Evidence map›Paper›PMID 32861440›Full record

ArticleSurgery2020

The likely economic impact of fewer elective surgical procedures on US hospitals during the COVID-19 pandemic.

Matthew J Best, Edward G McFarland, Gerard F Anderson, Uma Srikumaran

Abstract readMulticenter Study
In one paragraph

Article in Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing 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

39 citing papers in PubMed.

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  10. Patient-reported experience is associated with higher future revenue and lower costs of hospitals.The European journal of health economics : HEPAC : health economics in prevention and care · 2024
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  11. Efficiency of hospitals in COVID-19 era: a case study of an affected country.Cost effectiveness and resource allocation : C/E · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Matthew J BestDepartment of Orthopedic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Edward G McFarlandDepartment of Orthopedic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Gerard F AndersonDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Uma SrikumaranDepartment of Orthopedic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address: us@jhmi.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo help control the coronavirus disease 2019 pandemic, elective procedures have been cancelled in most US hospitals by government order. The purpose of this study is to estimate national hospital reimbursement and net income losses owing to elective surgical procedure cancellation during the coronavirus disease 2019 pandemic.

methodsThe National Inpatient Sample and the Nationwide Ambulatory Surgery Sample were used to identify all elective surgical procedures performed in the inpatient setting and in hospital-owned outpatient surgery departments throughout the United States. Total cost, reimbursement, and net income was determined for all elective surgical procedures.

resultsThe estimated total annual cost of elective inpatient and outpatient surgical procedures in the United States was $147.2 billion, and estimated total hospital reimbursement was $195.4 to $212.2 billion. This resulted in a net income of $48.0 to $64.8 billion per year to the US hospital system. Cancellation of all elective procedures would result in estimated losses of $16.3 to $17.7 billion per month in revenue and $4 to $5.4 billion per month in net income to US hospitals.

conclusionCancellation of elective procedures during the coronavirus disease 2019 pandemic has a substantial economic impact on the US hospital system.

Indexed as

BetacoronavirusHospital CostsComorbidityCoronavirus InfectionsCosts and Cost AnalysisCOVID-19Elective Surgical ProceduresHumansPandemicsPneumonia, ViralSARS-CoV-2Surgery Department, HospitalUnited States

Identifiers

PMID32861440
PMCPMC7388821

What OpenQuestion holds

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Registered trials

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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.