Older adults with multiple medical issues worse affected by cancelled operations




One in eight (12%) of all adults over 50 had a hospital operation or treatment cancelled last year and this rose to one in five (20%) for those with two or more existing medical conditions, according to new ELSA research. The most common treatments cancelled were eye and cancer related surgery.



The research also shows that fewer cases of dementia were diagnosed in lockdown compared to before the pandemic but diagnoses for arthritis, chronic lung disease, diabetes and hypertension all increased during the pandemic


For the study, the researchers analysed data from over 7,000 ELSA participants from before and during the pandemic.


Lead author, Dr Paola Zaninotto (UCL Epidemiology and Public Health) said: “Our study shows that access to health and social care services during lockdown may have disproportionately affected older people and those with multiple medical conditions.


“We found that the rates of diagnoses of new health conditions during the pandemic in the second half of 2020 were substantially higher from the pre pandemic rates reported in 2018 to 2019.”


7,289 adults took part in the survey before the lockdown occurred. 5,825 adults provided information in Wave 1 of the study between June and July 2020 and 5,339 took part for Wave 2 of the study between November and December 2020.


Of the 623 adults who had had their operations or treatments cancelled between March and December in 2020, nearly half were still waiting in November and December for their hospital appointment to be rescheduled.


Diagnosis rates for dementia dropped from 9.09 per 1,000 adults pre-COVID-19 (2018/2019) to 4.53 per 1,000 adults in June/July 2020 and to 3.58 adults per 1,000 in November/December 2020.


Diagnosis rates for arthritis increased from 29.11 per 1,000 adults pre-Covid (2018/2019) to 39.26 per 1,000 adults in June/July 2020 and 50.59 per 1,000 adults in November/December 2020. Chronic lung disease diagnoses were 7.18 per 1,000 adults pre Covid, 8.58 per 1,000 adults in June/July 2020 and 13.28 per 1,000 adults in November/December 2020.


The authors note that the findings regarding dementia diagnosis rates dropping must be interpreted carefully as the exact reasons are unknown.


Dr Zaninotto explained, “The increased isolation during lockdown may have meant that cognitive decline went unnoticed by friends and relatives, or barriers to accessing healthcare may have been experienced more by those with early dementia.


“Conversely, other conditions were diagnosed more frequently than before the pandemic, including arthritis, chronic lung disease, diabetes and hypertension. Again, the reasons for these increases are not clear, but fewer opportunities for physical activity and social interaction may have played a part.”



Zaninotto P, Di Gessa G, Cole J, Steel N. Multimorbidity, access to services and diagnosis of new health conditions during the COVID-19 pandemic.

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Multimorbidity, access to services and diagnosis of new health conditions during the COVID-19 pandemic
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