Requests from primary care for chest X-ray and CA125 measurements during the COVID-19 emergency: an observational study
Open accessAbstract
During the first 3 months of 2020, as the COVID-19 pandemic developed, it was noticed that requests from primary care for investigations were decreasing, including those that form part of the diagnostic process for cancers. We therefore obtained data on the requests from primary care for chest X-rays (CXRs) and CA125 measurement our hospital received in the first half of 2020 and compared them with 2019. The number of CXRs declined by 93% in April 2020 compared with 2019, with the decline being greater for patient living in outlying areas. Requests from the emergency department also declined. Requests for CA125 measurement similarly fell by 77% from all areas. The requests increased in June, CA125 more than CXR. If this phenomenon is widespread it may have an impact on diagnosis of major conditions, particularly cancers and tuberculosis.
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Other studies have described problems of increased antimicrobial prescribing, reduced ordering of diagnostic investigations and delayed diagnosis of cancer attributed to the pandemic-related shift to remote consultations.
“Other studies have described problems of increased antimicrobial prescribing (120), reduced ordering of diagnostic investigations (121) and delayed diagnosis of cancer (122, 123) attributed to the pandemic-related shift to remote consultations”
From Planning and Evaluating Remote Consultation Services: A New Conceptual Framework Incorporating Complexity and Practical Ethics (2021) · cites this paper as [121]
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Greenhalgh, T., Rosen, R., Shaw, S. E., Byng, R., Faulkner, S., Finlay, T., Grundy, E., Husain, L., Hughes, G., Leone, C., et al. (2021) · Frontiers in Digital Health · doi:10.3389/fdgth.2021.726095 · Cited by 173 · see citing works
“Other studies have described problems of increased antimicrobial prescribing (120), reduced ordering of diagnostic investigations (121) and delayed diagnosis of cancer (122, 123) attributed to the pandemic-related shift to remote consultations.”
Background
- Authors
- Crawford, S. M., Evans, C., Edwards, H., & Zoltowski, A.
- Affiliations
- Airedale NHS Foundation Trust (GB)
- North Tees and Hartlepool NHS Foundation Trust (GB)
- ORCID
- Crawford, S Michael
- Venue
- Clinical Medicine
- Publisher
- Elsevier BV
- Published
- 2021-01
- Volume
- 21
- Issue
- 1
- Pages
- e45-e47
- ISSN
- 1470-2118 (ISSN-L)
- PMC
- PMC7850193
- OpenAlex
- W3100535911
- Cited by
- 3
- References
- 9
- Citations by year
- 2022: 1 · 2021: 2
- FWCI
- 0.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Clinical Medicine (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Challenges
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- COVID-19 pandemic, primary care, cancer diagnosis, tuberculosis diagnosis, emergency department visits, rural areas
- MeSH terms
- COVID-19, SARS-CoV-2, Emergency Service, Hospital, United Kingdom, Humans, Lung, Retrospective Studies, Radiography, Thoracic, Pandemics
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