Missing diagnoses during the covid-19 pandemic: A year in review

The COVID-19 pandemic has had major impacts on population health not only through COVID-positive cases, but also via the disruption of healthcare services, which in turn has impacted the diagnosis and treatment of all other diseases during this time. We study changes in all new registered diagnoses...

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Autores: Pifarré i Arolas, Héctor, Vidal-Alaball, Josep, Gil, Joan, López, Francesc, Nicodemo, Catia, Sáez Zafra, Marc
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10256/21241
Acceso en línea:http://hdl.handle.net/10256/21241
Access Level:acceso abierto
Palabra clave:Pandèmia de COVID-19, 2020-
COVID-19 Pandemic, 2020-
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spelling Missing diagnoses during the covid-19 pandemic: A year in reviewPifarré i Arolas, HéctorVidal-Alaball, JosepGil, JoanLópez, FrancescNicodemo, CatiaSáez Zafra, MarcPandèmia de COVID-19, 2020-COVID-19 Pandemic, 2020-The COVID-19 pandemic has had major impacts on population health not only through COVID-positive cases, but also via the disruption of healthcare services, which in turn has impacted the diagnosis and treatment of all other diseases during this time. We study changes in all new registered diagnoses in ICD-10 groups during 2020 with respect to a 2019 baseline. We compare new diagnoses in 2019 and 2020 based on administrative records of the public primary health system in Central Catalonia, Spain, which cover over 400,000 patients and 3 million patient visits. We study the ratio of new diagnoses between 2019 and 2020 and find an average decline of 31.1% in new diagnoses, with substantial drops in April (61.1%), May (55.6%), and November (52%). Neoplasms experience the largest decline (49.7%), with heterogeneity in the magnitudes of the declines across different types of cancer diagnoses. While we find evidence of temporal variation in new diagnoses, reductions in diagnoses early in the year are not recouped by the year end. The observed decline in new diagnoses across all diagnosis groups suggest a large number of untreated and undetected cases across conditions. Our findings provide a year-end summary of the impact of the pandemic on healthcare activities and can help guide health authorities to design evidence-based plans to target under-diagnosed conditions in 2021Catia Nicodemo is supported by the University of Oxford’s COVID-19 Research Response Fund, number 0910204MDPI (Multidisciplinary Digital Publishing Institute)2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionpeer-reviewedapplication/pdfhttp://hdl.handle.net/10256/21241http://hdl.handle.net/10256/21241International Journal of Environmental Research and Public Health, 2021, vol. 18, núm. 10, p. 5335Articles publicats (D-EC)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)Inglésinfo:eu-repo/semantics/altIdentifier/doi/10.3390/ijerph18105335info:eu-repo/semantics/altIdentifier/issn/1661-7827info:eu-repo/semantics/altIdentifier/eissn/1660-4601Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10256/212412026-05-29T05:05:01Z
dc.title.none.fl_str_mv Missing diagnoses during the covid-19 pandemic: A year in review
title Missing diagnoses during the covid-19 pandemic: A year in review
spellingShingle Missing diagnoses during the covid-19 pandemic: A year in review
Pifarré i Arolas, Héctor
Pandèmia de COVID-19, 2020-
COVID-19 Pandemic, 2020-
title_short Missing diagnoses during the covid-19 pandemic: A year in review
title_full Missing diagnoses during the covid-19 pandemic: A year in review
title_fullStr Missing diagnoses during the covid-19 pandemic: A year in review
title_full_unstemmed Missing diagnoses during the covid-19 pandemic: A year in review
title_sort Missing diagnoses during the covid-19 pandemic: A year in review
dc.creator.none.fl_str_mv Pifarré i Arolas, Héctor
Vidal-Alaball, Josep
Gil, Joan
López, Francesc
Nicodemo, Catia
Sáez Zafra, Marc
author Pifarré i Arolas, Héctor
author_facet Pifarré i Arolas, Héctor
Vidal-Alaball, Josep
Gil, Joan
López, Francesc
Nicodemo, Catia
Sáez Zafra, Marc
author_role author
author2 Vidal-Alaball, Josep
Gil, Joan
López, Francesc
Nicodemo, Catia
Sáez Zafra, Marc
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Pandèmia de COVID-19, 2020-
COVID-19 Pandemic, 2020-
topic Pandèmia de COVID-19, 2020-
COVID-19 Pandemic, 2020-
description The COVID-19 pandemic has had major impacts on population health not only through COVID-positive cases, but also via the disruption of healthcare services, which in turn has impacted the diagnosis and treatment of all other diseases during this time. We study changes in all new registered diagnoses in ICD-10 groups during 2020 with respect to a 2019 baseline. We compare new diagnoses in 2019 and 2020 based on administrative records of the public primary health system in Central Catalonia, Spain, which cover over 400,000 patients and 3 million patient visits. We study the ratio of new diagnoses between 2019 and 2020 and find an average decline of 31.1% in new diagnoses, with substantial drops in April (61.1%), May (55.6%), and November (52%). Neoplasms experience the largest decline (49.7%), with heterogeneity in the magnitudes of the declines across different types of cancer diagnoses. While we find evidence of temporal variation in new diagnoses, reductions in diagnoses early in the year are not recouped by the year end. The observed decline in new diagnoses across all diagnosis groups suggest a large number of untreated and undetected cases across conditions. Our findings provide a year-end summary of the impact of the pandemic on healthcare activities and can help guide health authorities to design evidence-based plans to target under-diagnosed conditions in 2021
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
peer-reviewed
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10256/21241
http://hdl.handle.net/10256/21241
url http://hdl.handle.net/10256/21241
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.3390/ijerph18105335
info:eu-repo/semantics/altIdentifier/issn/1661-7827
info:eu-repo/semantics/altIdentifier/eissn/1660-4601
dc.rights.none.fl_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI (Multidisciplinary Digital Publishing Institute)
publisher.none.fl_str_mv MDPI (Multidisciplinary Digital Publishing Institute)
dc.source.none.fl_str_mv International Journal of Environmental Research and Public Health, 2021, vol. 18, núm. 10, p. 5335
Articles publicats (D-EC)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
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