Evidence map›Paper›PMID 34139787›Full record

ArticleInternal medicine journal2021

Impact of COVID-19 telehealth on outpatient test completion.

Tong Lei Liu, Ai Li Yeo, Ayngaran Ravi, Ganga Patabendige, Teik Wen Lim, Sally Bell, Eric Morand, Suong Le

Open access · bronzeAbstract read
In one paragraph

Article in Internal medicine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Tong Lei Liu *School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-4087-7643
Ai Li Yeo *School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.
Ayngaran RaviSchool of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.
Ganga PatabendigeSchool of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.
Teik Wen LimSchool of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.
Sally BellDepartment of Gastroenterology, Monash Health, Melbourne, Victoria, Australia.
Eric MorandSchool of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-9507-3338
Suong LeDepartment of Gastroenterology, Monash Health, Melbourne, Victoria, Australia.
Monash Health · AUMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPathology and imaging tests are frequently requested in the outpatient setting despite historically poor completion rates. The impact of COVID-19 telehealth on test completion rates is unknown.

aimsTo examine the impact of the COVID-19 pandemic and telehealth transition on pathology and imaging test request and completion rates in Australian outpatient clinics.

methodsWe performed a prospective cohort study with historical controls between March-May 2019 and March-May 2020. Pathology and imaging request and completion rates were collected in review consultation patients attending gastroenterology and rheumatology outpatient clinics at a tertiary healthcare system prior and during the early phases of the COVID-19 pandemic in Melbourne.

resultsA total of 1376 patients was included in the study. Pathology tests were requested more frequently in the COVID-19 group (n = 582/684, 85.2%) than the control group (n = 492/692, 71.1%, P < 0.001), but completion rates were lower in the COVID-19 group (n = 443/582, 76.1%) than the control group (n = 426/492 (86.6%), P < 0.001). Imaging tests were requested more frequently in the COVID-19 group (n = 345/682, 50.6%) than the control group (n = 295/692, 42.6%, P = 0.003), with lower rates of completion in the COVID-19 group (n = 229/345, 66.4%) than the control group (n = 247/295, 83.7%, P < 0.001).

conclusionsThe COVID-19 pandemic and telehealth transition have resulted in more frequent pathology and imaging requests but fewer test completion in the outpatients setting. This study has identified new clinical risks associated with the abrupt transition to telehealth during COVID-19 that should be explored in future studies and appropriately mitigated.

Indexed as

COVID-19TelemedicineAustraliaHumansOutpatientsPandemicsProspective StudiesRetrospective StudiesSARS-CoV-2completionCOVID-19outpatientpathologyradiologytesting

Identifiers

PMID34139787
PMCPMC8447330
OpenAlexW3172193788

What OpenQuestion holds

Textmetadata
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.