Collateral damage of the COVID-19 pandemic: an alarming decline in critical procedures in otorhinolaryngology in a German university hospital

Riemann, S; Speck, Iva; Gerstacker, Kathrin; Becker, Christoph; Knopf, Andreas

doi:10.1007/s00405-020-06519-1

Cited by 13 publications

(8 citation statements)

References 26 publications

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“…To allow for drawing stronger and more robust conclusions, analytical observational studies that made statistical comparisons with previous years were selected, which used the Chi-square U test, t -test, and/or Fisher’s test for categorical variables and the Mann–Whitney test for continuous variables, with values considered statistically significant when p < 0.05 [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 ]. In fact, there was an interesting number of analytical studies in the literature that assessed the impact of the pandemic period on the number of procedures performed, but a large part did not perform statistical analysis, making it less representative and less sensitive to small changes [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic Period on Patients with Head and Neck Carcinoma: A Systematic Review

Pereira

Fernandes

et al. 2023

Diseases

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Introduction: The COVID-19 pandemic has significantly impacted all public life and the global economy. Since its discovery, the disease has spread rapidly, which led to an unprecedented public health crisis and the adoption of extreme measures to limit community and hospital spread. As a result of a confluence of extraordinary circumstances caused by this pandemic, the doctrines of treatment for patients with head and neck carcinoma had to be reanalyzed, guaranteeing the well-being of both patients and health professionals as well as society itself. Objective: The aim of our systematic review was to study the impact of the COVID-19 pandemic period on head and neck cancer patients, the effects on the health care provided and on patient health. Materials and Methods: This systematic review was based on the PRISMA guidelines and PICO strategy, with the focus question, “How has the COVID-19 pandemic period conditioned the treatment of patients with head and neck carcinoma?” Thus, electronic research was carried out on six databases: LILACS, PubMed/MedLine, Web of Science, the Cochrane COVID-19 Study Register, Scielo, and Scopus, aiming to answer the research question by considering the objective and defined criteria. The following information was extracted: author and year of the publication, patients’ age, gender, time until the first appointment, time from the first appointment to the surgery, the period in the hospital, time in intensive care, TNM, general stage of cancer, diagnostic procedures, oncological procedures, reconstructive surgery, and postoperative complications. Results: Initially, 837 articles were found. After removing duplicates, we obtained 471 studies. After screening by title and abstract, 67 articles were selected for full-text reading (k = 92) in order to assess their eligibility. Thus, nine articles were included (k = 1.0). All data and statistical results were obtained and contrasted. The included studies made it possible to reveal distinct impacts felt in different institutions of several countries, not allowing generalizable conclusions to be drawn. However, some of the variables analyzed are worrying, namely, the limitations that occurred in some types of oncological surgeries, as well as the increase in the number of patients admitted with higher TNM classifications and more debilitated general conditions. Conclusion: Within the limitation of this review, the results showed efforts made to prevent the pandemic from affecting the healthcare provided. There were no significant differences in days inside the intensive care unit, postoperative complications, and, in most cases, length of stay in the hospital. There were no differences in the number of patients admitted with a history of recurrence or neoadjuvant treatment. However, some variables raise concerns, such as the increase in patients with more advanced stage and TNM classification and a decrease in certain oncological procedures.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic Period on Patients with Head and Neck Carcinoma: A Systematic Review

Pereira

Fernandes

et al. 2023

Diseases

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“…Secondly, respiratory infections are common in this patient group and many procedures are aerosol producing, therefore, disqualifying surgery when symptomatic. Unfortunately, there is a lack of comparative data concerning pediatric ENT surgery, but several reports from adult or mixed ENT departments are reporting similar reductions 11‐13 . In an attempt to avoid unnecessary cancelations and thereby risking long term negative effects in patients, international guidelines have quickly been established to restart pediatric ENT surgery worldwide, but we are not aware of any such measures from professional organizations in Sweden 14 …”

Section: Discussionmentioning

confidence: 99%

The COVID‐19 pandemic first wave in Sweden: A national registry study of the effects on pediatric anesthesia and surgery

