ArticleJournal of the American College of Radiology : JACR2021
Exacerbation of Inequities in Use of Diagnostic Radiology During the Early Stages of Reopening After COVID-19.
Article in Journal of the American College of Radiology : JACR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- A systematic review of the impact of the COVID-19 pandemic on breast cancer screening and diagnosis.Breast (Edinburgh, Scotland) · 2023Pooled it
- Causal assessments of multilevel social determinant factors on meningioma disparities in the United States.Neuro-oncology practice · 2025Article
- Geographic variability in contemporary utilization of PET imaging for prostate cancer: a medicare claims cohort study.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025Article
- A data science-based analysis of socioeconomic determinants impacting pediatric diagnostic radiology utilization during the COVID-19 pandemic.Pediatric radiology · 2024Article
- Factors Associated With Timeliness and Equity of Access to Outpatient MRI Examinations.Journal of the American College of Radiology : JACR · 2024Article
- Recommendations for Additional Imaging on Head and Neck Imaging Examinations: Interradiologist Variation and Associated Factors.AJR. American journal of roentgenology · 2024Article
- Disparities in Visual Field Testing Frequency Among Subjects With Glaucoma.Translational vision science & technology · 2024Article
- Longitudinal assessment of demographic representativeness in the Medical Imaging and Data Resource Center open data commons.Journal of medical imaging (Bellingham, Wash.) · 2023Article
- Trends in breast cancer screening during the COVID-19 pandemic within a universally insured health system in the United States, 2017-2022.Cancer medicine · 2023Article
- Institutional Strategies to Maintain and Grow Imaging Research During the COVID-19 Pandemic.Academic radiology · 2023Review
- Impact of the COVID-19 Pandemic on Breast Imaging: An Analysis of the National Mammography Database.Journal of the American College of Radiology : JACR · 2022Article
- Breast Biopsy Recommendations and Breast Cancers Diagnosed during the COVID-19 Pandemic.Radiology · 2022Article
- Patients characteristics related to screening mammography cancellation and rescheduling rates during the COVID-19 pandemic.Clinical imaging · 2021Article
- What can we learn from the SARS-COV-2 pandemic about the value of specific radiological examinations?BMC health services research · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveAssess diagnostic radiology examination utilization and associated social determinants of health during the early stages of reopening after state-mandated shutdown of nonurgent services because of coronavirus disease 2019 (COVID-19).
methodsThis institutional review board-approved, retrospective study assessed all patients with diagnostic radiology examinations performed at an academic medical center with eight affiliated outpatient facilities before (January 1, 2020, to March 8, 2020) and after (June 7, 2020, to July 15, 2020) the COVID-19 shutdown. Examinations during the shut down (March 9, 2020, to June 6, 2020) were excluded. Patient-specific factors (eg, race, ethnicity), imaging modalities, and care settings were extracted from the Research Data Warehouse. Primary outcome was the number of diagnostic radiology examinations per day compared pre- and post-COVID-19 shutdown. Univariate analysis and multivariable logistic regression determined features associated with completing an examination.
resultsDespite resumption of nonurgent services, marked decrease in radiology examination utilization persisted in all care settings post-COVID-19 shutdown (869 examinations per day preshutdown [59,080 examinations in 68 days] versus 502 examinations per day postshutdown [19,594 examinations in 39 days]), with more significantly decreased odds ratios for having examinations in inpatient and outpatient settings versus in the emergency department. Inequities worsened, with patients from communities with high rates of poverty, unemployment, and chronic disease having significantly lower odds of undergoing radiology examinations post-COVID-19 shutdown. Patients of Asian race and Hispanic ethnicity had significantly lower odds ratios for having examinations post-COVID-19 shutdown compared with White and non-Hispanic patients, respectively. DISCUSSION: The COVID-19 pandemic has exacerbated known pre-existing inequities in diagnostic radiology utilization. Resources should be allocated to address subgroups of patients who may be less likely to receive necessary diagnostic radiology examinations, potentially leading to compromised patient safety and quality of care.
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Registered trials
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