Open research questions in COVID-19 and healthcare impacts
292 gap statements mined from COVID-19 and healthcare impacts papers in our 7.9M-paper local library, which holds 2,714 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
The long-term effect of the COVID-19 pandemic on health facility visits remains uncertain. Evidence is limited on whether recovery differed between hospitals and township health centres.
Unequal recovery of health facility visits in hospitals and township health centres after COVID-19 disruption in Henan Province, China, 2014–2024: a time-series study · 2026 · DOIHow such policies reshape gender gaps in cancer detection, and whether either sex faces disproportionate harm, remains underexplored.
Paradox of engagement: precautionary public health alerts and gender inequality in cancer diagnosis—a quasi-experimental study · 2026 · DOIHowever, its effects on type 2 diabetes incidence remain poorly understood, particularly how they differ between population groups, which has not yet been examined in a Swedish context.
Disparities in type 2 diabetes incidence trends during the COVID-19 pandemic in Sweden: a register-based population study · 2026 · DOIIts long-term effect remains uncertain, especially after the major adjustment of China’s COVID-19 control policies at the end of 2022.
Unequal recovery of health facility visits in hospitals and township health centres after COVID-19 disruption in Henan Province, China, 2014–2024: a time-series study · 2026 · DOIHowever, to our knowledge, no studies have investigated how the pandemic influenced the number of procedures performed for femoropopliteal peripheral arterial disease (FPD).
Impact of COVID-19 Pandemic on Treatment and Outcome of Patients With Femoropopliteal Peripheral Arterial Disease · 2025 · DOIGiven the observed decline in activity throughout the study period, further research is necessary to evaluate whether the population’s healthcare needs were adequately met, and to identify any impacts on mortality, life expectancy, unmet healthcare needs, private health spending, or other relevant areas.
PA2096. The effect of COVID-19 on emergency department visits: Real-world data from Greece, 2016-2024 · 2025 · DOITheir impact on oncology-specific emergency presentations remains poorly defined.
Weathering the Storm: The Impact of Weather Events, Lockdowns and Holidays on Oncology and General Emergency Presentations to a United Kingdom Tertiary Centre-A 7.5-year Review · 2025 · DOIImpacts of patterns of care during the pandemic should be further explored for healthcare planning to uphold optimal care access and promote effective use of virtual care.
A population-based analysis of rheumatology care patterns for inflammatory arthritis during COVID-19 in Alberta, Canada · 2024 · DOIInconsistent results are found regarding social inequalities related to healthcare appointment cancellations during the COVID-19 crisis.
Social inequalities in medical appointment cancellations and reschedulings at the onset of the COVID-19 epidemic in France · 2024 · DOIIt remains unknown whether this downsizing led to increased care in other healthcare settings.
Who took care of patients with diabetes during the COVID-19-pandemic? A registry-based study · 2024 · DOIWhether the COVID-19 pandemic itself and/or changes in management have led to excess mortality among hematological patients during the COVID-19 pandemic in Denmark has not yet been investigated.
Mortality in patients with lymphoid malignancies and multiple myeloma was stable upon and during the COVID‐19 pandemic: A population‐based, nation‐wide study · 2024 · DOIUrgent attention is warranted to establish biliary pathways that guarantee timely and definitive management of gallstones for patients.
ThP5.1 - The Influence of the COVID-19 Pandemic on the Complexity of Laparoscopic Cholecystectomy · 2024 · DOISmall sample size was a significant limitation; we recommend a larger scale, multi-centre study to investigate this further.
370 Do Prolonged Surgery Waiting List Times Affect the Incidence of Post-Tonsillectomy Haemorrhage, in the Context of the COVID-19 Pandemic? · 2024 · DOIThe impact of the COVID-19 pandemic on asthma hospitalizations and mortality in Brazil is not well understood. There is a need to analyze the epidemiological profile of asthma hospitalizations and deaths in Brazil.
IMPACTO DA PANDEMIA DE COVID-19 NAS INTERNAÇÕES E MORTALIDADE POR ASMA NO BRASIL: ANÁLISE REGIONAL E SAZONAL · 2026 · DOIThe lack of information on the costs associated with COVID-19 hospitalizations. The need for estimates of hospitalization costs to inform healthcare policy and resource allocation decisions.
Hospitalization costs of patients with severe acute respiratory infections due to COVID-19 in a public teaching hospital: a micro-costing approach · 2026 · DOIFuture research should explore whether implementing COVID-19 vaccination programs targeted at older adults can reduce adverse outcomes, including VTE and mortality, in this high-risk group.
Vaccination is associated with reduced mortality rates after surgery for hip fractures in the setting of recent COVID-19 infection: an observational study from the Kaiser Permanente Northern California Database · 2026 · DOIThe study faces challenges in quantifying the pandemic's impact on life expectancy due to the complexity of the data and the need to control for various factors. The analysis must account for regional differences and structural disparities in healthcare systems and socioeconomic conditions.
