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Backlog in ophthalmic surgeries associated with the COVID-19 pandemic in Ontario 2020

OBJECTIVE: To assess the volume of deferred ophthalmic surgeries in Ontario associated with the COVID-19 pandemic from March to December 2020 and suggest strategies and time required to clear the backlog. DESIGN: Cross-sectional study. PARTICIPANTS: Ontarians eligible for the Ontario Health Insuranc...

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Autores principales: Jin, Ya-Ping, Canizares, Mayilee, El-Defrawy, Sherif, Buys, Yvonne M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Ophthalmological Society. Published by Elsevier Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9257112/
https://www.ncbi.nlm.nih.gov/pubmed/35905943
http://dx.doi.org/10.1016/j.jcjo.2022.06.020
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author Jin, Ya-Ping
Canizares, Mayilee
El-Defrawy, Sherif
Buys, Yvonne M.
author_facet Jin, Ya-Ping
Canizares, Mayilee
El-Defrawy, Sherif
Buys, Yvonne M.
author_sort Jin, Ya-Ping
collection PubMed
description OBJECTIVE: To assess the volume of deferred ophthalmic surgeries in Ontario associated with the COVID-19 pandemic from March to December 2020 and suggest strategies and time required to clear the backlog. DESIGN: Cross-sectional study. PARTICIPANTS: Ontarians eligible for the Ontario Health Insurance Plan in 2017–2020. METHODS: Backlog and clearance time for ophthalmic surgeries associated with the COVID-19 pandemic were estimated from time-series forecasting models and queuing theory. RESULTS: From March 16 to December 31, 2020, the estimated ophthalmic surgical backlog needing operating rooms was 92,150 surgeries (95% prediction interval, 71,288–112,841). Roughly 90% of the delayed surgeries were cataract surgeries, and a concerning 4% were retinal detachment surgeries. Nearly half the provincial backlog (48%; 44,542 of 92,150) was in patients from the western health region. In addition, an estimated 23,755 (95% prediction interval, 14,656–32,497) anti–vascular endothelial growth factor injections were missed. Estimated provincial clearance time was 248 weeks (95% CI, 235–260) and 128 weeks (95% CI, 121–134) if 10% and 20% of operating room surgical capacity per week were added, respectively, based on the weekly ophthalmic surgical volume in 2019. CONCLUSIONS: Ontario data demonstrate that the magnitude of the ophthalmic surgical backlog in 2020 alone raises serious concerns for meeting the ophthalmic surgical needs of patients. As the pandemic continues, the accrued backlog size is likely to increase. Planning and actions are needed urgently to better manage the collateral impacts of the pandemic on the ophthalmic surgical backlog.
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spelling pubmed-92571122022-07-06 Backlog in ophthalmic surgeries associated with the COVID-19 pandemic in Ontario 2020 Jin, Ya-Ping Canizares, Mayilee El-Defrawy, Sherif Buys, Yvonne M. Can J Ophthalmol Original Article OBJECTIVE: To assess the volume of deferred ophthalmic surgeries in Ontario associated with the COVID-19 pandemic from March to December 2020 and suggest strategies and time required to clear the backlog. DESIGN: Cross-sectional study. PARTICIPANTS: Ontarians eligible for the Ontario Health Insurance Plan in 2017–2020. METHODS: Backlog and clearance time for ophthalmic surgeries associated with the COVID-19 pandemic were estimated from time-series forecasting models and queuing theory. RESULTS: From March 16 to December 31, 2020, the estimated ophthalmic surgical backlog needing operating rooms was 92,150 surgeries (95% prediction interval, 71,288–112,841). Roughly 90% of the delayed surgeries were cataract surgeries, and a concerning 4% were retinal detachment surgeries. Nearly half the provincial backlog (48%; 44,542 of 92,150) was in patients from the western health region. In addition, an estimated 23,755 (95% prediction interval, 14,656–32,497) anti–vascular endothelial growth factor injections were missed. Estimated provincial clearance time was 248 weeks (95% CI, 235–260) and 128 weeks (95% CI, 121–134) if 10% and 20% of operating room surgical capacity per week were added, respectively, based on the weekly ophthalmic surgical volume in 2019. CONCLUSIONS: Ontario data demonstrate that the magnitude of the ophthalmic surgical backlog in 2020 alone raises serious concerns for meeting the ophthalmic surgical needs of patients. As the pandemic continues, the accrued backlog size is likely to increase. Planning and actions are needed urgently to better manage the collateral impacts of the pandemic on the ophthalmic surgical backlog. Canadian Ophthalmological Society. Published by Elsevier Inc. 2022-07-06 /pmc/articles/PMC9257112/ /pubmed/35905943 http://dx.doi.org/10.1016/j.jcjo.2022.06.020 Text en © 2022 Canadian Ophthalmological Society. Published by 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 Original Article
Jin, Ya-Ping
Canizares, Mayilee
El-Defrawy, Sherif
Buys, Yvonne M.
Backlog in ophthalmic surgeries associated with the COVID-19 pandemic in Ontario 2020
title Backlog in ophthalmic surgeries associated with the COVID-19 pandemic in Ontario 2020
title_full Backlog in ophthalmic surgeries associated with the COVID-19 pandemic in Ontario 2020
title_fullStr Backlog in ophthalmic surgeries associated with the COVID-19 pandemic in Ontario 2020
title_full_unstemmed Backlog in ophthalmic surgeries associated with the COVID-19 pandemic in Ontario 2020
title_short Backlog in ophthalmic surgeries associated with the COVID-19 pandemic in Ontario 2020
title_sort backlog in ophthalmic surgeries associated with the covid-19 pandemic in ontario 2020
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9257112/
https://www.ncbi.nlm.nih.gov/pubmed/35905943
http://dx.doi.org/10.1016/j.jcjo.2022.06.020
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