Evidence map›Paper›PMID 34478789›Full record

ArticleInternational journal of cardiology2021

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID).

Maurizio Dondi, Elisa Milan, Gianluca Pontone, Cole B Hirschfeld, Michelle Williams, Leslee J Shaw, Yaroslav Pynda, Paolo Raggi, Rodrigo Cerci, Joao Vitola and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. [Nuclear Cardiology in the COVID-19 pandemic].Revista espanola de medicina nuclear e imagen molecular
    Article
  8. Nuclear Cardiology in the COVID-19 pandemic.Revista espanola de medicina nuclear e imagen molecular
    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

18 authors.

Maurizio DondiDivision of Human Health, International Atomic Energy Agency, Vienna, Austria. Electronic address: mauriziodondi@yahoo.it.
Elisa MilanU.O.C. Medicina Nucleare, Treviso, Italy.
Gianluca PontoneCentro Cardiologico Monzino IRCCS, University of Milan, Italy.
Cole B HirschfeldDepartment of Medicine, Columbia University Irving Medical Center and New York-Presbyterian Hospital, New York, USA.
Michelle WilliamsBHF Centre for Cardiovascular Science, University of Edinburgh, UK.
Leslee J ShawWeill Cornell Medical College and NewYork-Presbyterian Hospital, New York, USA.
Yaroslav PyndaDivision of Human Health, International Atomic Energy Agency, Vienna, Austria.
Paolo RaggiDivision of Cardiology, University of Alberta, Canada.
Rodrigo CerciQuanta Diagnostico, Curitiba, Brazil.
Joao VitolaQuanta Diagnostico, Curitiba, Brazil.
Nathan BetterRoyal Melbourne Hospital and University of Melbourne, Australia.
Todd C VillinesDivision of Cardiology, University of Virginia, Charlottesville, VA, USA.
Sharmila DorbalaBrigham and Women's Hospital, Boston, MA, USA.
Thomas N B PascualPhilippines Nuclear Research Institute, Manila, Philippines.
Raffaele GiubbiniDepartment of Imaging, Spedali Civili and University of Brescia, Italy.
Andrew J EinsteinSeymour, Paul, and Gloria Milstein Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, USA; Department of Radiology, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, USA.
Diana PaezDivision of Human Health, International Atomic Energy Agency, Vienna, Austria.
INCAPS COVID Investigators Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. AIM OF THE STUDY: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW).

methodsA global survey was conducted in May-June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed.

resultsIn Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p < 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West.

conclusionsThe COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures.

Indexed as

CardiologyCOVID-19HumansItalyPandemicsSARS-CoV-2Surveys and QuestionnairesCardiac imagingCardiovascular diseaseCOVID-19

Identifiers

PMID34478789
PMCPMC8406540

What OpenQuestion holds

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Registered trials

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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.