COVID-19 outbreak situation and its psychological impact among surgeons in training in France

Abdessater, Maher; Rouprêt, Morgan; Misraï, Vincent; Pinar, Ugo; Matillon, X.; Gondran-Tellier, Bastien; Freton, L.; Vallée, M.; Dominique, I.; Felber, M.; Khene, Z.; Fortier, E.; Michiels, C.; Grevez, T.; Szabla, N.; Bardet, F.; Kaulanjan, K.; Mazancourt, E. Seizilles de; Ploussard, Guillaume; Pradère, Benjamin

doi:10.1007/s00345-020-03207-x

Cited by 20 publications

(20 citation statements)

References 7 publications

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“…Our database keyword search identified a further 218 relevant studies. Of a total of 1089 identified studies, 59 met our inclusion criteria for this systematic review ( Huang et al., 2020 ; Abdessater et al., 2020a , b ; Ahmed et al., 2020 ; Behnam et al., 2020 ; Bohlken et al., 2020 ; Cai et al., 2020 ; Cai et al., 2019 ; Cao et al., 2020 ; Chen et al., 2020a , b ; Chew et al., 2020 ; Chung and Yeung, 2020 ; Davico et al., 2020 ; Foley et al., 2020 ; Gautam et al., 2020 ; Guo et al., 2020 ; Hong et al., 2020 ; Hu et al., 2020 ; Jiang et al., 2020 ; Kang et al., 2020 ; Ko et al., 2020 ; Lai et al., 2019 ; Li et al., 2020a , b ; Liang et al., 2020 ; Liu et al., 2020a , b , c , d ; Louie et al., 2020 ; Lu et al., 2020 ; Lv et al., 2020 ; Martin, 2020 ; Mo et al., 2020 ; Mohindra et al., 2020 ; Naser, 2020 ; Nemati et al., 2020 ; Ni et al., 2020 ; Pu et al., 2020 ; Rajkumar et al., 2020 ; Schulte et al., 2020 ; Shen et al., 2020a , b ; Simpson et al., 2020 ; Sun et al., 2020 ; Tan et al., 2020 ; Wu et al., 2020a , b ; H Xiao et al., 2020 , 70 ; Yifan et al., 2020 ; Yin and Zeng, 2020 ; Yuan et al., 2020 ; ...…”

Section: Resultsmentioning

confidence: 99%

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The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review

Muller

Hafstad

Himmels

et al. 2020

Psychiatry Research

639

762

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Highlights Healthcare workers’ mental health problems correlate with organizational factors such as workload and exposure to covid-19 patients. Healthcare workers are more interested in occupational protection, rest, and social support than in professional psychological help. Interventions focus more on addressing individual psychopathology, which points towards a mismatch between what workers want and need, and the services available to them.

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Section: Resultsmentioning

confidence: 99%

“…Half of the residents reported that they experienced more distress after this shift. Abdessater et al., 2020a , b ) studied 275 urology residents not working on the frontline. When asked to report the level of stress caused by covid-19, 56% reported a medium to high amount of stress, and the remaining reported none to low.…”

Section: Resultsmentioning

confidence: 99%

The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review

Muller

Hafstad

Himmels

et al. 2020

Psychiatry Research

639

762

View full text Add to dashboard Cite

show abstract

“…Half of the residents reported that they experienced more distress after this shift. Abdessater et al 28, 32 studied 275 urology residents not working on the frontline. When asked to report the level of stress caused by covid-19, 56% reported a medium to high amount of stress, and the remaining reported none to low.…”

Section: Resultsmentioning

confidence: 99%

The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: a rapid systematic review

