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The excess of deaths within the RD cohort throughout the pandemic period ended up being negative (-27.2%), which means that RD patients endured the pandemic period better than the general populace performed. Conclusions The COVID-19 pandemic would not affect the mortality of RD clients. Strict lockdown measures, social distancing, and early vaccination were the primary factors that lead to reduced mortality in this cohort through the pandemic many years.In pediatric diabetolo