The Impact of COVID-19 Pandemic on Spine Surgeons Worldwide

Louie, Philip; Harada, Garrett K.; McCarthy, Michael H.; Germscheid, Niccole; Cheung, Jason Pui Yin; Neva, Marko H.; El-Sharkawi, Mohammad; Valacco, Marcelo; Sciubba, Daniel M.; Chutkan, Norman; Samartzis, D

doi:10.1177/2192568220925783

Cited by 59 publications

(100 citation statements)

References 19 publications

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“…Of all spine surgeons surveyed, 902 participated, providing distinct data across 91 countries and 7 global regions affected by COVID-19. Detailed demographic results of the surveyed cohort have been previously published and reported by Louie et al 3 Specifically, Table 1 presents the significant differences in age, specialty, and hospital practice type between regions. Roughly 36.8% of surgeons have at least 1 medical comorbidity, with hypertension (21.9%) and obesity (15.6%) being the most commonly reported.…”

Section: Resultsmentioning

confidence: 99%

“…Hypertension and obesity were identified as the most commonly reported comorbidities, which is similar to recent studies analyzing COVID-19. 3 Guan et al 7 15 In a meta-analysis of 15 studies, Alqahtani et al 16 evaluated the mortality rates in COPD and tobacco use associated with COVID-19. Their analysis revealed that tobacco users were nearly 1.5 times more likely to have severe complications from COVID-19 when compared to nonsmokers, and tobacco users had a significantly higher mortality rate approaching 40%.…”

Section: Discussionmentioning

confidence: 99%

“…Both multiple-choice and free-text questions were created based on input from multiple authors utilizing a Delphi method as previously reported. 3 Ques-tions were structured to capture relevant components including: demographics, perceptions related to COVID-19, and the associated financial impacts, as well as future predictions. Comorbidities surveyed included cancer, cardiac disease, diabetes, obesity, hypertension, respiratory illness, renal disease, and current tobacco use.…”

Section: Survey Design and Contentmentioning

confidence: 99%

“…1,2 However, despite our greatest efforts, the effects of COVID-19 have persisted, and the spine surgery community is not exempt. A recent study by Louie et al 3 revealed the worldwide impact of COVID-19 on clinical practice, income, personal life, research, resident and fellow training, and anxiety levels among spine surgeons.…”

Section: Introductionmentioning

confidence: 99%

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Personal Health of Spine Surgeons Can Impact Perceptions, Decision-Making and Healthcare Delivery During the COVID-19 Pandemic - A Worldwide Study

et al. 2020

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Objective: To determine if personal health of spine surgeons worldwide influences perceptions, healthcare delivery, and decision-making during the coronavirus disease 2019 (CO-VID-19) pandemic. Methods: A cross-sectional study was performed by distributing a multidimensional survey to spine surgeons worldwide. Questions addressed demographics, impacts and perceptions of COVID-19, and the presence of surgeon comorbidities, which included cancer, cardiac disease, diabetes, obesity, hypertension, respiratory illness, renal disease, and current tobacco use. Multivariate analysis was performed to identify specific comorbidities that influenced various impact measures. Results: Across 7 global regions, 36.8% out of 902 respondents reported a comorbidity, of which hypertension (21.9%) and obesity (15.6%) were the most common. Multivariate analysis noted tobacco users were more likely to continue performing elective surgery during the pandemic (odds ratio [OR], 2.62; 95% confidence interval [CI], 1.46-4.72; p = 0.001) and were less likely to utilize telecommunication (OR, 0.51; 95% CI, 0.31-0.86; p = 0.011), whereas those with hypertension were less likely to warn their patients should the surgeon become infected with COVID-19 (OR, 0.57; 95% CI, 0.37-0.91; p = 0.017). Clinicians with multiple comorbidities were more likely to cite personal health as a current stressor (OR, 1.32; 95% CI, 1.07-1.63; p = 0.009) and perceived their hospital's management unfavorably (OR, 0.74; 95% CI, 0.60-0.91; p = 0.005). Conclusion: This is the first study to have mapped global variations of personal health of spine surgeons, key in the development for future wellness and patient management initiatives. This study underscored that spine surgeons worldwide are not immune to comorbidities, and their personal health influences various perceptions, healthcare delivery, and decision-making during the COVID-19 pandemic.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Survey Design and Contentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Personal Health of Spine Surgeons Can Impact Perceptions, Decision-Making and Healthcare Delivery During the COVID-19 Pandemic - A Worldwide Study

et al. 2020

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“…Since the onset of the COVID-19 global health crisis, there has been a sharp decline in both orthopedic and spine surgeries. As hospitals experienced rapid overcrowding by COVID-19 patients, many spinal surgeons were called upon to care for these individuals, and a recent study found that one in four surgeons reported working outside of their typical scope of practice [6]. Coinciding with this significant shift in clinical role were the cancellations of elective surgery cases as well as the postponement of interventional spinal procedures and surgeries.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic Impact of COVID-19 on Spinal Instrumentation Companies in the Era of Decreased Elective Surgery

