstemmed | The Challenges of Managing Pediatric Diabetes and Other Endocrine Disorders During the COVID-19 Pandemic: Results From an International Cross-Sectional Electronic Survey |
| title_short | The Challenges of Managing Pediatric Diabetes and Other Endocrine Disorders During the COVID-19 Pandemic: Results From an International Cross-Sectional Electronic Survey |
| title_sort | challenges of managing pediatric diabetes and other endocrine disorders during the covid 19 pandemic results from an international cross sectional electronic survey |
| topic | COVID-19 children diabetes obesity and metabolic syndrome adrenal thyroid |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2021.735554/full |
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