ArticleJournal of the American Geriatrics Society2022
Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic.
Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- [Social determinants and COVID-19 mortality: Systematic review of the role of primary care].Atencion primaria · 2026Article
- Article
- Ethnic Disparities in Physical, Mental, and Cognitive Health During the COVID-19 Pandemic: a Snapshot of Metro-Detroit.Journal of racial and ethnic health disparities · 2025Article
- Factors Influencing Primary Care Physicians' Intent to Refer Patients With Hypertension to a Digital Remote Blood Pressure Monitoring Program: Mixed Methods Study.Journal of medical Internet research · 2025Article
- Article
- Excess mortality and years of life lost from 2020 to 2023 in France: a cohort study of the overall impact of the COVID-19 pandemic on mortality.BMJ public health · 2025Article
- Herpes simplex encephalitis in France: incidence, 6-month rehospitalizations and mortality.Infection · 2024Article
- A longitudinal cohort study on the use of health and care services by older adults living at home with/without dementia before and during the COVID-19 pandemic: the HUNT study.BMC health services research · 2024Article
- The Role of Telepharmacy in the Delivery of Clinical Pharmacy Services Following the COVID-19 Pandemic: A Descriptive Report.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2024Article
- The COVID-19 pandemic and neurology: A survey on previous and continued restrictions for clinical practice, curricular training, and health economics.European journal of neurology · 2024Article
- A COVID-19 Silver Lining-Decline in Antibiotic Resistance in Ischemic Leg Ulcers during the Pandemic: A 6-Year Retrospective Study from a Regional Tertiary Hospital (2017-2022).Antibiotics (Basel, Switzerland) · 2023Article
- Article
- Risk of COVID-19 infection in long-term survivors of blood or marrow transplantation: a BMTSS report.Blood advances · 2023Article
- Use telehealth as needed: telehealth substitutes in-person primary care and associates with the changes in unplanned events and follow-up visits.BMC health services research · 2023Article
- Delayed Medical Care of Underserved Middle-Aged and Older African Americans with Chronic Disease during COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2023Article
- Association between Poverty and Refraining from Seeking Medical Care during the COVID-19 Pandemic in Japan: A Prospective Cohort Study.International journal of environmental research and public health · 2023Article
- A realist review of the causes of, and current interventions to address 'missingness' in health care.NIHR open research · 2023Article
- Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic.Journal of the American Geriatrics Society · 2022Article
- Diabetes, Dementia, and Disruptions in Health Care Use in 2020 for Low-Income Medicare Beneficiaries.The Journal of ambulatory care managementArticle
- Linking precipitation-driven flooding events to acute respiratory illness in New York city.The journal of climate change and healthArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundDuring the COVID-19 pandemic, patients with chronic illnesses avoided regular medical care, raising concerns about long-term complications. Our objective was to identify a population of older patients with chronic conditions who may be at risk from delayed or missed care (DMC) and follow their non-COVID outcomes during the pandemic.
methodsWe used a retrospective matched cohort design using Medicare claims and electronic health records at a large health system with community and academic clinics. Participants included 14,406 patients over 65 years old with two or more chronic conditions who had 1 year of baseline data and up to 9 months of postpandemic follow-up from March 1, 2019 to December 31, 2020; and 14,406 matched comparison patients from 1 year prior. Risk from DMC was defined by 13 indicators, including chronic conditions, frailty, disability affecting the use of telehealth, recent unplanned acute care, prior missed outpatient care, and social determinants of health. Outcomes included mortality, inpatient events, Medicare payments, and primary care and specialty care visits (in-person and telehealth).
resultsA total of 25% of patients had four or more indicators for risk from DMC. Per 1000 patients annually, those with four or more indicators had increased mortality of 19 patients (95% confidence interval, 4 to 32) and decreased utilization, including unplanned events (-496 events, -611 to -381) and primary care visits (-1578 visits, -1793 to -1401).
conclusionsOlder patients who had four or more indicators for risk from DMC had higher mortality and steep declines in inpatient and outpatient utilization during the pandemic.
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