COVID-19流行病对预防性成像的影响
Jenny L Weon1, Yin Xi2, Yee Seng Ng2
1Department of Pathology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.
随着COVID-19大流行,预防性成像 (包括乳房影像和骨密度扫描) 显著下降,种族差异显著. 一些群体在流行后的骨密度扫描中出现了增加,而另一些群体则出现了急剧下降.
科学领域:
- 放射学 放射学是一门学科.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 预防性护理成像可能被认为是不紧急的,这引发了人们对流行病相关干扰的担忧.
- 评估COVID-19大流行对预防性成像的影响对于了解潜在差异至关重要.
研究的目的:
- 为了评估COVID-19大流行对预防性护理成像体积的影响.
- 确定大流行病与不同种族和种族群体的成像变化之间的关联.
主要方法:
- 从2019年1月到2022年5月的每周成像量的回顾性观察研究.
- 使用t测试和按种族和种族分层的中断时间序列模型,比较大流行前和后的关闭期.
主要成果:
- 流行病后的乳房影像,骨密度检查和大动脉超声波的显著下降.
- 在关闭后立即,西班牙裔/拉丁裔患者的乳房扫描量显著下降.
- 对于西班牙裔/拉丁裔和非西班牙裔黑人患者来说,骨密度扫描量意外增加,但对于"其他"种族患者来说,急剧下降.
结论:
- 疫情关闭导致关键的预防性成像方式显著下降.
- 种族和民族差异很明显,对乳房影像和骨密度扫描体积的影响各不相同.
- 医疗保健系统必须积极参与患者,以确保追赶推的预防性查.
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