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  • Prise en charge par tlconsultation des patients diabtiques dans le contexte de la pandmie de la COVID-19: tude prospective observationnelle #MMPMIDC7676311
  • Flocard M; Meyer L; Fabacher T; Bahougne T; Ortga F; Paris D; Munch M; Boullu-Sanchis S; Canel C; Chappaz C; Kessler L
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  • The COVID-19 pandemic has compelled the French government to impose confinement measures to stem the spread of the coronavirus. These measures may have had a potential impact on the glycemic control of diabetic patients. Within this context, telemedicine appears to be a viable option for follow-up appointments of diabetic patients. To assess this theory, we simultaneously led a prospective observational study during the novel coronavirus pandemic at Strasbourg's teaching hospital and at a private medical office to evaluate glycemic control in 491 diabetic patients either attending a telehealth appointment (n=338) or whom in-person consultation had been postponed by 6 months (n=153). Surveys were collected to assess both the patients? and the physicians? satisfaction. A decrease in average glycated hemoglobin (HbA1c) was observed among patients from the telehealth appointment group: ?HbA1c=?0.33% (n=175) as well as the other group: ?HbA1c=?0.13% (n=92) 3 months after the beginning of the study. Patients belonging to the telehealth appointment group at Strasbourg's teaching hospital (n=97) experienced a decrease in their HbA1c average from 7.651.19% to 7.180.9%, while patients from the same group attending a private medical office (n=78) also experienced a decrease from 7.280.80% to 7.110.79%. Ninety-two percent of patients were satisfied with the telehealth appointment, think it could be a virtual alternative to in-person consultation and would recommend it to other diabetic patients. Even though seven out of eight diabetologists had never offered telehealth appointments to their patients prior to the COVID-19 pandemic, all of them hope to provide such services to their patients once the health crisis is over. The tendency towards a decrease in HbA1c levels within our cohort should be qualified due to missing data caused by the disruption in data collection during the COVID-19 pandemic. Evaluation and assessment of the cohort's glycemic control 6 months after the beginning of the study could help confirm these results.
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