Jenkins¹,

Siddiqi²,

Khan³

et al. 2020

Cureus

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Since the onset of the novel coronavirus (COVID-19) global health crisis, there has been an unprecedented change to the field of spinal surgery. Comprehensive protocols and algorithms have been implemented globally to maximize available bed space, conserve personal protective equipment, and to minimize exposure. This has resulted in a sharp decline in elective spinal surgery and placed an undue burden on the spinal industry. As the landscape of elective surgery changes, this paper looks to analyze the effects the COVID-19 pandemic has and will have on spinal instrumentation companies, surgeons, and the spinal industry. Changes in government policies, patient care, financial markets, and distribution have all presented an unprecedented strain on spinal instrumentation companies. A narrative literature review was performed using published literature from PubMed. Due to the socioeconomic and financial nature of this review, data collection from financial references was also obtained and cited. With significant financial losses reported throughout the spinal industry and medical field, this paper discusses managing the COVID-19 pandemic and the future prospectus moving forward. As the pandemic continues to unfold, it remains difficult to predict the exact timing for broad resumption of elective medical procedures, and the extent to which the pandemic will affect the industry. Preparation aimed at facilitating efficient resource allocation and communication among surgeons, surgical instrumentation representatives and hospital leadership is essential as we transition forward and reestablish normalcy under the new constraints of COVID-19.

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Impact of the COVID‐19 pandemic on the productivity and career prospects of musculoskeletal researchers

Chakraborty,

Le Maitre,

Chahine

et al. 2024

Journal Orthopaedic Research

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Academic researchers faced a multitude of challenges posed by the COVID‐19 pandemic, including widespread shelter‐in‐place orders, workplace closures, and cessation of in‐person meetings and laboratory activities. The extent to which these challenges impacted musculoskeletal researchers, specifically, is unknown. We developed an anonymous web‐based survey to determine the pandemic's impact on research productivity and career prospects among musculoskeletal research trainees and faculty. There were 116 musculoskeletal (MSK) researchers with varying demographic backgrounds who completed the survey. Of respondents, 48.3% (n = 56) believed that musculoskeletal funding opportunities decreased because of COVID‐19, with faculty members more likely to hold this belief compared to nonfaculty researchers (p = 0.008). Amongst MSK researchers, 88.8% (n = 103) reported research activity was limited by COVID‐19, and 92.2% (n = 107) of researchers reported their research was not able to be refocused on COVID‐19‐related topics, with basic science researchers less likely to be able to refocus their research compared to clinical researchers (p = 0.030). Additionally, 47.4% (n = 55) reported a decrease in manuscript submissions since the onset of the pandemic. Amongst 51 trainee researchers, 62.8% (n = 32) reported a decrease in job satisfaction directly attributable to the COVID‐19 pandemic. In summary, study findings indicated that MSK researchers struggled to overcome challenges imposed by the pandemic, reporting declines in funding opportunities, research productivity, and manuscript submission. Trainee researchers experienced significant disruptions to critical research activities and worsening job satisfaction. Our findings motivate future efforts to support trainees in developing their careers and target the recovery of MSK research from the pandemic stall.

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The Impact of COVID-19 Pandemic on Spine Surgeons Worldwide

Cited by 59 publications

References 19 publications

Personal Health of Spine Surgeons Can Impact Perceptions, Decision-Making and Healthcare Delivery During the COVID-19 Pandemic - A Worldwide Study

Personal Health of Spine Surgeons Can Impact Perceptions, Decision-Making and Healthcare Delivery During the COVID-19 Pandemic - A Worldwide Study

Socioeconomic Impact of COVID-19 on Spinal Instrumentation Companies in the Era of Decreased Elective Surgery

Impact of the COVID‐19 pandemic on the productivity and career prospects of musculoskeletal researchers

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