Evidence map›Paper›PMID 37709910›Full record

ArticleInternational ophthalmology2023

Ophthalmology procedure trends in the United States during the COVID-19 pandemic.

Charles DeYoung, Masumi G Asahi, Sedona Rosenberg, Haig Pakhchanian, Ivan Z Liu, Sunil Bellur, Rahul Raiker, Monica Dalal

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Article in International ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

  1. Observational
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4 · The record

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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

8 authors.

Charles DeYoungSidney Kimmel Medical College at Thomas Jefferson University, 1025 Walnut St. #100, Philadelphia, PA, 19107, USA. cfd003@students.jefferson.edu.ORCID http://orcid.org/0000-0002-8412-2173
Masumi G AsahiDepartment of Ophthalmology, George Washington University, Washington, DC, USA.
Sedona RosenbergGeorge Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Haig PakhchanianGeorge Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Ivan Z LiuMedical College of Georgia, Augusta University, Augusta, GA, USA.
Sunil BellurDepartment of Ophthalmology, George Washington University, Washington, DC, USA.
Rahul RaikerWest Virginia University School of Medicine, Morgantown, WV, USA.
Monica DalalDepartment of Ophthalmology, George Washington University, Washington, DC, USA.

Funding

Virginia Lions Eye Institute Foundation - Richard A. Falls Research Grant 2020F
6 · The paper itself

Abstract

purposeTo evaluate the relationship between the COVID-19 pandemic and ophthalmic procedural volume.

methodsA retrospective cohort study using TriNetX, a federated electronic health record's research network was done. Monthly Current Procedural Terminology-specific volumes per healthcare organization were clustered chronologically to calculate average volumes into 3-month seasons to calculate average procedural volumes. An aggregate of the total pandemic period (March 2020-August 2021) was compared to corresponding figures in pre-pandemic timeframes.

resultsIntravitreal injections were the most prevalent procedure in this time period with 320,106 occurrences. Phacoemulsification cataract surgery was the second most prevalent (N = 176,095) procedure. From March 2020 to August 2021, a mean pandemic volume of 266.7 (SD = 15) was observed, a 5% decrease (p < 0.05) in procedures compared to the pre-pandemic mean of 280.8 (SD = 26.1). Spring 2020 exhibited the sharpest seasonal decrease in procedural volume (- 88%). The largest count of statistically significant increases in procedure volume was in Spring 2021 (+ 18%). The aggregate mean volume per HCO showed significant decreases for 11 out of 17 procedures in the 12 month March 2020-February 2021 timeframe and significant decreases for 10 out of 17 procedures over the 18-month March 2020-August 2021 pandemic period.

conclusionsThis study highlights the relative inverse relationship between COVID-19 cases and ophthalmic procedure volume in America. Quantifying ophthalmic procedure trends is important in retrospectively assessing surgical disruptions and prospectively accommodating delayed surgeries. Furthermore, awareness of these trends could help ophthalmologists prepare should similar disruptions occur in the setting of future pandemics or national disasters.

Indexed as

Cataract ExtractionCOVID-19OphthalmologyHumansPandemicsRetrospective StudiesUnited StatesCOVID-19EpidemiologyOphthalmologyPublic healthSARS-CoV-2Surgery trends

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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.