| Title: |
Cardiovascular Testing in the United States during the COVID-19 Pandemic: Volume Recovery and Worldwide Comparison. |
| Authors: |
Hirschfeld, Cole B; Dorbala, Sharmila; Shaw, Leslee J; Villines, Todd C; Choi, Andrew D; Better, Nathan; Cerci, Rodrigo J; Karthikeyan, Ganesan; Vitola, João V; Williams, Michelle C; Al-Mallah, Mouaz; Berman, Daniel S; Bernheim, Adam; Biederman, Robert W; Bravo, Paco E; Budoff, Matthew J; Bullock-Palmer, Renee P; Chen, Marcus Y; DiLorenzo, Michael P; Doukky, Rami; Ferencik, Maros; Geske, Jeffrey B; Hage, Fadi G; Hendel, Robert C; Koweek, Lynne; Murthy, Venkatesh L; Narula, Jagat; Rodriguez Lozano, Patricia F; Shah, Nishant R; Shah, Amee; Soman, Prem; Thompson, Randall C; Wolinsky, David; Cohen, Yosef A; Malkovskiy, Eli; Randazzo, Michael J; Lopez-Mattei, Juan; Parwani, Purvi; Shetty, Mrinali; Pascual, Thomas NB; Pynda, Yaroslav; Dondi, Maurizio; Paez, Diana; Einstein, Andrew J; Cerci, Rodrigo; Vitola, Joao V; Hinterleitner, Gerd; Lu, Yao; Morozova, Olga; Xu, Zhuoran; Cohen, Yosef; Randazzo, Michael; Choi, Andrew |
| Source: |
Radiology Cardiothoracic Imaging, vol 5, iss 5 |
| Publisher Information: |
eScholarship, University of California |
| Publication Year: |
2023 |
| Collection: |
University of California: eScholarship |
| Subject Terms: |
32 Biomedical and Clinical Sciences (for-2020); 3202 Clinical Sciences (for-2020); Heart Disease (rcdc); Emerging Infectious Diseases (rcdc); Biomedical Imaging (rcdc); Infectious Diseases (rcdc); Coronaviruses (rcdc); Cardiovascular (rcdc); Clinical Research (rcdc); Cardiovascular (hrcs-hc); 3 Good Health and Well Being (sdg); SPECT; Cardiac; Epidemiology; Angiography; CT Angiography; CT; Echocardiography; SPECT/CT; MR Imaging; Radionuclide Studies; COVID-19; Cardiovascular Imaging; Diagnostic Cardiovascular Procedure; Cardiovascular Disease; Cardiac Testing; INCAPS COVID 2 Investigators Group |
| Description: |
Purpose: To characterize the recovery of diagnostic cardiovascular procedure volumes in U.S. and non-U.S. facilities in the year following the initial COVID-19 outbreak. Materials and Methods: The International Atomic Energy Agency (IAEA) coordinated a worldwide study called the IAEA Noninvasive Cardiology Protocols Study of COVID-19 2 (INCAPS COVID 2), collecting data from 669 facilities in 107 countries, including 93 facilities in 34 U.S. states, to determine the impact of the pandemic on diagnostic cardiovascular procedure volumes. Participants reported volumes for each diagnostic imaging modality used at their facility for March 2019 (baseline), April 2020, and April 2021. This secondary analysis of INCAPS COVID 2 evaluated differences in changes in procedure volume between U.S. and non-U.S. facilities and among U.S. regions. Factors associated with return to prepandemic volumes in the United States were also analyzed in a multivariable regression analysis. Results: Reduction in procedure volumes in April 2020 compared with baseline was similar for U.S. and non-U.S. facilities (-66% vs -71%, P = .27). U.S. facilities reported greater return to baseline in April 2021 than did all non-U.S. facilities (4% vs -6%, P = .008), but there was no evidence of a difference when comparing U.S. facilities with non-U.S. high-income country (NUHIC) facilities (4% vs 0%, P = .18). U.S. regional differences in return to baseline were observed between the Midwest (11%), Northeast (9%), South (1%), and West (-7%, P = .03), but no studied factors were significant predictors of 2021 change from prepandemic baseline. Conclusion: The reductions in cardiac testing during the early pandemic have recovered within a year to prepandemic baselines in the United States and NUHICs, while procedure volumes remain depressed in lower-income countries.Keywords: SPECT, Cardiac, Epidemiology, Angiography, CT Angiography, CT, Echocardiography, SPECT/CT, MR Imaging, Radionuclide Studies, COVID-19, Cardiovascular Imaging, Diagnostic Cardiovascular ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
unknown |
| Relation: |
qt9b55476m; https://escholarship.org/uc/item/9b55476m; https://escholarship.org/content/qt9b55476m/qt9b55476m.pdf |
| DOI: |
10.1148/ryct.220288 |
| Availability: |
https://escholarship.org/uc/item/9b55476m; https://escholarship.org/content/qt9b55476m/qt9b55476m.pdf; https://doi.org/10.1148/ryct.220288 |
| Rights: |
public |
| Accession Number: |
edsbas.7D59C2E2 |
| Database: |
BASE |