Evidence map›Paper›PMID 37660208›Full record

ArticleSpinal cord2023

Examining the impact of COVID-19 on health care utilization among persons with chronic spinal cord injury/dysfunction: a population study.

Arrani Senthinathan, Mina Tadrous, Swaleh Hussain, B Catharine Craven, Susan B Jaglal, Rahim Moineddin, John Shepherd, Lauren Cadel, Vanessa K Noonan, Sandra McKay and 2 more

Erratum issuedAbstract read
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In one paragraph

Article in Spinal cord, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Arrani SenthinathanDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada. arani.senthinathan@utoronto.ca.ORCID 0000-0002-9304-3039
Mina TadrousWomen's College Hospital Institute for Health Systems Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada.
Swaleh HussainLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.
B Catharine CravenKITE (Knowledge Innovation Talent Everywhere), Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.ORCID 0000-0001-8234-6803
Susan B JaglalICES, Toronto, ON, Canada.
Rahim MoineddinDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
John ShepherdKITE (Knowledge Innovation Talent Everywhere), Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
Lauren CadelLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-6925-8163
Vanessa K NoonanPraxis Spinal Cord Institute, Vancouver, BC, Canada.ORCID 0000-0003-3226-9218
Sandra McKayVHA Home HealthCare, Toronto, ON, Canada.
Karen TuDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Sara J T GuilcherLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-9552-9139
University of Toronto · CAUniversity Health Network · CAPraxis Spinal Cord Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA retrospective longitudinal cohort time-series analysis study.

objectivesTo examine healthcare utilization and delivery during the COVID-19 pandemic in individuals with spinal cord injury/dysfunction (SCI/D).

settingHealth administrative database in Ontario, Canada.

methodsIn 5754 individuals with SCI/D diagnosed from 2004-2014 and living in the community, healthcare utilization (physician visits, primary care visits, specialist visits, urologist visits, physiatrist visits, emergency department (ED) visits, and hospital admissions) and delivery (total, in-person, virtual) were determined at the (1) pre-pandemic period (March 2015 to February 2020), (2) initial pandemic onset period (March 2020-May 2020), and (3) pandemic period (June 2020 to March 2022). Autoregressive integrated moving average (ARIMA) modelling was conducted to determine the impact of the pandemic on monthly healthcare utilization and delivery.

resultsThe initial pandemic onset period had a significant reduction of 24% in physicians (p = 0.0081), 35% in specialists (p < 0.0001), and 30% in urologist (p < 0.0001) visits, compared to pre-pandemic levels, with a partial recovery as the pandemic progressed. In April 2020, compared to the pre-pandemic period, a significant increase (p < 0.0001) in virtual visits for physicians, specialists, urologists, and primary care was found. The initial pandemic onset period had a 58% decrease in hospital admissions (p = 0.0011), compared to the pre-pandemic period.

conclusionHealthcare utilization dropped in the initial pandemic onset period as physicians, specialists, and urologists, as well as hospitalization visits decreased significantly (p < 0.05) versus pre-pandemic levels. Virtual visit increases compensated for in-person visit decreases as the pandemic progressed to allow for total visits to partially recover.

Indexed as

COVID-19Spinal Cord InjuriesEmergency Service, HospitalHumansOntarioPandemicsPatient Acceptance of Health CareRetrospective Studies

Identifiers

PMID37660208
OpenAlexW4386393098

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.