The Economic Impact of the COVID-19 Pandemic on Radiology                     Practices

Cavallo, Joseph J.; Forman, Howard P.

doi:10.1148/radiol.2020201495

Cited by 176 publications

(186 citation statements)

References 4 publications

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“…Nationally, there has been significant deleterious effects on the economy including almost 17 million Americans filing for unemployment in a 3week period over March/April alone, although with claims decreasing continually since that peak. 90 , 91 Whether or not COVID-19 will continue to circulate in the population with annual or seasonal outbreaks, or whether this will be an outbreak that has mostly cycled through the population with a return to closer to normal by 2022 or so remains unclear and debated yet at the time of this writing.…”

Section: Long Term Ramifications and Rebuildingmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Breast Imaging

Freer¹

2021

Radiologic Clinics of North America

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Synopsis: Starting in Wuhan, China, followed quickly in the United States in January 2020, an outbreak of a novel coronavirus, or COVID-19 escalated to a global pandemic by March 1,2 . By September 10, 2020, there were almost 28 million cases worldwide and nearly 6.4 million U.S. cases, with almost 1 million and 200,000 deaths, respectively 3 . The outbreak dramatically disrupted global public health as well as precipitated upheaval to the economy and society. With no vaccine or adequate treatment, the most significant weapon to curtail its destruction was a global policy of “social distancing”, advising people to quarantine at home, closing schools and businesses, and disrupting routine health care. As the pandemic lasted, the need to re-open the economy and health care emerged with precautions placed for masking and social distancing. Significant disruptions occurred to breast imaging including deferred screening mammography, triaging diagnostic breast imaging, and changes in breast cancer care algorithms. This article summarizes the effect of the global pandemic – and efforts to curtail its spread – on both breast cancer care and on breast imaging practices including effects on patients, clinical workflow, education and research.

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Section: Long Term Ramifications and Rebuildingmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Breast Imaging

Freer¹

2021

Radiologic Clinics of North America

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“…The COVID-19 pandemic has had a rapidly evolving impact on the U.S. healthcare system. Several studies have shown that ED imaging volume decreased substantially during the COVID-19 pandemic [3,4,6]. This contrasts with the pre-pandemic trend in ED imaging, particularly CT, which had been increasing for the past decade [14][15][16], as convincing data has shown that early CT diagnosis of certain conditions, such as appendicitis and uncomplicated diverticulitis, reduces hospital resource use and improves patient outcomes [17,18].…”

Section: Discussionmentioning

confidence: 99%

“…Imaging volumes during the initial stages of the COVID-19 pandemic decreased across all patient care settings: inpatient, outpatient and emergency [3][4][5][6]. Studies have demonstrated that emergency department (ED) visits have also dramatically decreased during this time period [7].…”

Section: Introductionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on emergency department CT for suspected diverticulitis: A natural experiment to explain patients’ and clinicians’ assessment of risk and willingness to undergo CT scanning?

Gibson

Chen

Rosen

et al. 2020

Preprint

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Purpose: This study examined the impact of the COVID-19 pandemic on emergency department CT use for acute non-traumatic abdominal pain, to better understand why imaging volume so drastically decreased during the COVID-19 pandemic.Methods: This was a retrospective review of emergency imaging volumes from January 5 to May 30, 2020. Weekly volume data were collected for total imaging studies, abdominopelvic CT, and abdominopelvic CTs positive for common causes of acute non-traumatic abdominal pain. Two emergency radiology attendings scored all diverticulitis cases independently and weekly volume data for uncomplicated and complicated diverticulitis cases was also collected. Volume data prior to and during the COVID-19 pandemic was compared, using 2019 volumes as a control.Results: During the COVID-19 pandemic, overall emergency imaging volume decreased 30% compared to 2019 (p = 0.002). While the number of emergency abdominopelvic CTs positive for appendicitis and small bowel obstruction did not significantly change during the COVID-19 pandemic, the number of cases of diverticulitis decreased significantly compared to 2019 (p = 0.001). This reduction can be specifically attributed to decreased uncomplicated diverticulitis cases, as the number of uncomplicated diverticulitis cases dropped significantly (p = 0.002) while there was no significant difference in the number of complicated diverticulitis cases (p = 0.09). Conclusions: Reduced emergency abdominopelvic CT volume during the COVID-19 pandemic can partially be explained by decreased imaging of lower acuity patients. This data may help formulate future strategies for imaging resource utilization with an improved understanding of the relationship between perceived imaging risk and symptom acuity.

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“…Currently, there is some information published regarding how COVID-19 has impacted radiology practice. [14][15][16][17] However, there is very limited information regarding the impact of COVID-19 on pediatric radiology practice (departments/divisions in children's hospitals, university practices, and community practices). 18 As pediatric radiology departments handle a different patient population with unique needs (parental support and involvement, child life specialists, greater potential for lack of cooperation or understanding in infants and developmentally delayed patients) from adult departments, a focused evaluation on the impact of COVID-19 on pediatric radiology departments that are coping with changes to these needs is important.…”

Section: N P R E S Smentioning

confidence: 99%

Perceived Impact of COVID-19 on Pediatric Radiology Departments around the World: World Federation of Pediatric Imaging COVID-19 Task Force Survey Results from Six Continents

Foust¹,

Johnston²,

Kasznia-Brown³

et al. 2020

Radiology: Cardiothoracic Imaging

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To investigate how COVID-19 has impacted pediatric radiology practice around the world at the present time. Materials and Methods This study was based on a survey conducted by the World Federation of Pediatric Imaging (WFPI) COVID-19 task force. Pediatric radiology representatives from countries around the world were identified and asked to complete an electronic survey consisting of 17 questions related to the impact of, concerns surrounding, and education related to COVID-19 on pediatric radiology. For each outcome variable, a pair of 2-way frequency tables was constructed: one against COVID-19 prevalence, and another against region. Tests of independence of the tables' row and column factors were performed based on Fisher's exact test and odds ratios (OR) were estimated via logistic regression models corresponding to these 2-way tables. Results The survey (response rate 87%, 72/83) comprised representatives from 71 countries and Hong Kong across 6 continents. 66/72 respondents (92%) indicated that COVID-19 has resulted in moderate (21/72, 29%), significant (36/72, 50%), or complete (9/72, 13%) change in radiology departments/practices in their countries. The two most frequent concerns over the next four months were personal/family health (54/72, 75%) and exposure (48/72, 67%). 79% (57/72) of respondents indicated some level of discomfort in identifying pediatric COVID-19 imaging I n p r e s s manifestations. Changes in resident education were reported by 68/72 (94%) respondents, and 22/72 (31%) were concerned that the likelihood of current trainees pursuing a career in pediatric radiology will be impacted. Conclusion COVID-19 has had a substantial negative impact on pediatric radiology practice around the world.

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The Economic Impact of the COVID-19 Pandemic on Radiology Practices

Cited by 176 publications

References 4 publications

The Impact of the COVID-19 Pandemic on Breast Imaging

The Impact of the COVID-19 Pandemic on Breast Imaging

Impact of the COVID-19 pandemic on emergency department CT for suspected diverticulitis: A natural experiment to explain patients’ and clinicians’ assessment of risk and willingness to undergo CT scanning?

Perceived Impact of COVID-19 on Pediatric Radiology Departments around the World: World Federation of Pediatric Imaging COVID-19 Task Force Survey Results from Six Continents

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