Decrease in surgical activity in the COVID-19 pandemic: an economic crisis

Farid, Yasser; Schettino, Michela; Kapila, Ayush K; Hamdi, Moustapha; Cuylits, N; Wauthy, Pierre; Ortiz, S

doi:10.1002/bjs.11738

Cited by 31 publications

(26 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the Covid-19 pandemic currently significantly limited the access to elective visceral surgical care (43% decrease), with less impact on cancer care (27% decrease). Another retrospective study showed higher rates of decrease in surgical activity, between 80 and 90% depending on the specialty [ 13 ]. Using data from hospitals across 190 countries, CovidSurg Collaborative researchers created a statistical model to estimate the total number of canceled elective surgeries during 12 weeks of peak disruption [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Surgery for non-Covid-19 patients during the pandemic

et al. 2020

View full text Add to dashboard Cite

Background In the early phase of the Covid-19 pandemic, mainly data related to the burden of care required by infected patients were reported. The aim of this study was to illustrate the timeline of actions taken and to measure and analyze their impact on surgical patients. Method This is a retrospective review of actions to limit Covid-19 spread and their impact on surgical activity in a Swiss tertiary referral center. Data on patient care, human resources and hospital logistics were collected. Impact on surgical activity was measured by comparing 6-week periods before and after the first measures were taken. Results After the first Swiss Covid-19 case appeared on February 25, progressively restrictive measures were taken over a period of 23 days. Covid-19 positive inpatients increased from 5 to 131, and ICU patients from 2 to 31, between days 10 and 30, respectively, without ever overloading resources. A 43% decrease of elective visceral surgical procedures was observed after Covid-19 (295 vs 165, p<0.01), while the urgent operations (all specialties) decreased by 39% (1476 vs 897, p<0.01). Fifty-two and 38 major oncological surgeries were performed, respectively, representing a 27% decrease (p = 0.316). Outpatient consultations dropped by 59%, from 728 to 296 (p<0.01). Conclusion While allowing for maximal care of Covid-19 patients during the pandemic, the shift of resources limited the access to elective surgical care, with less impact on cancer care.

show abstract

Section: Discussionmentioning

confidence: 99%

Surgery for non-Covid-19 patients during the pandemic

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The changes we have noted are likely to leave their mark. Hospital wards, surgical theatres, and bed‐side teaching will not be the same for a while 5,6 . To ensure continued medical education, we must adapt with the time.…”

mentioning

confidence: 99%

The importance of medical student perspectives on the impact of COVID-19

Kapila

Corthals

Langhendries

et al. 2020

British Journal of Surgery

Self Cite

View full text Add to dashboard Cite

“…The onset of COVID-19 has put us in unprecedented territory, we have had to adapt quickly to a new way of practising medicine while tackling a condition we know little about. 2 We are faced with many questions, lots of them remain unanswered. The platform has managed to create a feeling of belonging to a wider community, not only to learn from each other but also to support each other.…”

Section: Dear Editormentioning

confidence: 99%