ArticleJournal of biomedical informatics2021
A retrospective approach to evaluating potential adverse outcomes associated with delay of procedures for cardiovascular and cancer-related diagnoses in the context of COVID-19.
Article in Journal of biomedical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Decrease of cancer diagnosis during COVID-19 pandemic: a systematic review and meta-analysis.European journal of epidemiology · 2023Pooled it
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- Are polypharmacy side effects predicted by public data still valid in real-world data?Heliyon · 2024Article
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- The IHI Rochester Report 2022 on Healthcare Informatics Research: Resuming After the CoViD-19.Journal of healthcare informatics research · 2023Article
- Prevention and screening during the COVID-19 pandemic: qualitative findings from the BETTER WISE project.BMC primary care · 2023Article
- Determinants of COVID-19 Outcome as Predictors of Delayed Healthcare Services among Adults ≥50 Years during the Pandemic: 2006-2020 Health and Retirement Study.International journal of environmental research and public health · 2022Article
- Elective operations delay and emergency department visits and inpatient admissions during COVID-19.Surgery in practice and science · 2022Article
- Novel informatics approaches to COVID-19 Research: From methods to applications.Journal of biomedical informatics · 2022Article
- Delayed Diagnosis and Treatment of Cancer Patients During the COVID-19 Pandemic in Henan, China: An Interrupted Time Series Analysis.Frontiers in public health · 2022Article
- Design and in-vitro testing of a portable patient isolation chamber for bedside aerosol containment and filtration.Building and environment · 2022Article
- Health Care Utilization Among Texas Veterans Health Administration Enrollees Before and After Hurricane Harvey, 2016-2018.JAMA network open · 2021Article
- Disability-Adjusted Life Years for the COVID-19 Pandemic in the Mexican Population.Frontiers in public healthArticle
- Monitoring mortality in the setting of COVID-19 pandemic control in Victoria, Australia: a time series analysis of population data.Western Pacific surveillance and response journal : WPSARArticle
- Impact of the COVID-19 Pandemic on Primary Health Care Disease Incidence Rates: 2017 to 2020.Annals of family medicineArticle
- An Analysis of the Impact of COVID-19 Pandemic-related Lockdown Measures on a Large Gastrointestinal Pathology Service in the United States.Cancer diagnosis & prognosisArticle
Corrections and comments
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Authors and funding
15 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveDuring the COVID-19 pandemic, health systems postponed non-essential medical procedures to accommodate surge of critically-ill patients. The long-term consequences of delaying procedures in response to COVID-19 remains unknown. We developed a high-throughput approach to understand the impact of delaying procedures on patient health outcomes using electronic health record (EHR) data. MATERIALS AND
methodsWe used EHR data from Vanderbilt University Medical Center's (VUMC) Research and Synthetic Derivatives. Elective procedures and non-urgent visits were suspended at VUMC between March 18, 2020 and April 24, 2020. Surgical procedure data from this period were compared to a similar timeframe in 2019. Potential adverse impact of delay in cardiovascular and cancer-related procedures was evaluated using EHR data collected from January 1, 1993 to March 17, 2020. For surgical procedure delay, outcomes included length of hospitalization (days), mortality during hospitalization, and readmission within six months. For screening procedure delay, outcomes included 5-year survival and cancer stage at diagnosis.
resultsWe identified 416 surgical procedures that were negatively impacted during the COVID-19 pandemic compared to the same timeframe in 2019. Using retrospective data, we found 27 significant associations between procedure delay and adverse patient outcomes. Clinician review indicated that 88.9% of the significant associations were plausible and potentially clinically significant. Analytic pipelines for this study are available online.
conclusionOur approach enables health systems to identify medical procedures affected by the COVID-19 pandemic and evaluate the effect of delay, enabling them to communicate effectively with patients and prioritize rescheduling to minimize adverse patient outcomes.
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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.