De-implementation Outcomes

By February 2022, 6 of 12 evaluated interventions had significantly lower counts than expected compared with matched controls. Exercise ECG had the largest reduction among evaluated interventions. Kidney stone removal and upper GI endoscop…

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By February 2022, 6 of 12 evaluated interventions had significantly lower counts than expected compared with matched controls. Exercise ECG had the largest reduction among evaluated interventions. Kidney stone removal and upper GI endoscopy had higher-than-predicted counts by February 2022. Wave 2 of the EBI programme had mixed effects because reduced use occurred for some interventions but not others. Four interventions showed no statistically significant difference from expected counts. Forced reductions in elective care during COVID-19 did not automatically become sustained de-implementation.