Impact of COVID-19 social distancing regulations on outpatient diagnostic imaging volumes and no-show rates

Copyright © 2021 Elsevier Inc. All rights reserved..

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted outpatient radiology practices, necessitating change in practice infrastructure and workflow.

OBJECTIVE: The purpose of this study was to assess the consequences of social distancing regulations on 1) outpatient imaging volume and 2) no-show rates per imaging modality.

METHODS: Volume and no-show rates of a large, multicenter metropolitan healthcare system outpatient practice were retrospectively stratified by modality including radiography, CT, MRI, ultrasonography, PET, DEXA, and mammography from January 2 to July 21, 2020. Trends were assessed relative to timepoints of significant state and local social distancing regulatory changes.

RESULTS: The decline in imaging volume and rise in no-show rates was first noted on March 10, 2020 following the declaration of a state of emergency in New York State (NYS). Total outpatient imaging volume declined 85% from baseline over the following 5 days. Decreases varied by modality: 88% for radiography, 75% for CT, 73% for MR, 61% for PET, 80% for ultrasonography, 90% for DEXA, and 85% for mammography. Imaging volume and no-show rate recovery preceded the mask mandate of April 15, 2020, and further trended along with New York City's reopening phases. No-show rates recovered within 2 months of the height of the pandemic, however, outpatient imaging volume has yet to recover to baseline after 3 months.

CONCLUSION: The total outpatient imaging volume declined alongside an increase in the no-show rate following the declaration of a state of emergency in NYS. No-show rates recovered within 2 months of the height of the pandemic with imaging volume yet to recover after 3 months.

CLINICAL IMPACT: Understanding the impact of social distancing regulations on outpatient imaging volume and no-show rates can potentially aid other outpatient radiology practices and healthcare systems in anticipating upcoming changes as the COVID-19 pandemic evolves.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:76

Enthalten in:

Clinical imaging - 76(2021) vom: 30. Aug., Seite 65-69

Sprache:

Englisch

Beteiligte Personen:

Doshi, Amish H [VerfasserIn]
Kihira, Shingo [VerfasserIn]
Mahmoudi, Keon [VerfasserIn]
Dayan, Etan [VerfasserIn]
Carlon, Tim [VerfasserIn]
Marinelli, Brett [VerfasserIn]
Goldman, Daryl [VerfasserIn]
Finkelstein, Mark [VerfasserIn]
Delman, Bradley N [VerfasserIn]
Lookstein, Robert [VerfasserIn]
Sullivan, Nisha [VerfasserIn]
Hart, John [VerfasserIn]
Drayer, Burton P [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Journal Article
Multicenter Study
Outpatient imaging volume
Outpatient no-show rate
Social distancing regulations

Anmerkungen:

Date Completed 22.06.2021

Date Revised 21.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.clinimag.2021.01.025

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM321274520