How did regional lockdowns during the COVID-19 pandemic affect recruitment into a large multinational cohort study of intrauterine device users?
- PMID: 36918064
- PMCID: PMC10008180
- DOI: 10.1016/j.contraception.2023.110003
How did regional lockdowns during the COVID-19 pandemic affect recruitment into a large multinational cohort study of intrauterine device users?
Abstract
Objectives: To investigate the impact of lockdown policies on the recruitment of an ongoing cohort study.
Study design: We performed descriptive analyses of recruitment, dropout, and baseline characteristics over time. Oxford Stringency Index was used to assess the impact of regional constraints on recruitment.
Results: Drop in recruitment clearly reflected the Stringency Index within the first months of the pandemic. Unexpectedly, drop-out rates declined in 2020/2021. Baseline characteristics were comparable, yet younger women were recruited more frequently during the pandemic.
Conclusions: There was no strong evidence of recruitment bias due to the pandemic.
Implications: The COVID-19 pandemic is a potential source of bias for ongoing studies and its influence on the study conduct (e.g., recruitment, drop-out) should be thoroughly evaluated to ensure that study results are not biased in this regard. The Oxford's Government Stringency Index can be used to identify pandemic-affected time periods.
Keywords: COVID-19; Europe; IUD; Intrauterine devices; Recruitment; Stringency Index.
Copyright © 2023 Elsevier Inc. All rights reserved.
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References
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- World Health Organization. Coronavirus disease (COVID-19) pandemic: overview. 〈https://www.who.int/europe/emergencies/situations/covid-19〉. Accessed 4 Jan 2023.
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- Benson LS, Madden T, Tarleton J, Micks EA. Society of Family Planning interim clinical recommendations: contraceptive provision when healthcare access is restricted due to pandemic response: 2021 update: Society of Family Planning; 2021.
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