A medical ethics review of elective orthopaedic surgery management during the pandemic COVID-19 Era

Munir, Muhammad A.; Tandiabang, Pascal Adventra; Basry, Amirah; Setyawati, Try; Nasrun, Nasrun; Mahardinata, Nur Azid; Rahman, Nurulhuda

doi:10.1016/j.amsu.2022.103845

Cited by 3 publications

(5 citation statements)

References 32 publications

(31 reference statements)

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“…The advancement of medical ethics research globally is profoundly influenced by contributions from researchers around the world [ 1 , 2 , 4 , 5 ]. The publication of new findings is a pivotal aspect of research activities [ 3 , 6 , 7 , 38 ]. Editorial boards, as central entities of academic journals, exert considerable influence over the publication landscape and the future direction of these journals [ 26 , 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…Medical ethics, an integral component of the healthcare sector, plays a critical role in guiding professionals towards ethically sound decision-making and in safeguarding patient welfare and rights [ 1 – 3 ]. Tracing its origins to ancient civilizations and evolving continuously over centuries, medical ethics is foundational in ensuring the provision of ethical and compassionate patient care [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…In recent years, the development of medical ethics has exerted a substantial influence on the healthcare landscape [ 1 , 3 , 7 ]. The dissemination of medical ethics research is pivotal in informing ethical decision-making in both patient care and biomedical research [ 2 – 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Analyzing the composition of the editorial boards in high-impact medical ethics journals: a survey study

Jia,

Liu,

et al. 2024

BMC Med Ethics

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Background The underrepresentation of scholarly works from low- and middle-income countries (LMICs) in academic literature is a documented concern, attributed partly to editorial biases. This trend, prevalent across various disciplines, has been less explored in the context of medical ethics journals. This study aimed to examine the composition of editorial board members (EBM) in high-impact medical ethics journals and to evaluate the extent of international diversity within these editorial teams. Methods This study incorporated an analysis of 16 high-impact medical ethics journals. Information regarding the EBM of these journals was systematically gathered and categorized based on the World Bank’s country income classifications. An in-depth examination of the editorial board compositions was then conducted. Results The study identified 669 EBM across the selected journals. A predominant 89.84% (601) of these members were from high-income countries (HICs), with upper-middle-income countries contributing 7.47% (50) and lower-middle-income countries 2.69% (18). No EBM were associated with low-income countries. A regional breakdown indicated that North America was the most represented area, accounting for 48.88% (327), followed by Europe & Central Asia (27.50%, 184), East Asia & Pacific (13.45%, 90), Latin America & Caribbean (4.63%, 31), Sub-Saharan Africa (4.19%, 28), Middle East & North Africa (0.75%, 5), and South Asia (0.60%, 4). In total, these EBMs hailed from 46 different countries, with the United States representing the largest proportion (43.80%, 293), followed by the United Kingdom (13.15%, 88), Australia (7.92%, 53), Germany (6.73%, 45), and Canada (5.08%, 34). Conclusions There is a significant lack of international representation within the EBM of high-impact medical ethics journals. The majority of editors in this field are affiliated with HICs, leading to a severe underrepresentation of LMICs within the editorial boards.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Analyzing the composition of the editorial boards in high-impact medical ethics journals: a survey study

Jia,

Liu,

et al. 2024

BMC Med Ethics

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“…It has been shown that the number of elective surgeries has significantly decreased during the pandemic, while trauma and emergency surgeries have not decreased [ 16 ]. Since surgical treatments for fractures are more often required in younger patients, the number of surgeries has decreased less in children [ 41 , 42 ]. We assume that this, combined with the reluctance to visit hospitals for “light” injuries during the pandemic, has led to an increase in the surgery ratio of early adolescent fractures.…”

Section: Discussionmentioning

confidence: 99%

The Effect of the COVID-19 Pandemic on Early Adolescent Fractures in the Republic of Korea

