{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T01:28:59Z","timestamp":1793755739339,"version":"4.6.1"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,11,18]],"date-time":"2020-11-18T00:00:00Z","timestamp":1605657600000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is little evidence about the utilisation of healthcare services and disease recognition in the older population, which was urged to self-isolate during the COVID-19 lockdown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We aimed to describe the utilisation of physician consultations, specialist referrals, hospital admissions and the recognition of incident diseases in Germany for this age group during the COVID-19 lockdown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>1,095 general practitioners (GPs) and 960 specialist practices in Germany.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects<\/jats:title>\n                    <jats:p>2.45 million older patients aged 65 or older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The number of documented physician consultations, specialist referrals, hospital admissions and incident diagnoses during the imposed lockdown in 2020 was descriptively analysed and compared to 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Physician consultations decrease slightly in February (\u22122%), increase before the imposed lockdown in March (+9%) and decline in April (\u221218%) and May (\u221214%) 2020 compared to the same periods in 2019. Volumes of hospital admissions decrease earlier and more intensely than physician consultations (\u221239 versus \u22126%, respectively). Overall, 15, 16 and 18% fewer incident diagnoses were documented by GPs, neurologists and diabetologists, respectively, in 2020. Diabetes, dementia, depression, cancer and stroke were diagnosed less frequently during the lockdown (\u221217 to \u221226%), meaning that the decrease in the recognition of diseases was greater than the decrease in physician consultations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The data suggest that organisational changes were adopted quickly by practice management but also raise concerns about the maintenance of routine care. Prospective studies should evaluate the long-term effects of lockdowns on patient-related outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ageing\/afaa260","type":"journal-article","created":{"date-parts":[[2020,11,16]],"date-time":"2020-11-16T07:11:02Z","timestamp":1605510662000},"page":"317-325","source":"Crossref","is-referenced-by-count":99,"title":["Effect of the COVID-19 lockdown on disease recognition and utilisation of healthcare services in the older population in Germany: a cross-sectional study"],"prefix":"10.1093","volume":"50","author":[{"given":"Bernhard","family":"Michalowsky","sequence":"first","affiliation":[{"name":"German Center for Neurodegenerative Diseases (DZNE) Site Rostock\/Greifswald , Greifswald D-17487,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"German Center for Neurodegenerative Diseases (DZNE) Site Rostock\/Greifswald , Greifswald D-17487,","place":["Germany"]},{"name":"Section Epidemiology of Health Care and Community Health , Institute for Community Medicine, , Greifswald D-17487,","place":["Germany"]},{"name":"University Medicine Greifswald (UMG) , Institute for Community Medicine, , Greifswald D-17487,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"Bohlken","sequence":"additional","affiliation":[{"name":"Institute for Social Medicine , Occupational Medicine, and Public Health (ISAP) of the Medical Faculty, , Leipzig,","place":["Germany"]},{"name":"University of Leipzig , Occupational Medicine, and Public Health (ISAP) of the Medical Faculty, , Leipzig,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karel","family":"Kostev","sequence":"additional","affiliation":[{"name":"Epidemiology , , Frankfurt am Main 60549,","place":["Germany"]},{"name":"IQVIA , , Frankfurt am Main 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