The Impact and Consequences of SARS-CoV-2 Pandemic on a Single University Dermatology Outpatient Clinic in Germany.
Identifieur interne : 000173 ( Main/Exploration ); précédent : 000172; suivant : 000174The Impact and Consequences of SARS-CoV-2 Pandemic on a Single University Dermatology Outpatient Clinic in Germany.
Auteurs : Rosi Wang [Allemagne] ; Charlotte Helf [Allemagne] ; Linda Tizek [Allemagne] ; Ruth Neuhauser [Allemagne] ; Kilian Eyerich [Allemagne, Suède] ; Alexander Zink [Allemagne] ; Bernadette Eberlein [Allemagne] ; Tilo Biedermann [Allemagne] ; Knut Brockow [Allemagne] ; Alexander Boehner [Allemagne]Source :
- International journal of environmental research and public health [ 1660-4601 ] ; 2020.
Descripteurs français
- KwdFr :
- Allemagne (épidémiologie), Betacoronavirus (MeSH), Dermatologie (MeSH), Humains (MeSH), Infections à coronavirus (épidémiologie), Orientation vers un spécialiste (MeSH), Pandémies (MeSH), Pneumopathie virale (épidémiologie), Sujet âgé de 80 ans ou plus (MeSH), Universités (MeSH), Établissements de soins ambulatoires (tendances).
- MESH :
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Germany.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- trends : Ambulatory Care Facilities.
- Aged, 80 and over, Betacoronavirus, Dermatology, Humans, Pandemics, Referral and Consultation, Universities.
Abstract
The pandemic outbreak of coronavirus disease 2019 (COVID-19) affects health care systems globally and leads to other challenges besides infection and its direct medical consequences. The aim of this study was to investigate the impact of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) pandemic on the university dermatology outpatient clinic (UDOC) of the Technical University of Munich, Germany. We analyzed datasets from 2015 until 2020 extracted from the hospital information system database and our documented outpatient files regarding patient numbers, gender, age, and diagnoses. In 2020, case numbers of outpatient care declined significantly (p = 0.021) compared to previous years and was related to the timing of political announcements answering SARS-CoV-2 pandemic. Additionally, during calendar week 10 to 15-the peak time of the spread of COVID-19 in Germany-the proportion of patients missing their consultation was significantly higher in 2020 than in 2019 (22.4% vs. 12.4%; p < 0.001). Gender-associated differences regarding absences were not detected, but patients aged 85 years or older were significantly more likely to miss their consultation compared to all other age groups (p = 0.002). Regarding different disease clusters, patients with chronic inflammatory skin diseases and infectious and malignant diseases were more likely to miss their consultation (p = 0.006). Noticeably, less patients with malignant diseases, and particularly malignant melanoma, were registered during this pandemic. Our data support the hypothesis that medically constructive prioritization might not be implemented properly by patients themselves. Identifying missed patients and catching up on their medical care apart from COVID-19 will pose an enormous challenge for health care systems globally.
DOI: 10.3390/ijerph17176182
PubMed: 32858870
PubMed Central: PMC7504311
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Impact and Consequences of SARS-CoV-2 Pandemic on a Single University Dermatology Outpatient Clinic in Germany.</title><author><name sortKey="Wang, Rosi" sort="Wang, Rosi" uniqKey="Wang R" first="Rosi" last="Wang">Rosi Wang</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Helf, Charlotte" sort="Helf, Charlotte" uniqKey="Helf C" first="Charlotte" last="Helf">Charlotte Helf</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Tizek, Linda" sort="Tizek, Linda" uniqKey="Tizek L" first="Linda" last="Tizek">Linda Tizek</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Neuhauser, Ruth" sort="Neuhauser, Ruth" uniqKey="Neuhauser R" first="Ruth" last="Neuhauser">Ruth Neuhauser</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Eyerich, Kilian" sort="Eyerich, Kilian" uniqKey="Eyerich K" first="Kilian" last="Eyerich">Kilian Eyerich</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Division of Dermatology and Venereology, Department of Medicine Solna, and Center for Molecular Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Division of Dermatology and Venereology, Department of Medicine Solna, and Center for Molecular Medicine, Karolinska Institutet, 171 77 Stockholm</wicri:regionArea><wicri:noRegion>171 77 Stockholm</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Unit of Dermatology, Karolinska University Hospital, 171 64 Solna, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Unit