The Effect of the Coronavirus Disease 2019 (COVID-19) Pandemic on Elective Cervical Spine Surgery Utilization and Complications in the United States: A Nationwide Temporal Trends Analysis

Idrizi, Adem; Gordon, Adam M.; Lam, Aaron; Conway, Charles A.; Saleh, Ahmed

doi:10.1016/j.wneu.2022.07.095

Cited by 10 publications

(10 citation statements)

References 23 publications

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“…The scale and severity of the COVID-19 outbreak are unprecedented; therefore, the existing recommendations for spinal surgical practice during the COVID-19 epidemic are limited. There is no consensus regarding the distinction between individuals with a spinal disease who require acute or urgent surgery and those who can wait many months (30,31). As a principle, surgical intervention for acute nerve compression, spinal cord injury, unstable spinal fractures, and progressive or severe neurological deficits from any cause should not be postponed.…”

Section: Differentiate Between Emergency and Elective Surgerymentioning

confidence: 99%

Global research hotspots and trends in the field of spine surgery during the COVID-19 pandemic: A bibliometric and visual analysis

Lin

Kotheeranurak²,

Chen³

et al. 2022

Front. Surg.

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BackgroundThe Coronavirus disease-2019 (COVID-19) significantly affected the healthcare and research systems, including spine surgery, throughout the world. A bibliometric analysis allows graphical visualization of the development of an academic field and its frontiers. Since research concerning spine surgery during the COVID-19 pandemic is being constantly upgraded, we conducted a bibliometric analysis of this literature to investigate the current status, research hotspots, and trends in this field.MethodsWe searched the Web of Science database for literature published (from December 1, 2019, to March 24, 2022) using the terms “COVID-19” OR “2019-nCoV” OR “SARS-CoV-2” AND “spine surgery” OR “spinal surgery” OR “discectomy” OR “decompression” OR “laminectomy” OR “interbody fusion” OR “pedicle screws.” Detailed bibliometric and visual analysis of the number of publications, geographical distribution, institutions, journals, authors, and keywords was done using CiteSpace, VOSviewer, and R-Bibliometrix.ResultsOf the initially screened 173 articles, we included 84 relevant articles—62 original articles, 10 editorial materials, 8 reviews, and 4 others. The United States, China, Egypt, and Argentina were most actively publishing in the field of spine surgery and COVID-19. The AOSpine International community contributed 7 articles (24 citations). The Hospital for Special Surgery (13.1%) and Johns Hopkins University (13.1%) were institutions with the most publications. Using the Law of Bradford, we found that World Neurosurgery, Global Spine Journal, and European Spine Journal are the core journals in this field, with P. K. Louie being the most influential author. “Elective surgery,” “intensive care,” “telehealth,” “patient satisfaction,” and “follow-up” had the strongest citation bursts.ConclusionsDuring the COVID-19 pandemic, spine surgeons were more concerned with surgical timing, care, treatment, and patient’s quality of life. Accordingly, research hotspots in spine surgery during the pandemic shifted from “early healthcare” to “virus management” and “experience and education.”

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Section: Differentiate Between Emergency and Elective Surgerymentioning

confidence: 99%

Global research hotspots and trends in the field of spine surgery during the COVID-19 pandemic: A bibliometric and visual analysis

Lin

Kotheeranurak²,

Chen³

et al. 2022

Front. Surg.

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“… 9 Furthermore, delays in patients seeking treatment and initial delay in surgical procedures with known high complication rate of vocal fold paralysis could have resulted in clustering of this diagnosis in the 2020 to 2021 time period. 18 , 19 , 20 Other nonclinical factors could be due to patient fear about iatrogenic exposure in an OR setting or the patients' perception that potentially physicians not wanting to increase the burden on the already‐taxed hospital systems. 8 Furthermore, in the past couple of decades several other influential studies in the field of laryngology have focused on awake, office‐based procedures and have represented the practice shift of laryngology procedures in the decades leading up to the COVID‐19 pandemic 1 , 7 , 8 pointing to provider preference as a contributing factor.…”

Section: Discussionmentioning

confidence: 99%

Volume and Practice‐Setting Shift of Laryngology Procedures During the COVID‐19 Pandemic: A Reg‐ENT Database Analysis

