Coronavirus Disease 2019 (COVID-19) and Neurosurgery Residency Action Plan: An Institutional Experience from the United States

Cabral, David T. Fernandes; Alan, Nima; Agarwal, Nitin; Lunsford, L. Dade; Monaco, Edward A.

doi:10.1016/j.wneu.2020.07.080

Cited by 11 publications

(10 citation statements)

References 23 publications

(25 reference statements)

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“… This is similar to the decline of the pandemic phase and planning a vaccination strategy by giving priority to elderly patients. 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 …”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 pandemic on the management of glioma patients around the world. An evidence-based review

Azab

Azzam

2021

Brain Disorders

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Background The coronavirus pandemic has affected many health care services worldwide since the emergence of the first case in Wuhan. Surgical neuro-oncology care is a fundamental part of hospital services, making it susceptible to strategic changes amid the COVID-19 pandemic. Methods An electronic search on several databases (PubMed/Medline, Scopus, and Google Scholar) from the beginning of the pandemic to the end of 2020, each paper was reviewed independently. The publication inclusion and exclusion criteria were done using Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. Results Eight studies were found to be eligible for our meta-analysis. Most of the studies were on a retrospective basis, except one which was retrospective and prospective. An overall of 951 glioma patients’ were included for surgical admission from the beginning of the pandemic until 2020. Seventy-four patients' had mortality outcomes, and 250 patients had complications for both surgical admitted and non-surgical admitted purposes. Conclusions To our knowledge, we made the first systematic review and meta-analysis regarding the management of glioma patients’ during the pandemic of COVID-19. Our main findings are that the number of surgical admissions for glioma patients’ did not significantly differ between COVID-19 negative and COVD-19 positive cases; however, surprisingly, we found that both overall complications and mortality outcomes were more significant COVID-19 negative patients’ from the reported studies.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 pandemic on the management of glioma patients around the world. An evidence-based review

Azab

Azzam

2021

Brain Disorders

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“…There are two axioms to which we have to adhere in our practice, as others: (1) urgent/emergent cases should be managed anyway [ 4 ], and (2) maximum protection of patients and staff is of great importance [ 3 ]. Decision making about testing asymptomatic patients should be customized base on many factors related to the patients, society, medical centers, and the type of surgery.…”

Section: Discussionmentioning

confidence: 99%

“…According to Lewis et al, there is no good-quality replacement for operative experience, even in developed countries [ 9 ]. However, there may be some mid-quality options: Televised live surgery using microscope or endoscope [ 3 , 5 ] TV camera embedded in the surgical lights [ 3 ] Simulation-based surgery and artificial intelligence technologies [ 9 , 11 ] …”

Section: Discussionmentioning

confidence: 99%

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The effects of COVID-19 pandemic on pediatric neurosurgery practice and training in a developing country

2020

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Purpose COVID-19 pandemic has influenced all aspects of societies, with the healthcare being the most affected field. All specialties including neurosurgery are involved, and due to resource limitations, the number of elective surgeries in subspecialized filed has substantially decreased. Herein, we report our practice experience in pediatric neurosurgery in a tertiary hospital during pandemic, and the effects of pandemic on educational issues. Methods All the patients on whom any kind of neurosurgical operation was performed from March to June 2020 were retrospectively collected, and also from the same period in the previous year. Results A total of 111 patients underwent surgery in this period. This figure was 159 patients during the same period in 2019. The total number of surgical cases reduced by 31% compared to the last year. While ventriculoperitoneal shunts and supratentorial tumor were more frequent, there was a considerable reduction in subspecialized educational surgeries like neural tube defects and craniosynostoses. Conclusion CVID-19 pandemic changed all scopes of medical practice and training. Considering the limitation in the available resources, the number of educational cases may decrease in subspecialized disciplines like pediatric neurosurgery. If pandemic continues, alternative measures should be taken to compensate for the shortcoming in technical and practical training.

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“…Surveys of residents from both HMICs and LMICs reported decreased operating volumes, resident participation in operative procedures and time spent in the OR [4,[10][11][12][13][14][15][16][17]. A survey done with trainees in 5 Southeast Asian nations showed a significantly greater reduction in elective cases in Indonesia and the Philippines (P < 0.001), the latter of which also contained the most respondents (76%), reporting closure of outpatient clinics, with the median duration of closure being 8 weeks [18].…”

Section: Practical Skills Trainingmentioning

confidence: 99%

The impact of the COVID-19 pandemic on global neurosurgical education: a systematic review

et al. 2021

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The COVID-19 pandemic has disrupted neurosurgical training worldwide, with the shutdown of academic institutions and the reduction of elective surgical procedures. This impact has disproportionately affected LMICs (lower- and/or middle-income countries), already burdened by a lack of neurosurgical resources. Thus, a systematic review was conducted to examine these challenges and innovations developed to adapt effective teaching and learning for medical students and neurosurgical trainees. A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) and The Cochrane Handbook of Systematic Reviews of Interventions. MEDLINE, PubMed, Embase and Cochrane databases were accessed, searching and screening literature from December 2019 to 5th December 2020 with set inclusion and exclusion criteria. Screening identified 1254 articles of which 26 were included, providing data from 96 countries. Twenty-three studies reported transition to online learning, with 8 studies also mentioned redeployment into COVID wards with 2 studies mentioning missed surgical exposure as a consequence. Of 7 studies conducted in LMICs, 3 reported residents suffering financial insecurities from reduced surgical caseload and recession. Significant global disruption in neurosurgical teaching and training has arisen from the COVID-19 pandemic. Decreased surgical exposure has negatively impacted educational provision. However, advancements in virtual technology have allowed for more affordable, accessible training especially in LMICs. Using this, initiatives to reduce physical and mental stress experienced by trainees should be paramount.

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Coronavirus Disease 2019 (COVID-19) and Neurosurgery Residency Action Plan: An Institutional Experience from the United States

Cited by 11 publications

References 23 publications

Impact of COVID-19 pandemic on the management of glioma patients around the world. An evidence-based review

Impact of COVID-19 pandemic on the management of glioma patients around the world. An evidence-based review

The effects of COVID-19 pandemic on pediatric neurosurgery practice and training in a developing country

The impact of the COVID-19 pandemic on global neurosurgical education: a systematic review

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