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Impact of Early COVID-19 Pandemic on Common Ophthalmic Procedures Volumes: A US Claims-Based Analysis.

Publication ,  Journal Article
Azad, AD; Mishra, K; Lee, EB; Chen, E; Nguyen, A; Parikh, R; Mruthyunjaya, P
Published in: Ophthalmic Epidemiol
December 2022

PURPOSE: The COVID-19 pandemic has had a profound effect on the delivery of healthcare in the United States and globally. The aim of this study was to evaluate the impact of COVID-19 on common ophthalmic procedure utilization and normalization to pre-pandemic daily rates. METHODS: Leveraging a national database, Clinformatics™ DataMart (OptumInsight, Eden Prairie, MN), procedure frequencies and daily averages, defined by Current Procedural Terminology codes, of common elective and non-elective procedures within multiple ophthalmology sub-specialties were calculated. Interrupted time-series analysis with a Poisson regression model and smooth spline functions was used to model trends in pre-COVID-19 (January 1, 2018-February 29, 2020) and COVID-19 (March 1, 2020-June 30, 2020) periods. RESULTS: Of 3,583,231 procedures in the study period, 339,607 occurred during the early COVID-19 time period. Anti-vascular endothelial growth factor injections (44,412 to 39,774, RR 1.01, CI 0.99-1.02; p = .212), retinal detachment repairs (1,290 to 1,086, RR 1.07, CI 0.99-1.15; p = .103), and glaucoma drainage implants/trabeculectomies (706 to 487, RR 0.93, CI 0.83-1.04; p = .200) remained stable. Cataract surgery (61,421 to 33,054, RR 0.77; CI 0.76-0.78; p < .001), laser peripheral iridotomy (1,875 to 890, RR 0.82, CI 0.76-0.88; p < .001), laser trabeculoplasty (2,680 to 1,753, RR 0.79, CI 0.74-0.84; p < .001), and blepharoplasty (1,522 to 797, RR 0.71, CI 0.66-0.77; p < .001) all declined significantly. All procedures except laser iridotomy returned to pre-COVID19 rates by June 2020. CONCLUSION: Most ophthalmic procedures that significantly declined during the COVID-19 pandemic were elective procedures. Among these, the majority returned to 2019 daily averages by June 2020.

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Published In

Ophthalmic Epidemiol

DOI

EISSN

1744-5086

Publication Date

December 2022

Volume

29

Issue

6

Start / End Page

604 / 612

Location

England

Related Subject Headings

  • United States
  • Trabeculectomy
  • Pandemics
  • Laser Therapy
  • Humans
  • Glaucoma Drainage Implants
  • Epidemiology
  • COVID-19
  • 4206 Public health
  • 4202 Epidemiology
 

Citation

APA
Chicago
ICMJE
MLA
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Azad, A. D., Mishra, K., Lee, E. B., Chen, E., Nguyen, A., Parikh, R., & Mruthyunjaya, P. (2022). Impact of Early COVID-19 Pandemic on Common Ophthalmic Procedures Volumes: A US Claims-Based Analysis. Ophthalmic Epidemiol, 29(6), 604–612. https://doi.org/10.1080/09286586.2021.2015394
Azad, Amee D., Kapil Mishra, Eric B. Lee, Evan Chen, Alexander Nguyen, Ravi Parikh, and Prithvi Mruthyunjaya. “Impact of Early COVID-19 Pandemic on Common Ophthalmic Procedures Volumes: A US Claims-Based Analysis.Ophthalmic Epidemiol 29, no. 6 (December 2022): 604–12. https://doi.org/10.1080/09286586.2021.2015394.
Azad AD, Mishra K, Lee EB, Chen E, Nguyen A, Parikh R, et al. Impact of Early COVID-19 Pandemic on Common Ophthalmic Procedures Volumes: A US Claims-Based Analysis. Ophthalmic Epidemiol. 2022 Dec;29(6):604–12.
Azad, Amee D., et al. “Impact of Early COVID-19 Pandemic on Common Ophthalmic Procedures Volumes: A US Claims-Based Analysis.Ophthalmic Epidemiol, vol. 29, no. 6, Dec. 2022, pp. 604–12. Pubmed, doi:10.1080/09286586.2021.2015394.
Azad AD, Mishra K, Lee EB, Chen E, Nguyen A, Parikh R, Mruthyunjaya P. Impact of Early COVID-19 Pandemic on Common Ophthalmic Procedures Volumes: A US Claims-Based Analysis. Ophthalmic Epidemiol. 2022 Dec;29(6):604–612.

Published In

Ophthalmic Epidemiol

DOI

EISSN

1744-5086

Publication Date

December 2022

Volume

29

Issue

6

Start / End Page

604 / 612

Location

England

Related Subject Headings

  • United States
  • Trabeculectomy
  • Pandemics
  • Laser Therapy
  • Humans
  • Glaucoma Drainage Implants
  • Epidemiology
  • COVID-19
  • 4206 Public health
  • 4202 Epidemiology