Park,

Kang,

Yoon

et al. 2023

Medicina

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Background and Objectives: Restrictions on daily activities to slow down the propagation of COVID-19 have changed the epidemiological pattern of pediatric fractures in many countries. However, the effect of the pandemic on pediatric fractures has not been fully studied. In this study, we investigated the impact of COVID-19 on early adolescent fractures in Korea. Materials and methods: We conducted a retrospective follow-up on a nationwide cohort of Korean early adolescents born between 2006 and 2009. The prevalence and incidence of pediatric fractures and the frequency of surgical treatment were compared between two different eras. Results: The prevalence and incidence of fractures during the pandemic have both shown a significant decrease: prevalence reduced from 34,626 to 24,789 (p < 0.001), while incidence decreased from 29,804 to 18,898 (p < 0.001). Considering sex, the shift in fracture prevalence was statistically significant (p = 0.020), whereas the incidence was not (p = 0.862). The decline in both fracture prevalence and incidence exhibited significant variation across birth year groups (prevalence, p < 0.001; incidence, p < 0.001), with a more pronounced reduction observed in the older age groups. While the proportion of patients who required surgeries has increased, the mean frequency of surgical treatment per patient remained at a similar level (by prevalence, p = 0.181; by incidence, p = 0.735). The decline in both fracture prevalence and incidence has shown significant variation in relation to fracture sites (prevalence, p < 0.001; incidence, p < 0.001), with a decrease in distal limb fractures and an increase in forearm and axial body fractures. Conclusions: The pediatric fracture pattern in Korea has been notably influenced by the COVID-19 pandemic, warranting further investigation into causal factors. Our findings should help predict epidemiology in the post-pandemic period and thus aid policymaking and patient management.

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“…Physicians are responsible for acting in the best interests of their patients, regardless of personal motives, and patients must have confidence in their ability to do so. [30] Blood services should be carried out with respect for maintaining the security and safety of blood as a human organ, donors as donors, and patients as recipients of blood through transfusion. The Hippocratic Oath made a major contribution to upholding the medical profession as a respectable profession in society.…”

Section: Blood Services In a Bioethical Reviewmentioning

confidence: 99%

An Insight Toward Better of Blood Services; Bioethical Review

Wijayanti,

Retnanigrum

2023

Advances in Social Science, Education and Humanities Research

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Health services are efforts organized alone or together in an organization to maintain and improve health, prevent and cure diseases and restore the health of individuals, families, groups or communities in order to realize optimal public health status. Blood services are health efforts that utilize human blood as a basic material for humanitarian purposes and not for commercial purposes. Blood is an important therapeutic product for human life, and its quality and safety must be guaranteed. The doctor's decision to give a transfusion is often assumed with the worst possibility that can occur, so it will require more time and effort to crossmatch. The purpose of this study is to analyze the effectiveness of blood ordering and transfusion administration by clinicians in elective surgery patient services. This research is normative with a qualitative approach. Qualitative research uses a statutory approach, a concept approach, and a case approach. Data collection techniques using literature reviews from primary and secondary data sources. The results showed that the maximum blood ordering schedule (MBOS) play a role in increasing the effectiveness of blood ordering and transfusing blood. Standard Operating Procedures (SOPs) for blood ordering and blood donor information systems need to be developed to improve the effectiveness of blood transfusion services at the Blood Transfusion Unit (UTD). Doctors who request blood for transfusion must be consistent with the existing SOP, be clear in writing the patient's indication on the transfusion request sheet, and give more consideration to the number of blood bags requested in accordance with the appropriate needs analysis.

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A medical ethics review of elective orthopaedic surgery management during the pandemic COVID-19 Era

Cited by 3 publications

References 32 publications

Analyzing the composition of the editorial boards in high-impact medical ethics journals: a survey study

Analyzing the composition of the editorial boards in high-impact medical ethics journals: a survey study

The Effect of the COVID-19 Pandemic on Early Adolescent Fractures in the Republic of Korea

An Insight Toward Better of Blood Services; Bioethical Review

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