Backlog in ophthalmic surgeries associated with the COVID-19 pandemic in Ontario 2020

Jin, Ya-Ping; Cañizares, Mayilée; El‐Defrawy, Sherif; Buys, Yvonne M.

doi:10.1016/j.jcjo.2022.06.020

Cited by 6 publications

(3 citation statements)

References 12 publications

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“…The widespread use of MIVS may have expanded the indications for surgery and even cases that did not require surgery were treated before the COVID-19 pandemic. Previous reports have also showed a decrease in cataract surgeries during the COVID-19 pandemic 19,20 . While glaucoma surgeries did not decrease in Japan, they did in Italy and Brazil 21,22 .…”

Section: Discussionmentioning

confidence: 78%

Annual Trends of Ophthalmic Surgeries in Japan’s Super-aged Society, 2014– 2020: A National Claims Database Study

Wada,

Miyake,

Hata

et al. 2023

Preprint

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This study aimed to analyze the trends and factors influencing the number of ophthalmic surgeries in Japan using the open data from the National Database of Health Insurance Claims and Specific Health Checkups of Japan published by the Ministry of Health, Labour and Welfare. We calculated the number of cataract, glaucoma, and vitreoretinal surgeries, categorized by sex, age, and surgical type, for the fiscal years (FY) 2014 to 2020. The number of cataract surgeries remained stable at approximately 1.45 million cases from FY 2014 to 2018, increased to nearly 1.6 million cases in FY 2019, and decreased to 1.45 million cases in FY 2020. Among glaucoma surgeries, surgical treatments were increased 1.8 times over 7 years, from 33,000 to 60,000 cases. Laser treatment remained steady at around 55,000 cases from FY 2014 to 2017 and then increased to approximately 60,000 cases. The number of vitreoretinal surgeries was increased 1.2 times from FY 2014 to 2019, from 120,000 to 140,000, and decreased to 130,000 by FY 2020. Trends in ophthalmic surgeries over the past 7 years may be influenced by population aging, minimally invasive surgery, and the coronavirus disease pandemic. These findings have implications on surgical decision-making and resource allocation.

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Section: Discussionmentioning

confidence: 78%

Annual Trends of Ophthalmic Surgeries in Japan’s Super-aged Society, 2014– 2020: A National Claims Database Study

Wada,

Miyake,

Hata

et al. 2023

Preprint

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“…The observed and expected volume was also utilized to determine the change in backlog of cases throughout the pandemic. The initial backlog was identified as the difference in the number of primary and revision TSA cases observed and expected from March 2020 to May 2020 (Gomez et al 2022;Jin et al 2022;Wang et al 2020). The percent change in volume was recorded in December 2020 (before CMS-changes) and April 2021 (after CMS-changes).…”

Section: Observed and Expected Volumementioning

confidence: 99%

How have the Volume and Backlog of Total Shoulder Arthroplasty Cases Changed during the COVID-19 Pandemic?

Pearson,

Agarwal,

Kreulen

et al. 2023

Journal of Orthopaedic Experience &Amp; Innovation

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BACKGROUND As COVID-19 rapidly propagated, many institutions were forced to respond with suspension in all elective surgical procedures, including primary and revision Total Shoulder Arthroplasty (TSA). In 2021, the Centers of Medicare & Medicaid Services (CMS) removed primary and revision TSA from the Inpatient-Only-List (IPO). These rapid changes created uncertainty surrounding the potential backlog of patients that healthcare systems could face. The purpose of this study is to observe the change in volume as well as proportion of TSA performed in the outpatient setting. METHODS Patients who underwent primary and revision elective TSA from January 2018 to April 2021 were identified using the Pearldiver database. Descriptive analysis was utilized to report the monthly changes in elective TSA volume and the proportion of the volume performed in the outpatient setting. A linear forecast analysis using historical data was utilized to determine the expected volume and proportion of TSA cases performed on an outpatient basis during the pandemic period. This was compared to the observed case volume and setting. RESULTS Within 3 months following suspension, the total volume had returned to expected for both primary and revision TSA. Those performed in the outpatient setting significantly increased throughout the pandemic, with the largest peak following January 2020. By April 2021, four months after the CMS removal of TSA from the IPO list, the backlog of primary TSA volume had decreased by 30.8% with respect that in December 2020. For revision TSA, the backlog was entirely overcome by April 2021 as there was an observed decrease of 131% with respect that in December 2020. CONCLUSION The backlog for both primary and revision TSA from the beginning of the pandemic has decreased. The observed decrease did not seem to start until January 2021 following CMS’ removal of TSA from the IPO list. Therefore, the reduction in the backlog may be associated with the increased utilization of outpatient primary and revision TSA.

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“…[13][14][15][16] Trauma-related pathologies, retinal detachment, and wet age-related macular degeneration (ARMD), which could cause severe visual damage, comprised a smaller number of cases but still represented a more significant proportion of the overall total. 17 An estimated 92,150 ophthalmic surgeries in Ontario were postponed due to the pandemic in 2020. Cataract surgeries accounted for a significant 90% of the postponed operations, and retinal detachment surgeries constituted 4% of the total.…”

Section: Introductionmentioning

confidence: 99%

Impact of Covid-19 on Pediatric Ophthalmology Care: Lessons Learned

Kaur,

Muralikrishnan,

Hussaindeen

et al. 2023

PHMT

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The COVID-19 pandemic came with many new challenges that forced personal and professional lifestyle modifications. Medical facilities were in scarcity against this new unknown enemy and were challenged with the overloaded patient flow, scarcity of healthcare staff, and evolving treatment modalities with a better understanding of the virus each day. Ophthalmology as a “branch of medicine” suffered challenges initially because of a lack of guidelines for patient management, close working distance during routine examinations, and halt of major surgeries, including cataracts. Pediatric ophthalmology had major implications, as reduced outpatient visits would mean deeper amblyopia, and changed lifestyles, including online classes and home refinement, predisposing children to myopia, digital eye strain, and worsening of strabismus. COVID-19 also unveiled underlying accommodation and convergence anomalies that predisposed pediatric and adolescent patients to an increased prevalence of headache and acute onset esotropia. Teleophthalmology and other innovative solutions, including the use of prism glasses, safe slit-lamp shields, alternative ways of school screening with the use of photoscreeners, performing retinoscopy only when needed, and using autorefractors were among the few guidelines or modifications adopted which helped in the efficient and safe management of pediatric patients. Many pediatric ophthalmologists also suffered in terms of financial constraints due to loss of salary or even closure of private practices. School screening and retinopathy of prematurity screening suffered a great setback and costed a lot of vision years, data of which remains under-reported. Important implications and learnings from the pandemic to mitigate future similar situations include using teleophthalmology and virtual platforms for the triage of patients, managing non-emergency conditions without physical consultations, and utilizing home-based vision assessment techniques customized for different age groups. Though this pandemic had a lot of negative implications, the innovations, modifications, and other important learnings helped pediatric ophthalmologists in navigating safely.

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Backlog in ophthalmic surgeries associated with the COVID-19 pandemic in Ontario 2020

Cited by 6 publications

References 12 publications

Annual Trends of Ophthalmic Surgeries in Japan’s Super-aged Society, 2014– 2020: A National Claims Database Study

Annual Trends of Ophthalmic Surgeries in Japan’s Super-aged Society, 2014– 2020: A National Claims Database Study

How have the Volume and Backlog of Total Shoulder Arthroplasty Cases Changed during the COVID-19 Pandemic?

Impact of Covid-19 on Pediatric Ophthalmology Care: Lessons Learned

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