Impact of the COVID-19 pandemic on CTSA Clinical Research Centers over 2 years

Abstract Introduction: The COVID-19 pandemic had an abrupt impact on patient-oriented research early in the pandemic. CTSA Clinical Research Centers (CRCs) rapidly adapted to this challenge, but the continued impact of later phases of the pandemic on CRC operations is not clear. Methods: An onli...

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Main Authors: Mary H. Samuels, Ella Hommeyer, Brian Booty, Kelli Frost, Cynthia Morris
Format: Article
Language:English
Published: Cambridge University Press 2023-01-01
Series:Journal of Clinical and Translational Science
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2059866123005435/type/journal_article
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author Mary H. Samuels
Ella Hommeyer
Brian Booty
Kelli Frost
Cynthia Morris
author_facet Mary H. Samuels
Ella Hommeyer
Brian Booty
Kelli Frost
Cynthia Morris
author_sort Mary H. Samuels
collection DOAJ
description Abstract Introduction: The COVID-19 pandemic had an abrupt impact on patient-oriented research early in the pandemic. CTSA Clinical Research Centers (CRCs) rapidly adapted to this challenge, but the continued impact of later phases of the pandemic on CRC operations is not clear. Methods: An online REDCap survey of CTSA CRCs was developed that covered the first 2 years of the pandemic. The survey focused on impact on CRC functions, mitigation strategies, recovery of CRC activities, CRC contributions to COVID-related research, and potential lessons for future public health emergencies. The survey was sent to CRC directors at 61 CTSA Hubs in May 2022. Results: Twenty-seven Hubs (44%) responded to the survey. Most CRCs reported greater than 50% declines in inpatient census in the first year of the pandemic, with less severe impacts on outpatient census. CRCs pivoted to support COVID-related research and adopted innovative technology-driven approaches to support clinical research. Census improved in the second year of the pandemic in most CRCs but often remained below pre-pandemic levels, and greater than half of CRCs reported decreased revenue. Conclusions: CTSA-supported CRCs faced unprecedented challenges at the onset of the COVID-19 pandemic and responded rapidly to support COVID-related research and implement innovative approaches that allowed patient-oriented research activities to resume. However, many CRCs continued to report decreased research activities in the second year of the pandemic, and the long-term effects on CRC operations on finances are not clear. CRCs will likely need to evolve to provide support in nontraditional ways.
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spelling doaj.art-1d17be3b4d7b463686b99f85332d5f6f2023-05-26T04:55:07ZengCambridge University PressJournal of Clinical and Translational Science2059-86612023-01-01710.1017/cts.2023.543Impact of the COVID-19 pandemic on CTSA Clinical Research Centers over 2 yearsMary H. Samuels0https://orcid.org/0000-0003-4649-4897Ella Hommeyer1Brian Booty2Kelli Frost3Cynthia Morris4Oregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USAOregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USAOregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USAOregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USAOregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USA Abstract Introduction: The COVID-19 pandemic had an abrupt impact on patient-oriented research early in the pandemic. CTSA Clinical Research Centers (CRCs) rapidly adapted to this challenge, but the continued impact of later phases of the pandemic on CRC operations is not clear. Methods: An online REDCap survey of CTSA CRCs was developed that covered the first 2 years of the pandemic. The survey focused on impact on CRC functions, mitigation strategies, recovery of CRC activities, CRC contributions to COVID-related research, and potential lessons for future public health emergencies. The survey was sent to CRC directors at 61 CTSA Hubs in May 2022. Results: Twenty-seven Hubs (44%) responded to the survey. Most CRCs reported greater than 50% declines in inpatient census in the first year of the pandemic, with less severe impacts on outpatient census. CRCs pivoted to support COVID-related research and adopted innovative technology-driven approaches to support clinical research. Census improved in the second year of the pandemic in most CRCs but often remained below pre-pandemic levels, and greater than half of CRCs reported decreased revenue. Conclusions: CTSA-supported CRCs faced unprecedented challenges at the onset of the COVID-19 pandemic and responded rapidly to support COVID-related research and implement innovative approaches that allowed patient-oriented research activities to resume. However, many CRCs continued to report decreased research activities in the second year of the pandemic, and the long-term effects on CRC operations on finances are not clear. CRCs will likely need to evolve to provide support in nontraditional ways. https://www.cambridge.org/core/product/identifier/S2059866123005435/type/journal_articleClinical Research CentersCOVID-19 pandemicCTSA hubssurveypatient-oriented research
spellingShingle Mary H. Samuels
Ella Hommeyer
Brian Booty
Kelli Frost
Cynthia Morris
Impact of the COVID-19 pandemic on CTSA Clinical Research Centers over 2 years
Journal of Clinical and Translational Science
Clinical Research Centers
COVID-19 pandemic
CTSA hubs
survey
patient-oriented research
title Impact of the COVID-19 pandemic on CTSA Clinical Research Centers over 2 years
title_full Impact of the COVID-19 pandemic on CTSA Clinical Research Centers over 2 years
title_fullStr Impact of the COVID-19 pandemic on CTSA Clinical Research Centers over 2 years
title_full_unstemmed Impact of the COVID-19 pandemic on CTSA Clinical Research Centers over 2 years
title_short Impact of the COVID-19 pandemic on CTSA Clinical Research Centers over 2 years
title_sort impact of the covid 19 pandemic on ctsa clinical research centers over 2 years
topic Clinical Research Centers
COVID-19 pandemic
CTSA hubs
survey
patient-oriented research
url https://www.cambridge.org/core/product/identifier/S2059866123005435/type/journal_article
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AT brianbooty impactofthecovid19pandemiconctsaclinicalresearchcentersover2years
AT kellifrost impactofthecovid19pandemiconctsaclinicalresearchcentersover2years
AT cynthiamorris impactofthecovid19pandemiconctsaclinicalresearchcentersover2years