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,...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Nancy Samir Elbarbary, Tiago Jeronimo dos Santos, Carine de Beaufort, Esko Wiltshire, Aman Pulungan, Andrea Enzo Scaramuzza
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	COVID-19 children diabetes obesity and metabolic syndrome adrenal thyroid Diseases of the endocrine glands. Clinical endocrinology RC648-665
Acceso en línea:	https://doaj.org/article/4bd21a4b7fea49ee9a057326af2f0232
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4bd21a4b7fea49ee9a057326af2f0232
record_format	dspace
spelling	oai:doaj.org-article:4bd21a4b7fea49ee9a057326af2f02322021-11-05T12:18:32ZThe Challenges of Managing Pediatric Diabetes and Other Endocrine Disorders During the COVID-19 Pandemic: Results From an International Cross-Sectional Electronic Survey1664-239210.3389/fendo.2021.735554https://doaj.org/article/4bd21a4b7fea49ee9a057326af2f02322021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fendo.2021.735554/fullhttps://doaj.org/toc/1664-2392BackgroundFrequency, 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.Nancy Samir ElbarbaryTiago Jeronimo dos SantosTiago Jeronimo dos SantosCarine de BeaufortCarine de BeaufortEsko WiltshireEsko WiltshireAman PulunganAndrea Enzo ScaramuzzaFrontiers Media S.A.articleCOVID-19childrendiabetesobesity and metabolic syndromeadrenalthyroidDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENFrontiers in Endocrinology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 children diabetes obesity and metabolic syndrome adrenal thyroid Diseases of the endocrine glands. Clinical endocrinology RC648-665
spellingShingle	COVID-19 children diabetes obesity and metabolic syndrome adrenal thyroid Diseases of the endocrine glands. Clinical endocrinology RC648-665 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
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.
format	article
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
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_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_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_sort	challenges of managing pediatric diabetes and other endocrine disorders during the covid-19 pandemic: results from an international cross-sectional electronic survey
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/4bd21a4b7fea49ee9a057326af2f0232
work_keys_str_mv	AT nancysamirelbarbary thechallengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT tiagojeronimodossantos thechallengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT tiagojeronimodossantos thechallengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT carinedebeaufort thechallengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT carinedebeaufort thechallengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT eskowiltshire thechallengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT eskowiltshire thechallengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT amanpulungan thechallengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT andreaenzoscaramuzza thechallengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT nancysamirelbarbary challengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT tiagojeronimodossantos challengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT tiagojeronimodossantos challengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT carinedebeaufort challengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT carinedebeaufort challengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT eskowiltshire challengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT eskowiltshire challengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT amanpulungan challengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey AT andreaenzoscaramuzza challengesofmanagingpediatricdiabetesandotherendocrinedisordersduringthecovid19pandemicresultsfromaninternationalcrosssectionalelectronicsurvey
_version_	1718444286614175744

The Challenges of Managing Pediatric Diabetes and Other Endocrine Disorders During the COVID-19 Pandemic: Results From an International Cross-Sectional Electronic Survey

Ejemplares similares