Evidence map›Paper›PMID 39939733›Full record

ArticleScientific reports2025

The burden of COVID-19 in primary care of Almaty, Kazakhstan, 2021-2022.

Nailya Kozhekenova, Sharapat Moiynbayeva, Danilo Jeremic, Milan Dinic, Pavel Semenov, Zhansaya Nurgaliyeva, Shyryn Tolekova, Anastassiya Miller, Arshat Smasheva, Milena Santric Milicevic

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Economic Burden of COVID-19 Hospitalization in Almaty, Kazakhstan.ClinicoEconomics and outcomes research : CEOR · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Nailya Kozhekenova *Faculty of Medicine and Healthcare, Al-Farabi Kazakh National University, 71 Al-Farabi Avenue, 050038, Almaty, Kazakhstan. nailyakozhekenova@gmail.com.ORCID 0009-0004-2260-6588
Sharapat Moiynbayeva *Kazakhstan Medical University "Higher School of Public Health", Almaty, Kazakhstan.ORCID 0000-0003-1720-5064
Danilo JeremicFaculty of Medicine, Institute for Orthopaedics "Banjica", University of Belgrade, Belgrade, Serbia.ORCID 0000-0001-5903-0878
Milan DinicLaboratory for Strengthening Capacity and Performance of Health System and Workforce for Health Equity, Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Pavel SemenovNazarbayev University School of Engineering and Digital Sciences, Astana, Kazakhstan.ORCID 0000-0003-2475-0976
Zhansaya NurgaliyevaFaculty of Medicine and Healthcare, Al-Farabi Kazakh National University, 71 Al-Farabi Avenue, 050038, Almaty, Kazakhstan.ORCID 0000-0002-0314-1971
Shyryn TolekovaTelemedicine Center at the Municipal State Enterprise on the Right of Economic management "Central City Clinical Hospital" of the Department of Public Health of Almaty, Almaty, Kazakhstan.ORCID 0000-0002-7901-6720
Anastassiya MillerSchool of Sciences and Humanities, Nazarbayev University, Astana, Kazakhstan.ORCID 0000-0002-6276-8512
Arshat SmashevaKaraganda University Named After Academician E.A. Buketov, Karaganda, Kazakhstan.
Milena Santric Milicevic *Laboratory for Strengthening Capacity and Performance of Health System and Workforce for Health Equity, Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.ORCID 0000-0002-0684-359X

Funding

Grant funding of young scientists under the "Zhas Galym" project for 2024-2026 of the Ministry of science and Higher Education of the Republic of Kazakhstan, Epidemiological and socio-economic factors affecting the reproductive and mental health of women in Kazakhstan before and during the COVID-19 pandemic, AP22684892. AP22684892
6 · The paper itself

Abstract

Primary healthcare played a crucial role during the COVID-19 pandemic by preventing, timely diagnosing, and referring severe cases to hospitals, as well as monitoring and counseling patients via telemedicine. We used a cross-sectional approach to analyze the severity outcomes of 174,540 COVID-19 cases treated in primary care in Almaty between 2021 and 2022, by age, sex, disease severity, and comorbidities. Outpatients with COVID-19 were mainly aged 30-39 (20.3%) with a mild course (88.9%). Among adults, females predominated (≥ 60-25.5% vs. 19.2%, < 0.001), and among children (0-17), boys - 21.2% vs. 12.1% (p < 0.001). A higher risk for moderate to severe COVID-19 and adverse outcomes was assessed among older adults, particularly those aged 60 and older compared with younger groups (OR = 9.01, 95% CI: 7.72-10.51). Pregnant women had a low risk of severe disease (OR = 0.5, 95% CI: 0.38-0.65). Patients with concomitant disease were at higher likelihood of severe COVID-19 (p < 0.001, OR = 2.51, 95% CI: 1.9-3.15 for obesity, p < 0.001, OR = 1.43, 95% CI: 1.27-1.6 for diabetes mellitus, OR = 1.16, 95% CI: 1.07-1.26 for arterial hypertension, and p < 0.001, OR = 2.5, 95% CI: 2.13-3.02 for chronic obstructive pulmonary disease). The study emphasizes an often-overlooked impact of COVID-19 on primary care, which is essential for improving outpatient care.

Indexed as

COVID-19Primary Health CareAdolescentAdultAgedChildChild, PreschoolComorbidityCost of IllnessCross-Sectional StudiesFemaleHumansInfantInfant, NewbornKazakhstanMaleComorbidityCOVID-19EpidemiologyOutpatientRisk factors

Identifiers

PMID39939733
PMCPMC11822126

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.