of Dermatology, Karolinska University Hospital, 171 64 Solna</wicri:regionArea><wicri:noRegion>171 64 Solna</wicri:noRegion></affiliation></author><author><name sortKey="Zink, Alexander" sort="Zink, Alexander" uniqKey="Zink A" first="Alexander" last="Zink">Alexander Zink</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Eberlein, Bernadette" sort="Eberlein, Bernadette" uniqKey="Eberlein B" first="Bernadette" last="Eberlein">Bernadette Eberlein</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Biedermann, Tilo" sort="Biedermann, Tilo" uniqKey="Biedermann T" first="Tilo" last="Biedermann">Tilo Biedermann</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Brockow, Knut" sort="Brockow, Knut" uniqKey="Brockow K" first="Knut" last="Brockow">Knut Brockow</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Boehner, Alexander" sort="Boehner, Alexander" uniqKey="Boehner A" first="Alexander" last="Boehner">Alexander Boehner</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32858870</idno><idno type="pmid">32858870</idno><idno type="doi">10.3390/ijerph17176182</idno><idno type="pmc">PMC7504311</idno><idno type="wicri:Area/Main/Corpus">000444</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000444</idno><idno type="wicri:Area/Main/Curation">000444</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000444</idno><idno type="wicri:Area/Main/Exploration">000444</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The Impact and Consequences of SARS-CoV-2 Pandemic on a Single University Dermatology Outpatient Clinic in Germany.</title><author><name sortKey="Wang, Rosi" sort="Wang, Rosi" uniqKey="Wang R" first="Rosi" last="Wang">Rosi Wang</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Helf, Charlotte" sort="Helf, Charlotte" uniqKey="Helf C" first="Charlotte" last="Helf">Charlotte Helf</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Tizek, Linda" sort="Tizek, Linda" uniqKey="Tizek L" first="Linda" last="Tizek">Linda Tizek</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Neuhauser, Ruth" sort="Neuhauser, Ruth" uniqKey="Neuhauser R" first="Ruth" last="Neuhauser">Ruth Neuhauser</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Eyerich, Kilian" sort="Eyerich, Kilian" uniqKey="Eyerich K" first="Kilian" last="Eyerich">Kilian Eyerich</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Division of Dermatology and Venereology, Department of Medicine Solna, and Center for Molecular Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Division of Dermatology and Venereology, Department of Medicine Solna, and Center for Molecular Medicine, Karolinska Institutet, 171 77 Stockholm</wicri:regionArea><wicri:noRegion>171 77 Stockholm</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Unit of Dermatology, Karolinska University Hospital, 171 64 Solna, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Unit of Dermatology, Karolinska University Hospital, 171 64 Solna</wicri:regionArea><wicri:noRegion>171 64 Solna</wicri:noRegion></affiliation></author><author><name sortKey="Zink, Alexander" sort="Zink, Alexander" uniqKey="Zink A" first="Alexander" last="Zink">Alexander Zink</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Eberlein, Bernadette" sort="Eberlein, Bernadette" uniqKey="Eberlein B" first="Bernadette" last="Eberlein">Bernadette Eberlein</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Biedermann, Tilo" sort="Biedermann, Tilo" uniqKey="Biedermann T" first="Tilo" last="Biedermann">Tilo Biedermann</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Brockow, Knut" sort="Brockow, Knut" uniqKey="Brockow K" first="Knut" last="Brockow">Knut Brockow</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Boehner, Alexander" sort="Boehner, Alexander" uniqKey="Boehner A" first="Alexander" last="Boehner">Alexander Boehner</name><affiliation wicri:level="3"><nlm:affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author></analytic><series><title level="j">International journal of environmental research and public health</title><idno type="eISSN">1660-4601</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged, 80 and over (MeSH)</term><term>Ambulatory Care Facilities (trends)</term><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Dermatology (MeSH)</term><term>Germany (epidemiology)</term><term>Humans (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (epidemiology)</term><term>Referral and Consultation (MeSH)</term><term>Universities (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Allemagne (épidémiologie)</term><term>Betacoronavirus (MeSH)</term><term>Dermatologie (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (épidémiologie)</term><term>Orientation