Dataset Information

COVID-19: looking beyond the peak. Challenges and tips for radiologists in follow-up of a novel patient cohort.

ABSTRACT: As the coronavirus pandemic evolves, the focus of radiology departments has begun to change. The acute phase of imaging a new disease entity whilst rationalising radiology services in the face of lockdown has passed. Radiologists are now becoming familiar with the complications of COVID-19, particularly the lung parenchymal and pulmonary vascular sequelae and are considering the impact follow-up imaging may have on departments already struggling with a backlog of suspended imaging in the face of reduced capacity. This review from the British Society of Thoracic Imaging explores both the thoracic and extra-thoracic complications of COVID-19, recognising the importance of a holistic approach to patient follow-up. The British Thoracic Society guidelines for respiratory follow-up of COVID-19 will be discussed, together with newly developed reporting templates, which aim to provide consistency for clinicians as well as an opportunity for longer-term data collection.

SUBMITTER: McStay R

PROVIDER: S-EPMC7543687 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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COVID-19: looking beyond the peak. Challenges and tips for radiologists in follow-up of a novel patient cohort.

McStay R R Johnstone A A Hare S S SS Jacob J J Nair A A Rodrigues J C L JCL Edey A A Robinson G G

Clinical radiology 20201008 1

As the coronavirus pandemic evolves, the focus of radiology departments has begun to change. The acute phase of imaging a new disease entity whilst rationalising radiology services in the face of lockdown has passed. Radiologists are now becoming familiar with the complications of COVID-19, particularly the lung parenchymal and pulmonary vascular sequelae and are considering the impact follow-up imaging may have on departments already struggling with a backlog of suspended imaging in the face of ...[more]

PMID: 33109350

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Project description:BackgroundAcademic health centers (AHCs) face unique challenges in providing continuity to a medically and socially complex patient population. Little is known about what drives patient loss in these settings.ObjectiveDetermine physician- and patient-based factors associated with patient loss in AHCs.DesignRetrospective cohort study, embedded qualitative analysis.SettingAcademic health center.ParticipantsAll visits from 7/1/2014 to 6/30/2019; 89 physicians (51%) participated in a qualitative analysis.MeasuresPhysician-based factors (gender, years of service, hours of practice per week, trainee status, and departure during the study period) and patient-based factors (age, gender, race, limited English proficiency, public health insurance, chronic illness burden, and severe psychiatric illness burden) and their association with patient loss to follow-up, defined as a lapse in provider visit greater than 3 years.ResultsWe identified 402,415 visits for 41,876 distinct patients. A total of 9332 (22.3%) patients were lost to follow-up. Patient factors associated with loss to follow-up included patient age < 40 (HR 3.12 (2.94-3.33)), identification as non-white (HR 1.07 (1.10-1.13)), limited English proficiency (HR 1.18 (1.04-1.33)), and use of public insurance (HR 1.12 (1.04-1.21)). Provider factors associated with patient loss included trainee status (HR 3.74 (2.43-5.75)) and having recently departed from the practice (HR 1.98, 1.66-2.35). Structured interviews with clinical providers revealed unfavorable relationships with providers and staff (35%), inconvenience accessing primary care (23%), unreliable health insurance (18%), difficulty accessing one's primary care provider (14%), and patient/provider transitions (10%) as reasons for patient loss.ConclusionsYounger patient age, markers of social vulnerability, and physician transiency are associated with patient loss at AHCs, providing targets to improve continuity of care within these settings.

Dataset Information

COVID-19: looking beyond the peak. Challenges and tips for radiologists in follow-up of a novel patient cohort.

Publications

COVID-19: looking beyond the peak. Challenges and tips for radiologists in follow-up of a novel patient cohort.

Similar Datasets

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