Indirect effects of the pandemic: highlighting the need for data-driven policy and preparedness

Banerjee, Amitava; Sudlow, Cathie; Lawler, Mark

doi:10.1177/01410768221095245

Cited by 8 publications

(4 citation statements)

References 10 publications

(9 reference statements)

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“…Research domains that need strengthening include prevention, health services research and implementation science, amongst many others. The UK's integrated data science systems offer huge potential for health services research 140 . For example, we still have limited understanding of how best to organize our services 57,141,142 .…”

Section: Services and Systemsmentioning

confidence: 99%

The future of cancer care in the UK—time for a radical and sustainable National Cancer Plan

Aggarwal,

Choudhury,

Fearnhead

et al. 2024

The Lancet Oncology

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Section: Services and Systemsmentioning

confidence: 99%

The future of cancer care in the UK—time for a radical and sustainable National Cancer Plan

Aggarwal,

Choudhury,

Fearnhead

et al. 2024

The Lancet Oncology

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“…Despite multiple analyses of indirect effects in the UK and other countries using EHR (11)(12)(13)(14)20), these effects have been neglected in pandemic surveillance and policy responses (21). Moreover, prior analyses have tended to be disease-or procedure-specific and have not taken a system-level view across diseases and countries (22).…”

Section: Discussionmentioning

confidence: 99%

“…Despite multiple analyses of indirect effects in the UK and other countries using EHR, 11–14 , 20 these effects have been neglected in pandemic surveillance and policy responses. 21 Moreover, prior analyses have tended to be disease- or procedure-specific and have not taken a system-level view across diseases and countries. 22 We now confirm previous reports of reduced activity for admissions and for PCI and other CVD-related procedures, showing variation by timing, speed, and extent of recovery across subtypes.…”

Section: Discussionmentioning

confidence: 99%

Effects of the COVID-19 pandemic on secondary care for cardiovascular disease in the UK: an electronic health record analysis across three countries

Wright

Cheema

Goldacre

et al. 2022

European Heart Journal - Quality of Care and Clinical Outcomes

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Background Although morbidity and mortality from COVID-19 have been widely reported, the indirect effects of the pandemic beyond 2020 on other major diseases and health service activity have not been well described. Methods Analyses used national administrative electronic hospital records in England, Scotland and Wales for 2016–2021. Admissions and procedures during the pandemic (2020–2021) related to six major cardiovascular conditions (acute coronary syndrome, heart failure, stroke/transient ischaemic attack, peripheral arterial disease, aortic aneurysm, and venous thromboembolism) were compared to the annual average in the pre-pandemic period (2016–2019). Differences were assessed by time period and urgency of care. Results In 2020, there were 31 064 (-6%) fewer hospital admissions (14 506 [-4%] fewer emergencies, 16 560 [-23%] fewer elective admissions) compared to 2016–2019 for the six major cardiovascular diseases combined. The proportional reduction in admissions was similar in all three countries. Overall, hospital admissions returned to pre-pandemic levels in 2021. Elective admissions remained substantially below expected levels for almost all conditions in all three countries (-10 996 [-15%] fewer admissions). However, these reductions were offset by higher than expected total emergency admissions (+25 878 [+6%] higher admissions), notably for heart failure and stroke in England, and for venous thromboembolism in all three countries. Analyses for procedures showed similar temporal variations to admissions. Conclusion This study highlights increasing emergency cardiovascular admissions during the pandemic, in the context of a substantial and sustained reduction in elective admissions and procedures. This is likely to increase further the demands on cardiovascular services over the coming years.

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“…With rising demand and fewer staff to meet it, consultation times are increasingly squeezed. Any new model of primary care must consider what the optimal consultation time should be since covid-19, 2 multimorbidities, and increasing administrative demands mean that more needs to be done at each appointment. 3 The stereotype of a general practitioner coasting through surgery and day visits, enjoying optimal work life balance, may never have been true but couldn’t be further from the truth now.…”

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confidence: 99%

Medical stereotypes that must be shaken and stirred

Abbasi¹

2022

J R Soc Med

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Indirect effects of the pandemic: highlighting the need for data-driven policy and preparedness

Cited by 8 publications

References 10 publications

The future of cancer care in the UK—time for a radical and sustainable National Cancer Plan

The future of cancer care in the UK—time for a radical and sustainable National Cancer Plan

Effects of the COVID-19 pandemic on secondary care for cardiovascular disease in the UK: an electronic health record analysis across three countries

Medical stereotypes that must be shaken and stirred

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