Evidence map›Paper›PMID 33525964›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2021

The Impact of COVID-19 on Otolaryngology Community Practice in Massachusetts.

Timothy Fan, Alan D Workman, Lauren E Miller, Mallory Mason Sakats, Karthik Rajasekaran, Jason A Brant, Arjun K Parasher, David Huckins, Avner Aliphas, Robin Glicksman and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. COVID-19 Incidence After Emergency Department Visit.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023
    Article
  2. Article
  3. Article
  4. Financial impact of the COVID-19 pandemic on an academic otolaryngology department.World journal of otorhinolaryngology - head and neck surgery · 2022
    Article
  5. Status quo after one year of COVID-19 pandemic in otolaryngological hospital-based departments and private practices in Germany.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Article
  6. 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

12 authors at 11 institutions in 3 countries.

Timothy FanTexas A&M College of Medicine, Bryan, Texas, USA.
Alan D WorkmanDepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Lauren E MillerDepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Mallory Mason SakatsENT Billing Associates, Worcester, Massachusetts, USA.
Karthik RajasekaranDepartment of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Jason A BrantDepartment of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Arjun K ParasherDepartment of Otolaryngology-Head and Neck Surgery, University of South Florida, Tampa, Florida, USA.
David HuckinsNewton-Wellesley Hospital, Newton, Massachusetts, USA.
Avner AliphasNewton-Wellesley Hospital, Newton, Massachusetts, USA.
Robin GlicksmanFaculty of Medicine, University of Toronto, Ontario, Canada.
Antoine EskanderFaculty of Medicine, University of Toronto, Ontario, Canada.
Jordan T GlicksmanDepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Newton Wellesley Hospital · USAbt Global (United States) · USBryan College · USHarvard University · USMassachusetts Eye and Ear Infirmary · USSunnybrook Health Science Centre · CAUniversidad de León · ESUniversity Medical Center · USUniversity of Pennsylvania · USUniversity of South Florida · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCoronavirus disease 2019 (COVID-19) significantly affected many health care specialties, including otolaryngology. In response to governmental policy changes, many hospitals and private practices in Massachusetts canceled or postponed nonurgent office visits and elective surgeries. The objective of this study was to quantify the impact of COVID-19 on the provision and practice trends of otolaryngology services for 10 private practices in Massachusetts. STUDY

designRetrospective review.

settingMultipractice study for community practices in Massachusetts.

methodsElectronic billing records from 10 private otolaryngology practices in Massachusetts were obtained for the first 4 months of 2019 and 2020. Questionnaires from these otolaryngology practices were collected to assess financial and staffing impact of COVID-19.

resultsThe local onset of the COVID-19 pandemic had a significant decrease of 63% of visits in comparison to equivalent weeks in 2019. Virtual visits overtook in-person visits over time. A greater decline in operating room (OR) procedures than for office procedures was recorded. Ninety percent of practices reduced working hours, and 80% furloughed personnel. Seventy percent of practices applied for the Paycheck Protection Program (PPP).

conclusionCOVID-19 has had a multifaceted impact on private otolaryngology practices in Massachusetts. A significant decline in provision of otolaryngology services aligned with the Massachusetts government's public health policy changes. The combination of limited personnel and personal protective equipment, as well as suspension of nonessential office visits and surgeries, led to decrease in total office visits and even higher decrease in OR procedures.

Indexed as

OtolaryngologyPrivate PracticeAppointments and SchedulesCOVID-19Delivery of Health CareHumansMassachusettsPandemicsRetrospective StudiesSARS-CoV-2clinical practice guidelinescoronavirusCOVID-19health policystatistics

Identifiers

PMID33525964
PMCPMC7862921
OpenAlexW3128214327

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.