Evidence map›Paper›PMID 35139847›Full record

ArticleBMC health services research2022

Impact of COVID-19 pandemic on diagnostic pathology in the Netherlands.

M L F van Velthuysen, S van Eeden, S le Cessie, M de Boer, H van Boven, B M Koomen, F Roozekrans, J Bart, W Timens, Q J M Voorham

Abstract read
In one paragraph

Article in BMC health services research, 2022. 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. Article
  4. Impact on the Volume of Pathology Reports Before and During the COVID-19 Pandemic in SEER Cancer Registries.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  5. Review
  6. Article
  7. Article
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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

10 authors.

M L F van VelthuysenDepartment of Pathology, Erasmus Medical Center, Rotterdam, Netherlands. m.vanvelthuysen@erasmusmc.nl.ORCID https://orcid.org/0000-0003-0435-9494
S van EedenDepartment of Pathology, Erasmus Medical Center, Rotterdam, Netherlands.
S le CessieDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, Netherlands.
M de BoerDepartment of Pathology, University Medical Center Utrecht, Utrecht, Netherlands.
H van BovenDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, Netherlands.
B M KoomenDepartment of Pathology, University Medical Center Utrecht, Utrecht, Netherlands.
F RoozekransLaboratory of Pathology Oost Nederland (LABPON), Hengelo, Netherlands.
J BartDutch Society of Pathology (NVVP), Leiden, Netherlands.
W TimensDutch Society of Pathology (NVVP), Leiden, Netherlands.ORCID https://orcid.org/0000-0002-4146-6363
Q J M VoorhamPathologisch Anatomisch Landelijk Geautomatiseerd Archief (PALGA), Houten, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has a huge impact on healthcare provided. The nationwide pathology registry of the Netherlands, PALGA, offers an outstanding opportunity to measure this impact for diseases in which pathology examinations are involved.

methodsPathology specimen numbers in 2020 were compared with specimen numbers in 2019 for 5 periods of 4 weeks, representing two lockdowns and the periods in between, taking into account localization, procedure and benign versus malignant diagnosis.

resultsThe largest decrease was seen during the first lockdown (spring 2020), when numbers of pathology reports declined up to 88% and almost all specimen types were affected. Afterwards each specimen type showed its own dynamics with a decrease during the second lockdown for some, while for others numbers remained relatively low during the whole year. Generally, for most tissue types resections, cytology and malignant diagnoses showed less decrease than biopsies and benign diagnoses. A significant but small catch-up (up to 17%) was seen for benign cervical cytology, benign resections of the lower gastro-intestinal tract, malignant skin resections and gallbladder resections.

conclusionThe COVID-19 pandemic has had a significant effect on pathology diagnostics in 2020. This effect was most pronounced during the first lockdown, diverse for different anatomical sites and for cytology compared with histology. The data presented here can help to assess the consequences on (public) health and provide a starting point in the discussion on how to make the best choices in times of scarce healthcare resources, considering the impact of both benign and malignant disease on quality of life.

Indexed as

COVID-19Communicable Disease ControlHumansNetherlandsPandemicsQuality of LifeSARS-CoV-2COVID-19CytopathologyMalignancy ratePathology diagnosticsWorkload

Identifiers

PMID35139847
PMCPMC8826665

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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.