Cardiovascular Testing in the United States during the COVID-19 Pandemic: Volume Recovery and Worldwide Comparison
Year: 2023
Type: article
Abstract: 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 Procedure, Cardiovascular Disease, Cardiac Testing Supplemental material is available for this article. © RSNA, 2023
Source: Radiology Cardiothoracic Imaging
DOI: 10.1148/ryct.220288
Authors: Cole B. Hirschfeld, Sharmila Dorbala, Leslee J. Shaw, Todd C. Villines, Andrew D. Choi, Nathan Better, Rodrigo J. Cerci, Ganesan Karthikeyan, João V. Vitola, Michelle C. Williams, Mouaz Al-Mallah, Daniel S. Berman, Adam Bernheim, Robert W. Biederman, Paco E. Bravo, Matthew J. Budoff, Renee P. Bullock-Palmer, Marcus Y. Chen, Michael P. DiLorenzo, Rami Doukky, Maros Ferencik, Jeffrey B. Geske, Fadi G. Hage, Robert C. Hendel, Lynne Koweek, Venkatesh L. Murthy, Jagat Narula, Patricia F. Rodriguez Lozano, Nishant R. Shah, Amee Shah, Prem Soman, Randall C. Thompson, David Wolinsky, Yosef A. Cohen, Eli Malkovskiy, Michael J. Randazzo, Juan Lopez-Mattei, Purvi Parwani, Mrinali Shetty, Thomas N. B. Pascual, Yaroslav Pynda, Maurizio Dondi, Diana Paez, Andrew J. Einstein, on behalf of the INCAPS COVID 2 Investigators Group, Andrew J. Einstein, Diana Paez, Maurizio Dondi, Nathan Better, Rodrigo Cerci, Sharmila Dorbala, Ganesan Karthikeyan, Thomas N. B. Pascual, Leslee J. Shaw, Todd C. Villines, Joao V. Vitola, Michelle C. Williams, Yaroslav Pynda, Gerd Hinterleitner, Yao Lu, Olga Morozova, Zhuoran Xu, Cole B. Hirschfeld, Yosef Cohen, Eli Malkovskiy, Michael Randazzo, Andrew Choi, Juan Lopez-Mattei, Purvi Parwani
Institutions: Brigham and Women's Hospital, The Royal Melbourne Hospital, NewYork–Presbyterian Hospital, The University of Melbourne, George Washington University, Weill Cornell Medicine, Weill Cornell Medical Center, Institute of Medical Sciences, University of Virginia, All India Institute of Medical Sciences, Icahn School of Medicine at Mount Sinai, University of Edinburgh, Houston Methodist, Cedars-Sinai Medical Center, Allegheny Health Network, Allegheny General Hospital, University of Pennsylvania, University of California, Los Angeles, The Lundquist Institute, Deborah Heart and Lung Center, National Institutes of Health, National Heart, Lung, and Blood Institute, Morgan Stanley Children's Hospital, Columbia University, John H. Stroger, Jr. Hospital of Cook County, Cook County Health and Hospitals System, Oregon Health & Science University, Mayo Clinic, University of Alabama at Birmingham, Birmingham VA Medical Center, Tulane University, Duke Medical Center, University of Michigan, Michigan Medicine, University of Virginia Health System, Brown University, University of Pittsburgh, University of Pittsburgh Medical Center, Cleveland Clinic Florida, Technion – Israel Institute of Technology, Columbia University Irving Medical Center, Lee Memorial Health System, Loma Linda University Medical Center, Loma Linda University, Loma Linda University Health Care, Endeavor Health, Philippine Nuclear Research Institute, International Atomic Energy Agency
Language: English
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4386927393