Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic
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...
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| Veröffentlicht in: | Clinical imaging 2021-12, Vol.80, p.277-282 |
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| creator | Naidich, Jason J. Boltyenkov, Artem Wang, Jason J. Cruzen, Eric Chusid, Jesse Rula, Elizabeth Sanelli, Pina C. |
| description | 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.
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.
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 |
| doi_str_mv | 10.1016/j.clinimag.2021.07.025 |
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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.
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.
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.
•Weekly mean outpatient imaging volumes had a gradual and steady return to the pre-pandemic baseline.•The rate of decline in outpatient imaging volumes during the pandemic was greater than the rate of recovery.•The rate of outpatient imaging was inversely associated with the incidence of COVID-19 cases with a 1-week lag.•The estimated decrease of 120,335 imaging exams raises the concern of potential future negative effects on population health.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/j.clinimag.2021.07.025</identifier><identifier>PMID: 34425546</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cancer ; Coronaviruses ; COVID-19 ; COVID-19 pandemic ; Disease transmission ; Health care policy ; Holidays & special occasions ; Humans ; Independence Day ; Medical imaging ; Medical screening ; Outpatient imaging ; Outpatients ; Pandemics ; Practice, Policy & Education ; Public health ; Radiology ; Recovery ; Regression analysis ; Retrospective Studies ; SARS-CoV-2 ; Statistical analysis ; Utilization</subject><ispartof>Clinical imaging, 2021-12, Vol.80, p.277-282</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><rights>2021. Elsevier Inc.</rights><rights>2021 Elsevier Inc. All rights reserved. 2021 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-898f0c2270fcf7c6cd698389e3eb8e72243df2986c3570ae499d1d0b50b5fe553</citedby><cites>FETCH-LOGICAL-c499t-898f0c2270fcf7c6cd698389e3eb8e72243df2986c3570ae499d1d0b50b5fe553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.clinimag.2021.07.025$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34425546$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Naidich, Jason J.</creatorcontrib><creatorcontrib>Boltyenkov, Artem</creatorcontrib><creatorcontrib>Wang, Jason J.</creatorcontrib><creatorcontrib>Cruzen, Eric</creatorcontrib><creatorcontrib>Chusid, Jesse</creatorcontrib><creatorcontrib>Rula, Elizabeth</creatorcontrib><creatorcontrib>Sanelli, Pina C.</creatorcontrib><title>Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic</title><title>Clinical imaging</title><addtitle>Clin Imaging</addtitle><description>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.
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.
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.
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.
•Weekly mean outpatient imaging volumes had a gradual and steady return to the pre-pandemic baseline.•The rate of decline in outpatient imaging volumes during the pandemic was greater than the rate of recovery.•The rate of outpatient imaging was inversely associated with the incidence of COVID-19 cases with a 1-week lag.•The estimated decrease of 120,335 imaging exams raises the concern of potential future negative effects on population health.