Objectives To examine whether there is an association between people who experienced disrupted access to healthcare during the covid-19 pandemic and risk of an avoidable hospital admission.
Design Observational analysis using evidence from seven linked longitudinal cohort studies for England.
Setting Studies linked to electronic health records from NHS Digital from 1 March 2020 to 25 August 2022. Data were accessed using the UK Longitudinal Linkage Collaboration trusted research environment.
Participants Individual level records for 29 276 people.
Main outcome measures Avoidable hospital admissions defined as emergency hospital admissions for ambulatory care sensitive and emergency urgent care sensitive conditions.
Results 9742 participants (weighted percentage 35%, adjusted for sample structure of longitudinal cohorts) self-reported some form of disrupted access to healthcare during the covid-19 pandemic. People with disrupted access were at increased risk of any (odds ratio 1.
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Research Details The study examined 193 patients with ovarian cancer treated at eight New York City hospitals. Just over 71 percent of the Black women with COVID-19 required hospitalization compared with 46 percent of non-Black patients. Of the 34 patients who died from COVID-19, 41.2 percent of them were Black.
Why It Matters The study analysis suggested that Black patients with COVID-19 had a higher prevalence of other health problems that contributed to their worsening COVID-19 infection. The underlying causes of racial disparities are multifactorial and include limited access to healthcare, [and] social determinants of health, racism, and discrimination. The COVID-19 pandemic has only heightened these and brought awareness, said senior author Bhavana Pothuri, MD, of NYU Langone Health in New York City.
Study provides key data on safety of head and neck cancer surgery during COVID-19 pandemic
Dec 21 2020
A recent international observational study provides important data on the safety of head and neck cancer surgery during the COVID-19 pandemic. The findings are published early online in
CANCER, a peer-reviewed journal of the American Cancer Society. The study is part of the COVIDSurg Collaborative, an initiative to describe surgical practices during the early period of the pandemic, when many hospitals had limited capacity and when it was unclear whether it was safer to delay or continue in-hospital cancer treatments. The problems were particularly acute in head and neck cancer surgery because for many cases, cure is dependent on surgery, but there was great concern about spreading infection from aerosol-generating procedures in the airway, said corresponding author Richard J. Shaw, MD, FDS, FRCS, of The University of Liverpool Cancer Research Centre, in the U.K.
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A recent international observational study provides important data on the safety of head and neck cancer surgery during the COVID-19 pandemic. The findings are published early online in
CANCER, a peer-reviewed journal of the American Cancer Society. The study is part of the COVIDSurg Collaborative, an initiative to describe surgical practices during the early period of the pandemic, when many hospitals had limited capacity and when it was unclear whether it was safer to delay or continue in-hospital cancer treatments. The problems were particularly acute in head and neck cancer surgery because for many cases, cure is dependent on surgery, but there was great concern about spreading infection from aerosol-generating procedures in the airway, said corresponding author Richard J. Shaw, MD, FDS, FRCS, of The University of Liverpool Cancer Research Centre, in the U.K.