Muller

Hafstad

Himmels

et al. 2020

Preprint

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Background: The covid-19 pandemic has heavily burdened, and in some cases overwhelmed, healthcare systems throughout the world. Healthcare workers are not only at heightened risk of infection, but also of adverse mental health outcomes. Identification of organizational, collegial and individual risk and resilience factors impacting the mental health of healthcare workers are needed to inform preparedness planning and sustainable response. Methods: We performed a rapid systematic review to identify, assess and summarize available research on the mental health impact of the covid-19 pandemic on healthcare workers. On 11 May 2020, we utilized the Norwegian Institute of Public Health's Live map of covid-19 evidence, the visualization of a database of 20,738 screened studies, to identify studies for inclusion. We included studies reporting on any type of mental health outcome in any type of healthcare workers during the pandemic. We described interventions reported by the studies, and narratively summarized mental health-related outcomes, as study heterogeneity precluded meta-analysis. We assessed study quality using design-specific instruments. Results: We included 59 studies, reporting on a total of 54,707 healthcare workers. The prevalence of general psychological distress across the studies ranged from 7-97% (median 37%), anxiety 9-90% (median 24%), depression 5-51% (median 21%), and sleeping problems 34-65% (median 37%). Seven studies reported on implementing mental health interventions, and most focused on individual symptom reduction, but none reported on effects of the interventions. In most studies, healthcare workers reported low interest in and use of professional help, and greater reliance on social support and contact with family and friends. Exposure to covid-19 was the most commonly reported correlate of mental health problems, followed by female gender, and worry about infection or about infecting others. Social support correlated with less mental health problems. Discussion: Healthcare workers in a variety of fields, positions, and exposure risks are reporting anxiety, depression, sleep problems, and distress during the covid-19 pandemic, but most studies do not report comparative data on mental health symptoms. before the pandemic. There seems to be a mismatch between risk factors for adverse mental health outcomes among healthcare workers in the current pandemic and their needs and preferences, and the individual psychopathology focus of current interventions. Efforts to help healthcare workers sustain healthy relationships to colleagues, family and friends over time may be paramount to safeguard what is already an important source of support during the prolonged crisis. Expanding interventions' focus to incorporate organizational, collegial and family factors to support healthcare workers responding to the pandemic could improve acceptability and efficacy of interventions. Other: The protocol for this review is available online. No funding was received.

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“…There has undoubtedly been an opportunity cost, with significant effects on training and operative experience. This is neither unique to our unit nor indeed to our country [10,11]. Much time was spent re-triaging the clinical and operative waiting list, based on limited clinical information.…”

Section: Discussionmentioning

confidence: 96%

Urological service provision during the COVID-19 period: the experience from an Irish tertiary centre

et al. 2020

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Purpose Urological service provision has changed dramatically with the advent of the SARS-CoV-2, necessitating restructuring and reorganization. The aim of this study was to review the reorganization of our unit, map the change in volume of departmental activities and discuss potential solutions. Methods Departmental activities over the months of April and May 2020 and 2019 were analysed. Details of admissions, operations, diagnostic procedures, outpatient reviews, morbidities and mortalities were recorded. Operations were performed on two sites, with elective operation transferred to an offsite, COVID-free hospital. Results Seventy-four emergency operations were performed onsite, with 85 elective operations outsourced. A total of 159 operations were performed, compared with 280 in the same period in 2019. Five (5.0%) of 101 admitted patients to the COVID hospital contracted COVID-19. No patients outsourced to the COVID-free hospital were infected there. Outpatient referrals to urology service decreased from 928 to 481. There was a 66% decrease in new cancer diagnoses. A virtual review clinic was established, with remaining outpatients reviewed through a telephone clinic platform. Conclusion Compared with 2019, we performed fewer operations and outpatient procedures, had fewer admissions and diagnosed fewer patients with new cancers. However, outsourcing elective operation to designated non-COVID hospitals prevented the infection of any patient with COVID-19 in the post-operative period. The use of virtual clinic and telephone clinic has had some success in replacing traditional outpatient visits. The overall significant decrease in operative volume will likely precipitate a mismatch between demand and service provision in the coming months, unless capacity is increased.

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COVID-19 outbreak situation and its psychological impact among surgeons in training in France

Cited by 20 publications

References 7 publications

The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review

The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review

The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: a rapid systematic review

Urological service provision during the COVID-19 period: the experience from an Irish tertiary centre

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