vers un spécialiste (MeSH)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (épidémiologie)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Universités (MeSH)</term><term>Établissements de soins ambulatoires (tendances)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Établissements de soins ambulatoires</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Ambulatory Care Facilities</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Allemagne</term><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged, 80 and over</term><term>Betacoronavirus</term><term>Dermatology</term><term>Humans</term><term>Pandemics</term><term>Referral and Consultation</term><term>Universities</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Betacoronavirus</term><term>Dermatologie</term><term>Humains</term><term>Orientation vers un spécialiste</term><term>Pandémies</term><term>Sujet âgé de 80 ans ou plus</term><term>Universités</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The pandemic outbreak of coronavirus disease 2019 (COVID-19) affects health care systems globally and leads to other challenges besides infection and its direct medical consequences. The aim of this study was to investigate the impact of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) pandemic on the university dermatology outpatient clinic (UDOC) of the Technical University of Munich, Germany. We analyzed datasets from 2015 until 2020 extracted from the hospital information system database and our documented outpatient files regarding patient numbers, gender, age, and diagnoses. In 2020, case numbers of outpatient care declined significantly (<i>p</i> = 0.021) compared to previous years and was related to the timing of political announcements answering SARS-CoV-2 pandemic. Additionally, during calendar week 10 to 15-the peak time of the spread of COVID-19 in Germany-the proportion of patients missing their consultation was significantly higher in 2020 than in 2019 (22.4% vs. 12.4%; <i>p</i> < 0.001). Gender-associated differences regarding absences were not detected, but patients aged 85 years or older were significantly more likely to miss their consultation compared to all other age groups (<i>p</i> = 0.002). Regarding different disease clusters, patients with chronic inflammatory skin diseases and infectious and malignant diseases were more likely to miss their consultation (<i>p</i> = 0.006). Noticeably, less patients with malignant diseases, and particularly malignant melanoma, were registered during this pandemic. Our data support the hypothesis that medically constructive prioritization might not be implemented properly by patients themselves. Identifying missed patients and catching up on their medical care apart from COVID-19 will pose an enormous challenge for health care systems globally.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32858870</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>22</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>01</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1660-4601</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>17</Issue><PubDate><Year>2020</Year><Month>08</Month><Day>26</Day></PubDate></JournalIssue><Title>International journal of environmental research and public health</Title><ISOAbbreviation>Int J Environ Res Public Health</ISOAbbreviation></Journal><ArticleTitle>The Impact and Consequences of SARS-CoV-2 Pandemic on a Single University Dermatology Outpatient Clinic in Germany.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">E6182</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.3390/ijerph17176182</ELocationID><Abstract><AbstractText>The pandemic outbreak of coronavirus disease 2019 (COVID-19) affects health care systems globally and leads to other challenges besides infection and its direct medical consequences. The aim of this study was to investigate the impact of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) pandemic on the university dermatology outpatient clinic (UDOC) of the Technical University of Munich, Germany. We analyzed datasets from 2015 until 2020 extracted from the hospital information system database and our documented outpatient files regarding patient numbers, gender, age, and diagnoses. In 2020, case numbers of outpatient care declined significantly (<i>p</i> = 0.021) compared to previous years and was related to the timing of political announcements answering SARS-CoV-2 pandemic. Additionally, during calendar week 10 to 15-the peak time of the spread of COVID-19 in Germany-the proportion of patients missing their consultation was significantly higher in 2020 than in 2019 (22.4% vs. 12.4%; <i>p</i> < 0.001). Gender-associated