Association of Reduction in Continuity of Care During COVID ‐19 Pandemic With Cardiovascular Diseases, Kidney Failure and All‐Cause Mortality for People With Diabetes: A Cohort Study in Hong Kong
Authors' conclusion
Greater impairment in continuity of care was associated with increased incidences of CVD in diabetic patients.
Study context
- Population
- Adults with DM in Hong Kong; continuity of care assessed by usual provider continuity index (UPCI) in pre-outbreak (August 2017-December 2019) and outbreak (January 2020-May 2022) periods
- Participants
- 123,403 adults
- Exposure
- Greater reductions in continuity of care vs ≤10% reduction
- Outcome
- Incident CVD, kidney failure and all-cause mortality
- Follow-up
- Followed from 1 June 2022 until outcomes or June 2024
Main finding
As reported in the abstract
Incident CVD
Each group vs ≤ 10% reductionHazard ratio (95% CI)
10%-20% reduction
1.05(0.97–1.14)
20%-30% reduction
1.33(1.14–1.56)
30% reduction
1.30(1.14–1.48)
Observational data: associations, not effects.
Further findings
Cardiovascular diseases (CVD) subtypes (coronary heart disease, HF)
- Similar patterns found for CVD subtypes, including coronary heart disease and HF
Kidney failure
- Reductions of 20%-30% and > 30.1% in UPCI associated with higher kidney failure risks
Original publication
Association of Reduction in Continuity of Care During COVID ‐19 Pandemic With Cardiovascular Diseases, Kidney Failure and All‐Cause Mortality for People With Diabetes: A Cohort Study in Hong Kong. Diabetes Obes Metab. Published 15 June 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →