Evidence map›Paper›PMID 32791222›Full record

ArticleWorld neurosurgery2020

Economic Impact of COVID-19 on a High-Volume Academic Neurosurgical Practice.

Sananthan Sivakanthan, James Pan, Louis Kim, Richard Ellenbogen, Rajiv Saigal

Abstract read
In one paragraph

Article in World neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

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  7. Long-Term Impact of COVID-19 Pandemic in Sleep Quality and Lifestyle in Young Adults.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Sananthan SivakanthanDepartment of Neurological Surgery, University of Washington, Seattle, Washington, USA. Electronic address: ssiva@uw.edu.
James PanDepartment of Neurological Surgery, University of Washington, Seattle, Washington, USA.
Louis KimDepartment of Neurological Surgery, University of Washington, Seattle, Washington, USA.
Richard EllenbogenDepartment of Neurological Surgery, University of Washington, Seattle, Washington, USA.
Rajiv SaigalDepartment of Neurological Surgery, University of Washington, Seattle, Washington, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease-2019 (COVID-19) is a novel disease caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) that rapidly spread around the globe. The dramatic increase in the number of cases and deaths have placed tremendous strain on health care systems worldwide. As health care workers and society adjust to focus treatment and prevention of COVID-19, other facets of the health care enterprise are affected, particularly surgical volume and revenue. The purpose of this study was to describe the financial impact of COVID-19 on an academic neurosurgery department.

methodsA retrospective review of weekly average daily work relative value units (wRVUs) were compared before and after COVID-19 in the fiscal year 2020. A comparative time period of the same months in the year prior was also included for review. We also review strategies for triaging neurosurgical disease as needing emergent, urgent, or routine operative treatment.

resultsDaily average wRVU after COVID-19 dropped significantly with losses in all weeks examined. Of the 7 weeks in the current post-COVID period, the weekly daily average wRVU was 173 (range, 128-363). The mean decline was 51.4% compared with the pre-COVID era. Both inpatient and outpatient revenue was affected.

conclusionsCOVID-19 had a profound detrimental effect on surgical productivity and revenue generation.

Indexed as

AdultCOVID-19Delivery of Health CareFemaleHealth PersonnelHumansMaleNeurosurgeryNeurosurgical ProceduresRetrospective StudiesSARS-CoV-2COVID-19Health economicsRelative value unit

Identifiers

PMID32791222
PMCPMC7416742

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.