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Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic
OBJECTIVE: During the COVID-19 pandemic, Radiology practices experienced marked reductions in outpatient imaging volumes. Our purpose was to evaluate the timing, rate, and degree of recovery of outpatient imaging during the first wave of the pandemic. We also sought to ascertain the relationship of...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8349737/ https://www.ncbi.nlm.nih.gov/pubmed/34425546 http://dx.doi.org/10.1016/j.clinimag.2021.07.025 |
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author | Naidich, Jason J. Boltyenkov, Artem Wang, Jason J. Cruzen, Eric Chusid, Jesse Rula, Elizabeth Sanelli, Pina C. |
author_facet | Naidich, Jason J. Boltyenkov, Artem Wang, Jason J. Cruzen, Eric Chusid, Jesse Rula, Elizabeth Sanelli, Pina C. |
author_sort | Naidich, Jason J. |
collection | PubMed |
description | OBJECTIVE: During the COVID-19 pandemic, Radiology practices experienced marked reductions in outpatient imaging volumes. Our purpose was to evaluate the timing, rate, and degree of recovery of outpatient imaging during the first wave of the pandemic. We also sought to ascertain the relationship of outpatient imaging recovery to the incidence of COVID-19 cases. METHODS: Retrospective study of outpatient imaging volumes in a large healthcare system was performed from January 1, 2019-August 25, 2020. Dataset was split to compare Pre-COVID (weeks 1–9), Peak-COVID (weeks 10–15) and Recovery-COVID (weeks 16–34) periods. Chi-square and Independent-samples t-tests compared weekly outpatient imaging volumes in 2020 and 2019. Regression analyses assessed the rate of decline and recovery in Peak-COVID and Recovery-COVID periods, respectively. RESULTS: Total outpatient imaging volume in 2020 (weeks 1–34) was 327,738 exams, compared to 440,314 in 2019. The 2020 mean weekly imaging volumes were significantly decreased in Peak-COVID (p = 0.0148) and Recovery-COVID (p = 0.0003) periods. Mean weekly decline rate was −2580 exams/week and recovery rate was +617 exams/week. The 2020 Post-COVID (weeks 10–34) period had an average decrease of 36.5% (4813.4/13,178.6) imaging exams/week and total estimated decrease of 120,335 exams. Significant inverse correlation (−0.8338, p < 0.0001) was seen between positive-tested COVID-19 cases and imaging utilization with 1-week lag during Post-COVID (weeks 10–34) period. CONCLUSION: Recovery of outpatient imaging volume during the first wave of COVID-19 pandemic showed a gradual return to pre-pandemic levels over the course of 3–4 months. The rate of imaging utilization was inversely associated with new positive-tested COVID-19 cases with a 1-week lag. |
format | Online Article Text |
id | pubmed-8349737 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-83497372021-08-09 Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic Naidich, Jason J. Boltyenkov, Artem Wang, Jason J. Cruzen, Eric Chusid, Jesse Rula, Elizabeth Sanelli, Pina C. Clin Imaging Practice, Policy & Education OBJECTIVE: During the COVID-19 pandemic, Radiology practices experienced marked reductions in outpatient imaging volumes. Our purpose was to evaluate the timing, rate, and degree of recovery of outpatient imaging during the first wave of the pandemic. We also sought to ascertain the relationship of outpatient imaging recovery to the incidence of COVID-19 cases. METHODS: Retrospective study of outpatient imaging volumes in a large healthcare system was performed from January 1, 2019-August 25, 2020. Dataset was split to compare Pre-COVID (weeks 1–9), Peak-COVID (weeks 10–15) and Recovery-COVID (weeks 16–34) periods. Chi-square and Independent-samples t-tests compared weekly outpatient imaging volumes in 2020 and 2019. Regression analyses assessed the rate of decline and recovery in Peak-COVID and Recovery-COVID periods, respectively. RESULTS: Total outpatient imaging volume in 2020 (weeks 1–34) was 327,738 exams, compared to 440,314 in 2019. The 2020 mean weekly imaging volumes were significantly decreased in Peak-COVID (p = 0.0148) and Recovery-COVID (p = 0.0003) periods. Mean weekly decline rate was −2580 exams/week and recovery rate was +617 exams/week. The 2020 Post-COVID (weeks 10–34) period had an average decrease of 36.5% (4813.4/13,178.6) imaging exams/week and total estimated decrease of 120,335 exams. Significant inverse correlation (−0.8338, p < 0.0001) was seen between positive-tested COVID-19 cases and imaging utilization with 1-week lag during Post-COVID (weeks 10–34) period. CONCLUSION: Recovery of outpatient imaging volume during the first wave of COVID-19 pandemic showed a gradual return to pre-pandemic levels over the course of 3–4 months. The rate of imaging utilization was inversely associated with new positive-tested COVID-19 cases with a 1-week lag. Elsevier Inc. 2021-12 2021-08-09 /pmc/articles/PMC8349737/ /pubmed/34425546 http://dx.doi.org/10.1016/j.clinimag.2021.07.025 Text en © 2021 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Practice, Policy & Education Naidich, Jason J. Boltyenkov, Artem Wang, Jason J. Cruzen, Eric Chusid, Jesse Rula, Elizabeth Sanelli, Pina C. Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic |
title | Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic |
title_full | Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic |
title_fullStr | Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic |
title_full_unstemmed | Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic |
title_short | Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic |
title_sort | recovery of outpatient imaging utilization during the first wave of the covid-19 pandemic |
topic | Practice, Policy & Education |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8349737/ https://www.ncbi.nlm.nih.gov/pubmed/34425546 http://dx.doi.org/10.1016/j.clinimag.2021.07.025 |
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