Melander

Almström

Enlund

et al. 2021

Pediatric Anesthesia

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Background The COVID‐19 pandemic is pushing healthcare systems to their limits. Dramatic reductions in the adult elective surgery are ubiquitous, but corresponding changes in pediatric services are not well described. The Swedish Perioperative Registry contains data on all anesthetic procedures in Sweden, and therefore, provides a unique opportunity to analyze the effect of the pandemic on the pediatric anesthesia capacity on a national level. We hypothesized that there would be a significant reduction in pediatric elective procedures. The aim was to determine the effects on pediatric surgical and anesthetic services during the first wave of the COVID‐19 pandemic in Sweden. Methods For this retrospective registry cohort study, we extracted all procedures performed on patients <18 years of age in 2020 and 2019. Weeks 12 to 26 of 2020 were defined as the first wave, and data were analyzed according to level of care, type of surgery, procedure code, and emergency or elective surgery. Results We found 7015 fewer procedures during the first wave epoch. Elective cases were reduced by 53.7% while emergency surgery was not significantly affected. During the peak of the first wave in April, there was a 72.8% reduction in elective cases; ENT/maxillofacial surgery showed the greatest reduction (86.7%). The surgical and anesthesia capacity recovered to near‐normal levels by the end of June 2020. Conclusion We conclude that the impact of COVID‐19 on pediatric surgical procedures in Sweden during the first wave of the pandemic was dramatic, but elective services were restored a few months after the peak.

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“…Weiterhin wurde von jedem fünften Befragten (21 %) eine veränderte Indikationsstellung in Form vermehrter Radio-/ Chemotherapien berichtet. Riemann und Kollegen beschrieben am Beispiel der Universitäts-HNO-Klinik Freiburg während der ersten Infektionswelle einen Rückgang abklärungsbedürftiger Tumorverdachtsfälle von knapp 41 %, ohne dass Terminabsagen seitens der Klinik stattgefunden hätten [16].…”

Section: Tumorinzidenzen Und Internationale Richtlinienunclassified

COVID-19: Kollateralschäden in der Kopf-Hals-Onkologie und Präventivmaßnahmen für künftige Pandemien

Wilhelm¹,

Radeloff

Scherzad³

et al. 2023

Laryngorhinootologie

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ZusammenfassungDer Beginn der COVID-19-Pandemie führte zu enormen Herausforderungen für die globale Gesundheitsversorgung, da rasch Kapazitäten und Ressourcen für die Behandlung von COVID-19-Patienten zur Verfügung gestellt werden mussten. Dadurch kam es auch zu Einschränkungen bei der Versorgung onkologischer Patienten mit Kopf-Hals-Malignomen. Diese Übersichtsarbeit fasst die Entwicklung der Tumorinzidenzen während der Pandemie, die international erarbeiteten Richtlinien zur Versorgung von Patienten mit Kopf-Hals-Malignomen und Studien zur Verzögerung onkologischer Therapien sowie der Mortalität zusammen. Darüber hinaus werden Auswirkungen auf die psychische Gesundheit der Patienten, die psychosozialen Folgen sowie ethische Fragen beleuchtet. Perspektivisch werden Präventivmaßnahmen für derartige negative Kollateraleffekte bei künftigen Pandemien am Beispiel eines Konzepts für eine Applikationssoftware (App)-basierte digitale Betreuung von Patienten mit Kopf-Hals-Tumoren diskutiert.

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Collateral damage of the COVID-19 pandemic: an alarming decline in critical procedures in otorhinolaryngology in a German university hospital

Cited by 13 publications

References 26 publications

Impact of the COVID-19 Pandemic Period on Patients with Head and Neck Carcinoma: A Systematic Review

Impact of the COVID-19 Pandemic Period on Patients with Head and Neck Carcinoma: A Systematic Review

The COVID‐19 pandemic first wave in Sweden: A national registry study of the effects on pediatric anesthesia and surgery

COVID-19: Kollateralschäden in der Kopf-Hals-Onkologie und Präventivmaßnahmen für künftige Pandemien

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