1. Interventional Radiology in the Coronavirus Disease 2019 Pandemic: Impact on Practices and Wellbeing
- Author
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Christopher R. Ingraham, David S. Shin, Andrew Woerner, Keith Pereira, Anthony N. Hage, Eunjee Lee, Jeffrey Forris Beecham Chick, Eric J. Monroe, and Mina S. Makary
- Subjects
Male ,Coronavirus disease 2019 pandemic ,medicine.medical_specialty ,IRB, Institutional Review Board ,Coronavirus disease 2019 (COVID-19) ,SIR, Society of interventional radiology ,Dysfunctional family ,Burnout ,Radiology, Interventional ,Anxiety ,GAD-7, Generalized anxiety disorder 7-item scale ,030218 nuclear medicine & medical imaging ,STROBE, Strengthening the reporting of observational studies in epidemiology ,DR, Diagnostic radiology ,03 medical and health sciences ,0302 clinical medicine ,Practices ,Pandemic ,Adaptation, Psychological ,Radiologists ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,PPE, Personal protective equipment ,Pandemics ,Original Investigation ,High rate ,Coping strategies ,Interventional radiology ,COVID-19, Coronavirus disease 2019 ,medicine.diagnostic_test ,business.industry ,Wellbeing ,IR, Interventional radiology ,Brief-COPE, Brief-coping orientation to problems experienced ,COVID-19 ,HIPAA, Health Insurance Portability and Accountability Act ,Generalized anxiety ,GAD-7, Brief-COPE ,030220 oncology & carcinogenesis ,Family medicine ,IR ,Female ,medicine.symptom ,business - Abstract
Purpose To report the impact of the coronavirus disease 2019 (COVID-19) pandemic on interventional radiology (IR). Materials and Methods A 78-question survey was distributed to practicing interventional radiologists and IR trainees. The survey consisted of demographic and practice environment queries. Anxiety symptoms were evaluated using the Generalized Anxiety Disorder-7 (GAD-7) screener, and coping strategies were assessed using the Brief-Coping Orientation to Problems Experienced (Brief-COPE) questionnaire. Results There were 422 respondents including 333 (78.9%) attending interventional radiologists and 89 (21.1%) interventional radiologists-in-training from 15 counties. Most respondents were from academic medical centers (n = 218; 51.7%). A large majority (n = 391; 92.7%) performed a procedure on a patient with confirmed COVID-19 infection. An N95 mask was the most common (n = 366; 93.6%) safety measure employed. Cancellation or limitation of elective procedures were reported by 276 (65.4%) respondents. Many respondents (n = 177; 41.9%) had self-reported anxiety (GAD-7 score >5) with an overall mean GAD-7 score of 4.64 ± 4.63 (range: 0-21). Factors associated with reporting anxiety included female gender (p = 0.045), increased call coverage (p = 0.048), lack of adequate departmental adjustments (p 125% with adoption of dysfunctional strategies. Conclusion The COVID-19 pandemic induced practice alterations and high rates of self-reported anxiety in IR. Female gender, increased call coverage, and lack of adequate or timely departmental adjustments were associated with increased anxiety levels.
- Published
- 2021