differences regarding absences were not detected, but patients aged 85 years or older were significantly more likely to miss their consultation compared to all other age groups (<i>p</i> = 0.002). Regarding different disease clusters, patients with chronic inflammatory skin diseases and infectious and malignant diseases were more likely to miss their consultation (<i>p</i> = 0.006). Noticeably, less patients with malignant diseases, and particularly malignant melanoma, were registered during this pandemic. Our data support the hypothesis that medically constructive prioritization might not be implemented properly by patients themselves. Identifying missed patients and catching up on their medical care apart from COVID-19 will pose an enormous challenge for health care systems globally.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Rosi</ForeName><Initials>R</Initials><Identifier Source="ORCID">0000-0001-5235-516X</Identifier><AffiliationInfo><Affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Helf</LastName><ForeName>Charlotte</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tizek</LastName><ForeName>Linda</ForeName><Initials>L</Initials><Identifier Source="ORCID">0000-0002-2749-9791</Identifier><AffiliationInfo><Affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Neuhauser</LastName><ForeName>Ruth</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Eyerich</LastName><ForeName>Kilian</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Dermatology and Venereology, Department of Medicine Solna, and Center for Molecular Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Unit of Dermatology, Karolinska University Hospital, 171 64 Solna, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zink</LastName><ForeName>Alexander</ForeName><Initials>A</Initials><Identifier Source="ORCID">0000-0001-9313-6588</Identifier><AffiliationInfo><Affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Eberlein</LastName><ForeName>Bernadette</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Biedermann</LastName><ForeName>Tilo</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brockow</LastName><ForeName>Knut</ForeName><Initials>K</Initials><Identifier Source="ORCID">0000-0002-2775-3681</Identifier><AffiliationInfo><Affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boehner</LastName><ForeName>Alexander</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University Munich, 80802 Munich, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Int J Environ Res Public Health</MedlineTA><NlmUniqueID>101238455</NlmUniqueID><ISSNLinking>1660-4601</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000554" MajorTopicYN="N">Ambulatory Care Facilities</DescriptorName><QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003880" MajorTopicYN="Y">Dermatology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012017" MajorTopicYN="N">Referral and Consultation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014495" MajorTopicYN="N">Universities</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19 (coronavirus disease 2019)</Keyword><Keyword MajorTopicYN="Y">SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2)</Keyword><Keyword MajorTopicYN="Y">outpatient care</Keyword><Keyword MajorTopicYN="Y">public health</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>07</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>08</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>08</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32858870</ArticleId><ArticleId IdType="pii">ijerph17176182</ArticleId><ArticleId IdType="doi">10.3390/ijerph17176182</ArticleId><ArticleId IdType="pmc">PMC7504311</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>J Clin Med. 2019 Apr 22;8(4):</Citation><ArticleIdList><ArticleId IdType="pubmed">31013629</ArticleId></ArticleIdList></Reference><Reference><Citation>Eur Heart J. 2020 May 14;41(19):1852-1853</Citation><ArticleIdList><ArticleId IdType="pubmed">32297932</ArticleId></ArticleIdList></Reference><Reference><Citation>Patient Relat Outcome Meas. 2015 Nov 06;6:229-42</Citation><ArticleIdList><ArticleId IdType="pubmed">26609248</ArticleId></ArticleIdList></Reference><Reference><Citation>Arch Dermatol. 2007 Apr;143(4):488-94</Citation><ArticleIdList><ArticleId IdType="pubmed">17438181</ArticleId></ArticleIdList></Reference><Reference><Citation>Acad Emerg Med. 2001 Jan;8(1):48-53</Citation><ArticleIdList><ArticleId IdType="pubmed">11136148</ArticleId></ArticleIdList></Reference><Reference><Citation>South Med J. 1981 Jun;74(6):709-12</Citation><ArticleIdList><ArticleId IdType="pubmed">7244751</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet Oncol. 