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The Impact of COVID-19 on Missed Ophthalmology Clinic Visits
PURPOSE: To measure the COVID-19 pandemic impact on missed ophthalmology clinic visits and the influence of patient and eye disease characteristics on likelihood of missing clinic visits before and during the pandemic. PATIENTS AND METHODS: A retrospective observational study analyzing eye clinic pa...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8667753/ https://www.ncbi.nlm.nih.gov/pubmed/34916776 http://dx.doi.org/10.2147/OPTH.S341739 |
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author | Brant, Arthur R Pershing, Suzann Hess, Olivia Rooney, David Goldberg, Jeffrey Tabin, Geoffrey Wang, Sophia Y |
author_facet | Brant, Arthur R Pershing, Suzann Hess, Olivia Rooney, David Goldberg, Jeffrey Tabin, Geoffrey Wang, Sophia Y |
author_sort | Brant, Arthur R |
collection | PubMed |
description | PURPOSE: To measure the COVID-19 pandemic impact on missed ophthalmology clinic visits and the influence of patient and eye disease characteristics on likelihood of missing clinic visits before and during the pandemic. PATIENTS AND METHODS: A retrospective observational study analyzing eye clinic patients at a large tertiary care academic institution. We identified patients scheduled for eye care during pre-COVID-19 (January 1–February 29, 2020) and early COVID-19 (March 16–May 31, 2020) time periods. Missed appointment frequency and characteristics were evaluated during each time period. Multivariable logistic regression models were developed to examine adjusted odds of having at least one missed appointment during a given time period. Covariates included age, sex, race/ethnicity, marital status, preferred language (non-English vs English), insurance, distance from clinic, and diagnosis. RESULTS: Overall, 82.0% (n = 11,998) of pre-COVID-19 patients completed all scheduled visits, compared to only 59.3% (n = 9020) during COVID-19. Missed visits increased dramatically in late March 2020, then improved week by week through the end of May 2020. General ophthalmology/cataract and strabismus clinics had the highest rates of missed clinic visits during the COVID-19 period; neuro-ophthalmology, retina, cornea, oculoplastics and glaucoma had the lowest. Females, Blacks, Hispanics, Asians, ages 50+, and married patients had higher adjusted odds of missing clinic visits, both pre-COVID-19 and during COVID-19. Asian, elderly, and cataract patients had the highest adjusted odds of missing clinic visits during COVID-19 and had significant increases in odds compared to pre-COVID-19. Non-married, diabetic macular edema, and wet age-related macular degeneration patients had the lowest adjusted odds of missed visits during COVID-19. CONCLUSION: Missed clinic visits increased dramatically during the COVID-19 pandemic, particularly among elderly and nonwhite patients. These findings reflect differences in eye care delivery during the pandemic, and they indicate opportunities to target barriers to care, even during non-pandemic eras. |
format | Online Article Text |
id | pubmed-8667753 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-86677532021-12-15 The Impact of COVID-19 on Missed Ophthalmology Clinic Visits Brant, Arthur R Pershing, Suzann Hess, Olivia Rooney, David Goldberg, Jeffrey Tabin, Geoffrey Wang, Sophia Y Clin Ophthalmol Original Research PURPOSE: To measure the COVID-19 pandemic impact on missed ophthalmology clinic visits and the influence of patient and eye disease characteristics on likelihood of missing clinic visits before and during the pandemic. PATIENTS AND METHODS: A retrospective observational study analyzing eye clinic patients at a large tertiary care academic institution. We identified patients scheduled for eye care during pre-COVID-19 (January 1–February 29, 2020) and early COVID-19 (March 16–May 31, 2020) time periods. Missed appointment frequency and characteristics were evaluated during each time period. Multivariable logistic regression models were developed to examine adjusted odds of having at least one missed appointment during a given time period. Covariates included age, sex, race/ethnicity, marital status, preferred language (non-English vs English), insurance, distance from clinic, and diagnosis. RESULTS: Overall, 82.0% (n = 11,998) of pre-COVID-19 patients completed all scheduled visits, compared to only 59.3% (n = 9020) during COVID-19. Missed visits increased dramatically in late March 2020, then improved week by week through the end of May 2020. General ophthalmology/cataract and strabismus clinics had the highest rates of missed clinic visits during the COVID-19 period; neuro-ophthalmology, retina, cornea, oculoplastics and glaucoma had the lowest. Females, Blacks, Hispanics, Asians, ages 50+, and married patients had higher adjusted odds of missing clinic visits, both pre-COVID-19 and during COVID-19. Asian, elderly, and cataract patients had the highest adjusted odds of missing clinic visits during COVID-19 and had significant increases in odds compared to pre-COVID-19. Non-married, diabetic macular edema, and wet age-related macular degeneration patients had the lowest adjusted odds of missed visits during COVID-19. CONCLUSION: Missed clinic visits increased dramatically during the COVID-19 pandemic, particularly among elderly and nonwhite patients. These findings reflect differences in eye care delivery during the pandemic, and they indicate opportunities to target barriers to care, even during non-pandemic eras. Dove 2021-12-08 /pmc/articles/PMC8667753/ /pubmed/34916776 http://dx.doi.org/10.2147/OPTH.S341739 Text en © 2021 Brant et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Brant, Arthur R Pershing, Suzann Hess, Olivia Rooney, David Goldberg, Jeffrey Tabin, Geoffrey Wang, Sophia Y The Impact of COVID-19 on Missed Ophthalmology Clinic Visits |
title | The Impact of COVID-19 on Missed Ophthalmology Clinic Visits |
title_full | The Impact of COVID-19 on Missed Ophthalmology Clinic Visits |
title_fullStr | The Impact of COVID-19 on Missed Ophthalmology Clinic Visits |
title_full_unstemmed | The Impact of COVID-19 on Missed Ophthalmology Clinic Visits |
title_short | The Impact of COVID-19 on Missed Ophthalmology Clinic Visits |
title_sort | impact of covid-19 on missed ophthalmology clinic visits |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8667753/ https://www.ncbi.nlm.nih.gov/pubmed/34916776 http://dx.doi.org/10.2147/OPTH.S341739 |
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