Corona – und kein Ende?

Hertl, Michael; Welzel, Julia

doi:10.1111/ddg.14630_g

Cited by 5 publications

(12 citation statements)

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“…This was a subjective assessment by the survey participants. Current literature confirms this assessment and shows that the COVID-19 pandemic had two facets: while staff and inpatient resources of dermatology clinics were restricted, 25 patients with malignant skin tumors also visited the clinics markedly less often. 3,28 One factor that obviously didn't play any role in dermatosurgical patient care was the vaccination status of the surgical team.…”

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confidence: 56%

Effects of the COVID‐19 pandemic on inpatient skin surgery in Germany: results of the DESSI‐survey

Balakirski,

Hofmann,

Isselmann

et al. 2023

J Deutsche Derma Gesell

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Background:The aim of the survey was to investigate a possible impairment of inpatient dermatological and dermatosurgical care in Germany due to the COVID-19 pandemic. Methods: An online survey on the impact of pandemic-related measures on inpatient care was sent to all German dermatology clinics. Only one person per clinic was asked to participate. Data analysis was mainly descriptive. Differences between university hospitals and non-university hospitals were calculated using the Chi-square test. Results: From the 113 dermatological clinics with inpatient care, we received 45 (39.8%) at least partially completed questionnaires. Of these, 25 (55.6%) came from university hospitals, 18 (40.0%) from teaching hospitals of a university, 1 (2.2%) from a non-teaching hospital, and 1 (2.2%) from a participant who did not provide any information on his facility. More than half of survey participants (57.8%) reported that many elective skin surgeries had to be canceled at their clinics at the beginning of the COVID-19 pandemic. However, most of the clinics (75.6%) were able to perform medically necessary surgeries (such as for malignant melanoma). Only 28.9% (13/45) of participants reported that skin surgery in their clinics returned to full strength after the COVID-19 pandemic. There was no statistically significant difference between university hospitals and non-university hospitals regarding the influence of COVID-19-related restrictions. Conclusions: Despite their heterogeneity, the results of the survey show an overall clear and long-term pandemic-related impairment of inpatient dermatology and skin surgery in Germany.

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Section: None Receivedsupporting

confidence: 56%

Effects of the COVID‐19 pandemic on inpatient skin surgery in Germany: results of the DESSI‐survey

Balakirski,

Hofmann,

Isselmann

et al. 2023

J Deutsche Derma Gesell

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“…Our study with a decline in the number of cases and an increase in tumor thickness suggests that there were limitations in the care of melanoma patients during the pandemic. On the one hand, these may be due to the fact that hospital resources were limited by bed reductions, staff absences, or reduced surgical capacity [5]. On the other hand, it is also possible and overall more likely that patients with suspicious pigmentary lesions sought medical attention later on…”

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confidence: 99%

Impact of the COVID‐19 pandemic on the care of patients with malignant melanoma

Welzel

Augustin

Gutzmer

2022

J Deutsche Derma Gesell

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Impact of the COVID-19 pandemic on the care of patients with malignant melanoma Dear Editors, the COVID-19 pandemic led to numerous limitations in medical care. In patients with malignant melanoma, early detection is critical for prognosis.To clarify whether the pandemic had an impact on tumor thickness at initial diagnosis, we conducted a survey of melanoma patients undergoing sentinel lymphonodectomies at 105 German dermatology clinics. We thereby considered January 2021 (during the lockdown) as well as corresponding periods before the pandemic in January 2020 and January 2019.The query included age, sex, tumor thickness, ulceration, and TNM stage (according to AJCC 2017). Tumor thickness at initial diagnosis in January 2021 was compared with corresponding values from the two previous years using a t-test. Due to the right-skewed distribution of tumor thickness, the data were first transformed (logarithmized). The significance level of 5% was adjusted after Bonferroni correction, with a P value < 0.025 assumed to be statistically significant. The survey was approved by the Ethics Committee of the Hannover Medical School (No. 9570_BO_K_2021).Forty-nine dermatology hospitals reported complete data sets. The total sum of all sentinel lymph node surgeries was

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“…Das politische Tagesgeschehen bildet sich auch in der Zeitschrift ab: Corona-Pandemie, Mangel an medizinischen Fachkräften, insuffiziente Finanzierung unserer Hochleistungsmedizin in den Kliniken, Ambulanzen und Arztpraxen sowie die geplante Ambulantisierung der Krankenversorgung. 4 Die Dermatologie als klinisches Fach ist bereits sehr stark ambulant aufgestellt. Viele kom-plexe Hauterkrankungen können aber nur in den Kliniken adäquat versorgt werden.…”

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“…Standespolitische Themen, früher eher eine Rarität, haben im JDDG einen zunehmenden Stellenwert erhalten. Das politische Tagesgeschehen bildet sich auch in der Zeitschrift ab: Corona‐Pandemie, Mangel an medizinischen Fachkräften, insuffiziente Finanzierung unserer Hochleistungsmedizin in den Kliniken, Ambulanzen und Arztpraxen sowie die geplante Ambulantisierung der Krankenversorgung 4 . Die Dermatologie als klinisches Fach ist bereits sehr stark ambulant aufgestellt.…”

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