2020 Aug;21(8):1023-1034</Citation><ArticleIdList><ArticleId IdType="pubmed">32702310</ArticleId></ArticleIdList></Reference><Reference><Citation>J Gen Intern Med. 1996 Apr;11(4):237-9</Citation><ArticleIdList><ArticleId IdType="pubmed">8744882</ArticleId></ArticleIdList></Reference><Reference><Citation>Clin Res Cardiol. 2020 Aug 4;:</Citation><ArticleIdList><ArticleId IdType="pubmed">32749557</ArticleId></ArticleIdList></Reference><Reference><Citation>Clin Gastroenterol Hepatol. 2020 Jul;18(8):1882-1883</Citation><ArticleIdList><ArticleId IdType="pubmed">32304737</ArticleId></ArticleIdList></Reference><Reference><Citation>Nat Rev Microbiol. 2020 Mar;18(3):123</Citation><ArticleIdList><ArticleId IdType="pubmed">31988490</ArticleId></ArticleIdList></Reference><Reference><Citation>MMWR Morb Mortal Wkly Rep. 2020 Mar 27;69(12):343-346</Citation><ArticleIdList><ArticleId IdType="pubmed">32214079</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2014 Oct 16;371(16):1526-33</Citation><ArticleIdList><ArticleId IdType="pubmed">25317872</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 May 21;382(21):2049-2055</Citation><ArticleIdList><ArticleId IdType="pubmed">32202722</ArticleId></ArticleIdList></Reference><Reference><Citation>Health Psychol. 2020 May;39(5):355-357</Citation><ArticleIdList><ArticleId IdType="pubmed">32202824</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet. 2020 Mar 28;395(10229):1054-1062</Citation><ArticleIdList><ArticleId IdType="pubmed">32171076</ArticleId></ArticleIdList></Reference><Reference><Citation>J Allergy Clin Immunol. 2020 Jul;146(1):110-118</Citation><ArticleIdList><ArticleId IdType="pubmed">32294485</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet Oncol. 2020 Apr;21(4):e181</Citation><ArticleIdList><ArticleId IdType="pubmed">32142621</ArticleId></ArticleIdList></Reference><Reference><Citation>J Med Virol. 2020 Apr;92(4):401-402</Citation><ArticleIdList><ArticleId IdType="pubmed">31950516</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet Oncol. 2020 Apr;21(4):e180</Citation><ArticleIdList><ArticleId IdType="pubmed">32142622</ArticleId></ArticleIdList></Reference><Reference><Citation>Emerg Med J. 2009 Jun;26(6):395-9</Citation><ArticleIdList><ArticleId IdType="pubmed">19465606</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li><li>Suède</li></country><region><li>Bavière</li><li>District de Haute-Bavière</li></region><settlement><li>Munich</li></settlement></list><tree><country name="Allemagne"><region name="Bavière"><name sortKey="Wang, Rosi" sort="Wang, Rosi" uniqKey="Wang R" first="Rosi" last="Wang">Rosi Wang</name></region><name sortKey="Biedermann, Tilo" sort="Biedermann, Tilo" uniqKey="Biedermann T" first="Tilo" last="Biedermann">Tilo Biedermann</name><name sortKey="Boehner, Alexander" sort="Boehner, Alexander" uniqKey="Boehner A" first="Alexander" last="Boehner">Alexander Boehner</name><name sortKey="Brockow, Knut" sort="Brockow, Knut" uniqKey="Brockow K" first="Knut" last="Brockow">Knut Brockow</name><name sortKey="Eberlein, Bernadette" sort="Eberlein, Bernadette" uniqKey="Eberlein B" first="Bernadette" last="Eberlein">Bernadette Eberlein</name><name sortKey="Eyerich, Kilian" sort="Eyerich, Kilian" uniqKey="Eyerich K" first="Kilian" last="Eyerich">Kilian Eyerich</name><name sortKey="Helf, Charlotte" sort="Helf, Charlotte" uniqKey="Helf C" first="Charlotte" last="Helf">Charlotte Helf</name><name sortKey="Neuhauser, Ruth" sort="Neuhauser, Ruth" uniqKey="Neuhauser R" first="Ruth" last="Neuhauser">Ruth Neuhauser</name><name sortKey="Tizek, Linda" sort="Tizek, Linda" uniqKey="Tizek L" first="Linda" last="Tizek">Linda Tizek</name><name sortKey="Zink, Alexander" sort="Zink, Alexander" uniqKey="Zink A" first="Alexander" last="Zink">Alexander Zink</name></country><country name="Suède"><noRegion><name sortKey="Eyerich, Kilian" sort="Eyerich, Kilian" uniqKey="Eyerich K" first="Kilian" last="Eyerich">Kilian Eyerich</name></noRegion><name sortKey="Eyerich, Kilian" sort="Eyerich, Kilian" uniqKey="Eyerich K" first="Kilian" last="Eyerich">Kilian Eyerich</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/CovidSeniorV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000173 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000173 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= CovidSeniorV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:32858870
|texte= The Impact and Consequences of SARS-CoV-2 Pandemic on a Single University Dermatology Outpatient Clinic in Germany.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:32858870" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a CovidSeniorV1
| This area was generated with Dilib version V0.6.37. |  |