</description><subject>Cancer</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 pandemic</subject><subject>Disease transmission</subject><subject>Health care policy</subject><subject>Holidays & special occasions</subject><subject>Humans</subject><subject>Independence Day</subject><subject>Medical imaging</subject><subject>Medical screening</subject><subject>Outpatient imaging</subject><subject>Outpatients</subject><subject>Pandemics</subject><subject>Practice, Policy & Education</subject><subject>Public health</subject><subject>Radiology</subject><subject>Recovery</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>SARS-CoV-2</subject><subject>Statistical analysis</subject><subject>Utilization</subject><issn>0899-7071</issn><issn>1873-4499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV9rFDEUxYModq1-hTLgiy8z5t9MkhdRttoWCoWigk8hm9xss8xO1mRmpf30zbBtUV8KgcCd3zk5dw5CJwQ3BJPu46axfRjC1qwbiilpsGgwbV-gBZGC1Zwr9RItsFSqFliQI_Qm5w0uQsXFa3TEOKdty7sF-nUNNu4h3VbRV3Ead2YMMIzV7ByGdTWNoQ93ZRiHyk1pHo03UPmQ8lj9MXuYdfNkefXz4rQmqtqZwcE22LfolTd9hncP9zH68e3r9-V5fXl1drH8clnbEnKspZIeW0oF9tYL21nXKcmkAgYrCYJSzpynSnaWtQIbKCJHHF615XhoW3aMPh18d9NqC86W9Mn0epfKCulWRxP0v1-GcKPXca8l40owUQw-PBik-HuCPOptyBb63gwQp6xp23HCsKSyoO__QzdxSkNZr1CyBMcUs0J1B8qmmHMC_xSGYD23pzf6sT09t6ex0KW9Ijz5e5Un2WNdBfh8AKD80H2ApLMtdVlwIYEdtYvhuTfuAZuGr0o</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Naidich, Jason J.</creator><creator>Boltyenkov, Artem</creator><creator>Wang, Jason J.</creator><creator>Cruzen, Eric</creator><creator>Chusid, Jesse</creator><creator>Rula, Elizabeth</creator><creator>Sanelli, Pina C.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20211201</creationdate><title>Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic</title><author>Naidich, Jason J. ; Boltyenkov, Artem ; Wang, Jason J. ; Cruzen, Eric ; Chusid, Jesse ; Rula, Elizabeth ; Sanelli, Pina C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-898f0c2270fcf7c6cd698389e3eb8e72243df2986c3570ae499d1d0b50b5fe553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cancer</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 pandemic</topic><topic>Disease transmission</topic><topic>Health care policy</topic><topic>Holidays & special occasions</topic><topic>Humans</topic><topic>Independence Day</topic><topic>Medical imaging</topic><topic>Medical screening</topic><topic>Outpatient imaging</topic><topic>Outpatients</topic><topic>Pandemics</topic><topic>Practice, Policy & Education</topic><topic>Public health</topic><topic>Radiology</topic><topic>Recovery</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>SARS-CoV-2</topic><topic>Statistical analysis</topic><topic>Utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Naidich, Jason J.</creatorcontrib><creatorcontrib>Boltyenkov, Artem</creatorcontrib><creatorcontrib>Wang, Jason J.</creatorcontrib><creatorcontrib>Cruzen, Eric</creatorcontrib><creatorcontrib>Chusid, Jesse</creatorcontrib><creatorcontrib>Rula, Elizabeth</creatorcontrib><creatorcontrib>Sanelli, Pina C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Naidich, Jason J.</au><au>Boltyenkov, Artem</au><au>Wang, Jason J.</au><au>Cruzen, Eric</au><au>Chusid, Jesse</au><au>Rula, Elizabeth</au><au>Sanelli, Pina C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic</atitle><jtitle>Clinical imaging</jtitle><addtitle>Clin Imaging</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>80</volume><spage>277</spage><epage>282</epage><pages>277-282</pages><issn>0899-7071</issn><eissn>1873-4499</eissn><abstract>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.
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.
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.
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.
•Weekly mean outpatient imaging volumes had a gradual and steady return to the pre-pandemic baseline.•The rate of decline in outpatient imaging volumes during the pandemic was greater than the rate of recovery.•The rate of outpatient imaging was inversely associated with the incidence of COVID-19 cases with a 1-week lag.•The estimated decrease of 120,335 imaging exams raises the concern of potential future negative effects on population health.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34425546</pmid><doi>10.1016/j.clinimag.2021.07.025</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Cancer Coronaviruses COVID-19 COVID-19 pandemic Disease transmission Health care policy Holidays & special occasions Humans Independence Day Medical imaging Medical screening Outpatient imaging Outpatients Pandemics Practice, Policy & Education Public health Radiology Recovery Regression analysis Retrospective Studies SARS-CoV-2 Statistical analysis Utilization |
| title | Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic |
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