Excess Mortality as the Primary Mediator of COVID-19’s Impact on Life Expectancy in Europe: A Multilevel Longitudinal Analysis of Regional Disparities · 2026 · DOIThe pandemic's differential impact across European regions remains inadequately quantified. The mediating mechanisms of the pandemic's impact on life expectancy are not well understood.
Excess Mortality as the Primary Mediator of COVID-19’s Impact on Life Expectancy in Europe: A Multilevel Longitudinal Analysis of Regional Disparities · 2026 · DOIThere is a need to analyze the impact of COVID-19 on life expectancy in different regions of Brazil. There is a lack of studies on the differences in mortality rates and life expectancy between regions in Brazil.
COVID-19 E DIFERENCIAIS NA EXPECTATIVA DE VIDA DA POPULAÇÃO IDOSA POR REGIÕES DO BRASIL · 2026 · DOIThere is a lack of studies on the impact of the pandemic on interprofessional relationships. The current study addresses this gap by assessing the specific impact on relationships between pharmacists and physicians.
The impact of the COVID-19 pandemic on interprofessional relationships between pharmacists and physicians · 2026 · DOIThe researchers had limited data on the women's vaccination status prior to hospitalization. The study highlights the challenges of managing COVID-19 in pregnancy, particularly in critically ill women.
Ishodi bolesti COVID-19 u trudnica hospitaliziranih u Klinici za infektivne bolesti „Dr. Fran Mihaljević“ u Zagrebu · 2026 · DOIFew studies have reported the impacts of COVID-19-related delayed treatment; this was a missed opportunity.
What has the COVID ‐19 pandemic taught us about safety of surgical wait times in urological oncology? · 2025 · DOISpecifically in Brazil, higher DM mortality was observed when counting any mention of DM in the death certificates, even when COVID-19 deaths were excluded, pointing to a greater burden of DM related mortality, and potential underreported COVID-19 deaths.
Multiple cause of death during the COVID-19 pandemic: a population study In Colombia and Brazil · 2026 · DOIThis research prompts further investigation into the desirability of CDMPs among patients, GPs, hospitals and policymakers, crucial for assessing undesirable healthcare shifts in diabetic patients.
Who took care of patients with diabetes during the COVID-19-pandemic? A registry-based study · 2024 · DOIAim The operative difficulty of Laparoscopic Cholecystectomy (LC) varies widely.
ThP5.1 - The Influence of the COVID-19 Pandemic on the Complexity of Laparoscopic Cholecystectomy · 2024 · DOI
Most-cited papers in COVID-19 and healthcare impacts
- Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study · The Lancet · 2020 · 21,389 citations
- Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021 · The Lancet · 2024 · 4,224 citations
- Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China · The Lancet Oncology · 2020 · 3,431 citations
- Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe · Nature · 2020 · 2,839 citations
- Fair Allocation of Scarce Medical Resources in the Time of Covid-19 · New England Journal of Medicine · 2020 · 2,444 citations
- Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021 · The Lancet · 2024 · 2,399 citations
- COVID-19 and Italy: what next? · The Lancet · 2020 · 2,205 citations
- Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life Years for 29 Cancer Groups From 2010 to 2019 · JAMA Oncology · 2021 · 1,807 citations
- Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy · JAMA · 2020 · 1,780 citations
- Critical Supply Shortages — The Need for Ventilators and Personal Protective Equipment during the Covid-19 Pandemic · New England Journal of Medicine · 2020 · 1,615 citations
Most recent work
- Prognostic Impact of COVID-19 on Patients With Acute Coronary Syndrome Undergoing Emergent Percutaneous Coronary Intervention ― Insights From the J-PCI Nationwide Registry ― · Circulation Journal · 2026
- Impact of COVID-19 on cervical cancer screening: A cohort study · Journal of the Formosan Medical Association · 2026
- Survival of Patients Diagnosed With Cancer During the COVID-19 Pandemic · JAMA Oncology · 2026
- Impacts of a Public Health Emergency on Cancer Testing Rates, Follow-up, and Cancer Diagnosis: An Evaluation of the COVID-19 Pandemic · Cancer Epidemiology Biomarkers & Prevention · 2026
- International disruptions to cancer diagnosis and stage at presentation during the COVID-19 pandemic in 2020: an International Cancer Benchmarking Partnership (ICBP) population-based study · The Lancet Oncology · 2026
- National Trends and Predictors of Waiting Times for Cancer Surgery in the US · JAMA Surgery · 2026
- 30-day postoperative mortality and the effects of hospital preparedness during the COVID-19 pandemic: a pooled analysis of prospective international cohort studies · The Lancet Regional Health - Europe · 2026
- Sex differences in excess mortality during the COVID-19 pandemic: a longitudinal ecological analysis of 34 high-income countries · EClinicalMedicine · 2026
- Breast Cancer Surgery Wait Times and COVID-19: A Canadian Population-Based Analysis · Annals of Surgical Oncology · 2026
- Renal failure mortality, 1999–2022: exploring demographic and regional trends and the impact of the COVID-19 pandemic · BMC Nephrology · 2026
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