Evidence map›Paper›PMID 34067807›Full record

ArticleInternational journal of environmental research and public health2021

Missing Diagnoses during the COVID-19 Pandemic: A Year in Review.

Héctor Pifarré I Arolas, Josep Vidal-Alaball, Joan Gil, Francesc López, Catia Nicodemo, Marc Saez

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.8field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 59 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Primary and Community Care Transformation in Post-COVID Era: Nationwide General Practitioner Survey.International journal of environmental research and public health · 2023
    Article
  13. Observational
  14. Subacute Thyroiditis Complicating COVID-19 Infection.Clinical medicine insights. Case reports · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. The impact of the SARS-CoV-2 pandemic on cause-specific mortality patterns: a systematic literature review.Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 2022
    Review
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

6 authors at 5 institutions in 2 countries.

Héctor Pifarré I ArolasCentre for Research in Health Economics, Universitat Pompeu Fabra, 08002 Barcelona, Spain.ORCID 0000-0002-6056-3636
Josep Vidal-AlaballHealth Promotion in Rural Areas Research Group, Gerència Territorial de la Catalunya Central, Institut Català de la Salut, 08272 Barcelona, Spain.ORCID 0000-0002-3527-4242
Joan GilBarcelona Economic Analysis Team, Department of Economics, Universitat de Barcelona, 08007 Barcelona, Spain.
Francesc LópezCentre for Research in Health Economics, Universitat Pompeu Fabra, 08002 Barcelona, Spain.ORCID 0000-0003-0977-0215
Catia NicodemoCentre of Organisation, Department of Primary Economics, University of Oxford, Oxford OX1 3UQ, UK.
Marc SaezResearch Group on Statistics, Econometrics and Health, Department of Economics, Universitat de Girona, 17004 Girona, Spain.ORCID 0000-0003-1882-0157
Universitat Pompeu Fabra · ESBarcelona School of Economics · ESUniversitat de Girona · ESUniversitat de Vic - Universitat Central de Catalunya · ESUniversity of Oxford · GB

Funding

University of Oxford COVID-19 Research Response Fund, number 0910204
6 · The paper itself

Abstract

The COVID-19 pandemic has had major impacts on population health not only through COVID-positive cases, but also via the disruption of healthcare services, which in turn has impacted the diagnosis and treatment of all other diseases during this time. We study changes in all new registered diagnoses in ICD-10 groups during 2020 with respect to a 2019 baseline. We compare new diagnoses in 2019 and 2020 based on administrative records of the public primary health system in Central Catalonia, Spain, which cover over 400,000 patients and 3 million patient visits. We study the ratio of new diagnoses between 2019 and 2020 and find an average decline of 31.1% in new diagnoses, with substantial drops in April (61.1%), May (55.6%), and November (52%). Neoplasms experience the largest decline (49.7%), with heterogeneity in the magnitudes of the declines across different types of cancer diagnoses. While we find evidence of temporal variation in new diagnoses, reductions in diagnoses early in the year are not recouped by the year end. The observed decline in new diagnoses across all diagnosis groups suggest a large number of untreated and undetected cases across conditions. Our findings provide a year-end summary of the impact of the pandemic on healthcare activities and can help guide health authorities to design evidence-based plans to target under-diagnosed conditions in 2021.

Indexed as

COVID-19PandemicsHumansMissed DiagnosisSARS-CoV-2Spainaccess to healthcareCOVID-19delayed diagnosesindirect impactSARS-CoV-2

Identifiers

PMID34067807
PMCPMC8156815
OpenAlexW3162582517

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.