دورية أكاديمية
أعرض في EDS

Imaging and physician visits at cancer diagnosis: COVID -19 pandemic impact on cancer care.

التفاصيل البيبلوغرافية
العنوان: Imaging and physician visits at cancer diagnosis: COVID -19 pandemic impact on cancer care.
المؤلفون: Fu R; ICES, Toronto, Ontario, Canada.; Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.; Department of Otolaryngology - Head and Neck Surgery, Sunnybrook Research Institute, University of Toronto, Toronto, Ontario, Canada., Sutradhar R; ICES, Toronto, Ontario, Canada.; Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada., Li Q; ICES, Toronto, Ontario, Canada., Hanna TP; Division of Cancer Care and Epidemiology, Cancer Research Institute, Queen's University, Kingston, Ontario, Canada.; Ontario Institute for Cancer Research (OICR), Toronto, Ontario, Canada., Chan KKW; Odette Cancer Centre - Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.; Ontario Health - Cancer Care Ontario, Toronto, Ontario, Canada., Coburn N; ICES, Toronto, Ontario, Canada.; Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.; Ontario Health - Cancer Care Ontario, Toronto, Ontario, Canada.; Department of Surgery, University of Toronto, Toronto, Ontario, Canada., Hallet J; ICES, Toronto, Ontario, Canada.; Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.; Odette Cancer Centre - Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.; Department of Surgery, University of Toronto, Toronto, Ontario, Canada., Eskander A; ICES, Toronto, Ontario, Canada.; Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.; Department of Otolaryngology - Head and Neck Surgery, Sunnybrook Research Institute, University of Toronto, Toronto, Ontario, Canada.
مؤلفون مشاركون: Pandemic-Ontario Collaborative in Cancer Research (POCCR)
المصدر: Cancer medicine [Cancer Med] 2023 Mar; Vol. 12 (5), pp. 6056-6067. Date of Electronic Publication: 2022 Sep 29.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons Ltd Country of Publication: United States NLM ID: 101595310 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2045-7634 (Electronic) Linking ISSN: 20457634 NLM ISO Abbreviation: Cancer Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Malden, MA] : John Wiley & Sons Ltd., c2012-
مواضيع طبية MeSH: COVID-19*/epidemiology , Neoplasms*/diagnostic imaging , Neoplasms*/epidemiology , Physicians*, Humans ; Pandemics ; Tomography, X-Ray Computed ; Ontario/epidemiology
مستخلص: Background: Little is known about the COVID-19 pandemic impact on the provision of diagnostic imaging and physician visits at cancer diagnosis.
Methods: We used administrative databases from Ontario, Canada, to identify MRI/CT/ultrasound scans and in-person/virtual physician visits conducted with cancer patients within 91 days around the date of diagnosis in 2016-2020. In separate segmented regression procedures, we assessed the trends in weekly volume of these services per thousand cancer patients in prepandemic (June 26, 2016 to March 14, 2020), the change in mean volume at the start of the pandemic, and the additional change in weekly volume during the pandemic (March 15, 2020, to September 26, 2020).
Results: Totally, 403,561 cancer patients were included. On March 15, 2020 (COVID-19 arrived), mean scan volume decreased by 12.3% (95% CI: 6.4%-17.9%) where ultrasound decreased the most by 31.8% (95% CI: 23.9%-37.0%). Afterward, the volume of all scans increased further by 1.6% per week (95% CI: 1.3%-2.0%), where ultrasound increased the fastest by 2.4% (95% CI: 1.8%-2.9%). Mean in-person visits dropped by 47.4% when COVID-19 started (95% CI: 41.6%-52.6%) while virtual visits rose by 55.15-fold (95% CI: 4927%-6173%). In the pandemic (until September 26, 2020), in-person visits increased each week by 2.6% (95% CI: 2.0%-3.2%), but no change was observed for virtual visits (p -value = 0.10).
Conclusions: Provision of diagnostic imaging and virtual visits at cancer diagnosis has been increasing since the start of COVID-19 and has exceeded prepandemic utilization levels. Future work should monitor the impact of these shifts on quality of delivered care.
(© 2022 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.)
References: JAMA Intern Med. 2021 Mar 1;181(3):388-391. (PMID: 33196765)
JAMA Netw Open. 2021 Mar 1;4(3):e212618. (PMID: 33755167)
Ann Intern Med. 2020 Jun 2;172(11):756-758. (PMID: 32219410)
Curr Oncol. 2022 Mar 10;29(3):1877-1889. (PMID: 35323353)
Cancer Med. 2023 Mar;12(5):6056-6067. (PMID: 36176264)
CMAJ. 2020 Nov 2;192(44):E1347-E1356. (PMID: 32873541)
Radiol Oncol. 2020 Jul 29;54(3):329-334. (PMID: 32726291)
JAMA Netw Open. 2020 Nov 2;3(11):e2024984. (PMID: 33151319)
J Telemed Telecare. 2022 Mar 16;:1357633X221086447. (PMID: 35296163)
Abdom Radiol (NY). 2021 Sep;46(9):4362-4369. (PMID: 33904992)
Cancer. 2020 Oct 15;126(20):4466-4472. (PMID: 32749697)
Cancer Med. 2021 Sep;10(18):6327-6335. (PMID: 34355873)
J Surg Oncol. 2021 Feb;123(2):371-374. (PMID: 33333581)
Head Neck. 2020 Jul;42(7):1454-1459. (PMID: 32357277)
Int J Clin Pract. 2021 Dec;75(12):e14988. (PMID: 34674358)
Ann Oncol. 2020 Aug;31(8):1065-1074. (PMID: 32442581)
CMAJ Open. 2021 Feb 17;9(1):E107-E114. (PMID: 33597307)
JCO Glob Oncol. 2021 Feb;7:311-323. (PMID: 33617304)
J Clin Oncol. 2021 Jan 1;39(1):66-78. (PMID: 33021869)
CMAJ. 2021 Feb 8;193(6):E200-E210. (PMID: 33558406)
J Clin Epidemiol. 1988;41(5):495-501. (PMID: 3367181)
Radiol Imaging Cancer. 2020 Apr 15;2(3):e204011. (PMID: 33778714)
J Natl Compr Canc Netw. 2022 Feb 1;20(3):276-284. (PMID: 35104788)
IARC Sci Publ. 1991;(95):246-57. (PMID: 1894327)
Insights Imaging. 2020 Dec 3;11(1):129. (PMID: 33270166)
JAMA Netw Open. 2021 Mar 1;4(3):e211104. (PMID: 33704472)
JAMA Netw Open. 2022 Apr 1;5(4):e228855. (PMID: 35467731)
Med Care. 1998 Jan;36(1):8-27. (PMID: 9431328)
فهرسة مساهمة: Keywords: COVID-19; cancer diagnosis; diagnostic imaging; telemedicine; ultrasound
تواريخ الأحداث: Date Created: 20220930 Date Completed: 20230323 Latest Revision: 20230326
رمز التحديث: 20230327
مُعرف محوري في PubMed: PMC10028129
DOI: 10.1002/cam4.5321
PMID: 36176264
قاعدة البيانات: MEDLINE
الوصف
تدمد:2045-7634
DOI:10.1002/cam4.5321