Evidence map›Paper›PMID 34425546›Full record

ArticleClinical imaging2021

Recovery of outpatient imaging utilization during the first wave of the COVID-19 pandemic.

Jason J Naidich, Artem Boltyenkov, Jason J Wang, Eric Cruzen, Jesse Chusid, Elizabeth Rula, Pina C Sanelli

Open access · bronzeAbstract read
In one paragraph

Article in Clinical imaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Observational
  5. 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

7 authors at 4 institutions in 1 country.

Jason J NaidichDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States of America; Northwell Health, Manhasset, NY, United States of America. Electronic address: jnaidic1@northwell.edu.
Artem BoltyenkovSiemens Medical Solutions USA, Inc., Malvern, PA, United States of America; Feinstein Institutes for Medical Research, Manhasset, NY, United States of America.
Jason J WangFeinstein Institutes for Medical Research, Manhasset, NY, United States of America.
Eric CruzenDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States of America; Northwell Health, Manhasset, NY, United States of America.
Jesse ChusidDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States of America; Northwell Health, Manhasset, NY, United States of America.
Elizabeth RulaHarvey L. Neiman Health Policy Institute, Reston, VA, United States of America.
Pina C SanelliDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States of America; Northwell Health, Manhasset, NY, United States of America; Feinstein Institutes for Medical Research, Manhasset, NY, United States of America.
Donald & Barbara Zucker School of Medicine at Hofstra/Northwell · USFeinstein Institute for Medical Research · USHarvey L. Neiman Health Policy Institute · USSiemens (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDuring the COVID-19 pandemic, Radiology practices experienced marked reductions in outpatient imaging volumes. Our purpose was to evaluate the timing, rate, and degree of recovery of outpatient imaging during the first wave of the pandemic. We also sought to ascertain the relationship of outpatient imaging recovery to the incidence of COVID-19 cases.

methodsRetrospective study of outpatient imaging volumes in a large healthcare system was performed from January 1, 2019-August 25, 2020. Dataset was split to compare Pre-COVID (weeks 1-9), Peak-COVID (weeks 10-15) and Recovery-COVID (weeks 16-34) periods. Chi-square and Independent-samples t-tests compared weekly outpatient imaging volumes in 2020 and 2019. Regression analyses assessed the rate of decline and recovery in Peak-COVID and Recovery-COVID periods, respectively.

resultsTotal outpatient imaging volume in 2020 (weeks 1-34) was 327,738 exams, compared to 440,314 in 2019. The 2020 mean weekly imaging volumes were significantly decreased in Peak-COVID (p = 0.0148) and Recovery-COVID (p = 0.0003) periods. Mean weekly decline rate was -2580 exams/week and recovery rate was +617 exams/week. The 2020 Post-COVID (weeks 10-34) period had an average decrease of 36.5% (4813.4/13,178.6) imaging exams/week and total estimated decrease of 120,335 exams. Significant inverse correlation (-0.8338, p < 0.0001) was seen between positive-tested COVID-19 cases and imaging utilization with 1-week lag during Post-COVID (weeks 10-34) period.

conclusionRecovery of outpatient imaging volume during the first wave of COVID-19 pandemic showed a gradual return to pre-pandemic levels over the course of 3-4 months. The rate of imaging utilization was inversely associated with new positive-tested COVID-19 cases with a 1-week lag.

Indexed as

COVID-19PandemicsHumansOutpatientsRetrospective StudiesSARS-CoV-2COVID-19 pandemicOutpatient imagingRecovery

Identifiers

PMID34425546
PMCPMC8349737
OpenAlexW3192260836

What OpenQuestion holds

Textmetadata
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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.