Evidence map›Paper›PMID 33302235›Full record

ArticleClinical imaging2021

Impact of the COVID-19 pandemic on radiology physician work RVUs at a large subspecialized radiology practice.

Neo Poyiadji, Chad Klochko, Josie Palazzolo, Manuel L Brown, Brent Griffith

Abstract read
In one paragraph

Article in Clinical imaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

5 authors.

Neo PoyiadjiDepartment of Radiology, Henry Ford Health System, 2799 W Grand Blvd, Detroit, MI 48202, United States of America. Electronic address: neop@rad.hfh.edu.
Chad KlochkoDepartment of Radiology, Henry Ford Health System, 2799 W Grand Blvd, Detroit, MI 48202, United States of America. Electronic address: chadk@rad.hfh.edu.
Josie PalazzoloDepartment of Radiology, Henry Ford Health System, 2799 W Grand Blvd, Detroit, MI 48202, United States of America. Electronic address: josiepa@rad.hfh.edu.
Manuel L BrownDepartment of Radiology, Henry Ford Health System, 2799 W Grand Blvd, Detroit, MI 48202, United States of America. Electronic address: manuelb@rad.hfh.edu.
Brent GriffithDepartment of Radiology, Henry Ford Health System, 2799 W Grand Blvd, Detroit, MI 48202, United States of America. Electronic address: brentg@rad.hfh.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAs the COVID-19 pandemic continues, efforts by radiology departments to protect patients and healthcare workers and mitigate disease spread have reduced imaging volumes. This study aims to quantify the pandemic's impact on physician productivity across radiology practice areas as measured by physician work Relative Value Units (wRVUs). MATERIALS AND

methodsAll signed diagnostic and procedural radiology reports were curated from January 1st to July 1st of 2019 and 2020. Physician work RVUs were assigned to each study type based on the Medicare Physician Fee Schedule. Utilizing divisional assignments, radiologist schedules were mapped to each report to generate a sum of wRVUs credited to that division for each week. Differential impact on divisions were calculated relative to a matched timeframe in 2019 and a same length pre-pandemic time period in 2020.

resultsAll practice areas saw a substantial decrease in wRVUs from the 2020 pre- to intra-pandemic time period with a mean decrease of 51.5% (range 15.4%-76.9%). The largest declines were in Breast imaging, Musculoskeletal, and Neuroradiology, which had decreases of 76.9%, 75.3%, and 67.5%, respectively. The modalities with the greatest percentage decrease were mammography, MRI, and non-PET nuclear medicine.

conclusionAll radiology practice areas and modalities experienced a substantial decrease in wRVUs. The greatest decline was in Breast imaging, Neuroradiology, and Musculoskeletal radiology. Understanding the differential impact of the pandemic on practice areas will help radiology departments prepare for the potential depth and duration of the pandemic by better understanding staffing needs and the financial effects.

Indexed as

COVID-19PhysiciansRadiologyAgedHumansMedicarePandemicsSARS-CoV-2United StatesCOVID-19Imaging volumesRelative value unitsRVU

Identifiers

PMID33302235
PMCPMC7718781

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.