Gray,

Ryan,

Mehta

2024

OTO Open

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ObjectiveThe onset of the coronavirus disease 2019 (COVID‐19) pandemic changed practice patterns throughout medicine. The purpose of this study is to evaluate changes in the volume and location setting of laryngology procedures after the onset of COVID‐19.Study DesignRetrospective database cohort study.SettingReg‐ENT registry.MethodsRetrospective review from 2017 to 2022 of patients who underwent a laryngology procedure identified by procedure code categorized by site of service code—“ambulatory surgical” versus “office” setting. Based on March 2020 as the cutoff point, the procedures were designated as pre‐COVID versus COVID time period.ResultsA total of 5989 patients underwent laryngology procedures. Forty‐two percent more procedures were performed in the COVID period (n = 3780) versus pre‐COVID (n = 2209). Pre‐COVID, the procedure distribution between office and ambulatory surgical setting was 70% (n = 1546) compared with 30% (663). This shifted to 77% (n = 2920) and 23% (n = 860) during COVID, P = .9. The most common diagnoses associated with laryngology procedures during the study period were vocal fold paralysis 47% (n = 2831), dysphonia 33% (n = 1392), and laryngotracheal stenosis 14% (n = 838). These trends remained in both pre‐COVID and COVID time periods. After the start of the pandemic, among patients undergoing laryngology procedures, there was a 93% increase (n = 284‐549) in the diagnosis of laryngotracheal stenosis, 70% increase (n = 520‐882 patients) in dysphonia and 69% increase (n = 1054‐1777) in vocal fold paralysis.ConclusionAn increase in laryngology procedures performed after the onset of the COVID‐19 pandemic was identified with an overall procedural shift to the office‐setting.

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“…Prior research has mainly discussed the impact of COVID-19 on the number of spine surgeries performed in a single institution. Two other studies have demonstrated the nationwide impact of spine surgery due to COVID-19, but the study period was limited mainly to the first year of the COVID-19 pandemic [ 31 , 32 ]. The study by Idrizi et al [ 31 ] was the only study performed in a country other than South Korea.…”

Section: Discussionmentioning

confidence: 99%

“…Two other studies have demonstrated the nationwide impact of spine surgery due to COVID-19, but the study period was limited mainly to the first year of the COVID-19 pandemic [ 31 , 32 ]. The study by Idrizi et al [ 31 ] was the only study performed in a country other than South Korea. However, they specifically focused on elective cervical spine surgery in the United States during the first year of the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Impact on Spine Surgery during the First Two Years of COVID-19 Pandemic: A Nationwide Study in South Korea

Nam

Lee

et al. 2023

JCM

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Since December 2019, the novel coronavirus (COVID-19) has infected people worldwide. Owing to its rapid spread, elective surgeries, including spine surgery, have been re-scheduled. We analyzed nationwide data to investigate changes in the volume of spine surgery during the first two years of the pandemic. Nationwide data from January 2016 to December 2021 were obtained. We compared the total number of patients who underwent spine surgery and related medical expenses before and during the COVID-19 pandemic. In February and September, the number of patients was significantly smaller compared to January and August, respectively. Despite the pandemic, the proportion of patients undergoing spine surgery for degenerative diseases in 2021 was the highest. In contrast, the proportions of patients undergoing spine surgery for tumors showed a continuous decrease from 2019 to 2021. Although the number of spine surgeries performed at tertiary hospitals was lowest in 2020, it was not significantly smaller than that in 2019.The number of patients who underwent spine surgery in March 2020, during the first outbreak, decreased compared to the previous month, which differed from the trend observed in the pre-COVID-19 period. However, as the pandemic continues, the impact of COVID-19 on spine surgery has become less evident.

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The Effect of the Coronavirus Disease 2019 (COVID-19) Pandemic on Elective Cervical Spine Surgery Utilization and Complications in the United States: A Nationwide Temporal Trends Analysis

Cited by 10 publications

References 23 publications

Global research hotspots and trends in the field of spine surgery during the COVID-19 pandemic: A bibliometric and visual analysis

Global research hotspots and trends in the field of spine surgery during the COVID-19 pandemic: A bibliometric and visual analysis

Volume and Practice‐Setting Shift of Laryngology Procedures During the COVID‐19 Pandemic: A Reg‐ENT Database Analysis

Impact on Spine Surgery during the First Two Years of COVID-19 Pandemic: A Nationwide Study in South Korea

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