Abstract
| Lingua originale | English |
|---|---|
| pagine (da-a) | 731-744-744 |
| Rivista | Updates in Surgery |
| Volume | 73 |
| DOI | |
| Stato di pubblicazione | Pubblicato - 2021 |
Keywords
- COVID-19
- Elective Surgical Procedures
- Elective surgery
- Emergency surgery
- Humans
- Infection Control
- Italy
- Laparoscopic surgery
- Laparoscopy
- Pandemics
- Practice Patterns, Physicians'
- SARS-CoV-2
- Survey
- Surveys and Questionnaires
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In: Updates in Surgery, Vol. 73, 2021, pag. 731-744-744.
Risultato della ricerca: Contributo in rivista › Articolo in rivista
TY - JOUR
T1 - Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study
AU - Bracale, U.
AU - Podda, Maria Vittoria
AU - Castiglioni, S.
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AU - Zabbialini, G.
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AU - Brunetti, Maria Mercede
AU - Bianco, Flaviana
AU - Cappiello, A.
AU - Boccia, L.
AU - Boffi, B.
AU - Perna, Francesco
AU - Bonilauri, S.
AU - Frazzetta, G.
AU - Bordoni, P.
AU - Fleres, F.
AU - Borghi, F.
AU - Giraudo, G.
AU - Bottino, V.
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AU - Calligaris, L.
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AU - Orsini, V.
AU - Da Lio, C.
AU - Biral, Maria Francesca
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AU - Marino, Giuseppe
AU - De Carlis, L.
AU - Lauterio, A.
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AU - Di Natale, Maria Grazia
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AU - Celotti, A.
AU - Taglietti, L.
AU - Del, Giudice R.
AU - Talarico, C. A.
AU - Ruggiero, Miriam
AU - Tirone, G.
AU - Romario, U. F.
AU - Petz, W.
AU - Caracino, V.
AU - Rossetti, V.
AU - Verza, L. A.
AU - Cavallo, F.
AU - Vescovi, L.
AU - Marini, M.
AU - Vettoretto, N.
AU - Botteri, E.
AU - Vincenti, L.
AU - Giannandrea, G.
AU - Viora, T.
AU - Maganuco, L.
AU - Veronesi, P.
AU - Zani, B.
AU - Zanus, G.
AU - Brizzolari, M.
AU - Zanzi, F.
AU - Guariniello, A.
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AU - Zonta, S.
AU - Oragano, L.
AU - Zuliani, W.
AU - Chiari, D.
PY - 2021
Y1 - 2021
N2 - Background: The spread of the SARS-CoV2 virus, which causes COVID-19 disease, profoundly impacted the surgical community. Recommendations have been published to manage patients needing surgery during the COVID-19 pandemic. This survey, under the aegis of the Italian Society of Endoscopic Surgery, aims to analyze how Italian surgeons have changed their practice during the pandemic. Methods: The authors designed an online survey that was circulated for completion to the Italian departments of general surgery registered in the Italian Ministry of Health database in December 2020. Questions were divided into three sections: hospital organization, screening policies, and safety profile of the surgical operation. The investigation periods were divided into the Italian pandemic phases I (March–May 2020), II (June–September 2020), and III (October–December 2020). Results: Of 447 invited departments, 226 answered the survey. Most hospitals were treating both COVID-19-positive and -negative patients. The reduction in effective beds dedicated to surgical activity was significant, affecting 59% of the responding units. 12.4% of the respondents in phase I, 2.6% in phase II, and 7.7% in phase III reported that their surgical unit had been closed. 51.4%, 23.5%, and 47.8% of the respondents had at least one colleague reassigned to non-surgical COVID-19 activities during the three phases. There has been a reduction in elective (> 200 procedures: 2.1%, 20.6% and 9.9% in the three phases, respectively) and emergency (< 20 procedures: 43.3%, 27.1%, 36.5% in the three phases, respectively) surgical activity. The use of laparoscopy also had a setback in phase I (25.8% performed less than 20% of elective procedures through laparoscopy). 60.6% of the respondents used a smoke evacuation device during laparoscopy in phase I, 61.6% in phase II, and 64.2% in phase III. Almost all responders (82.8% vs. 93.2% vs. 92.7%) in each analyzed period did not modify or reduce the use of high-energy devices. Conclusion: This survey offers three faithful snapshots of how the surgical community has reacted to the COVID-19 pandemic during its three phases. The significant reduction in surgical activity indicates that better health policies and more evidence-based guidelines are needed to make up for lost time and surgery not performed during the pandemic.
AB - Background: The spread of the SARS-CoV2 virus, which causes COVID-19 disease, profoundly impacted the surgical community. Recommendations have been published to manage patients needing surgery during the COVID-19 pandemic. This survey, under the aegis of the Italian Society of Endoscopic Surgery, aims to analyze how Italian surgeons have changed their practice during the pandemic. Methods: The authors designed an online survey that was circulated for completion to the Italian departments of general surgery registered in the Italian Ministry of Health database in December 2020. Questions were divided into three sections: hospital organization, screening policies, and safety profile of the surgical operation. The investigation periods were divided into the Italian pandemic phases I (March–May 2020), II (June–September 2020), and III (October–December 2020). Results: Of 447 invited departments, 226 answered the survey. Most hospitals were treating both COVID-19-positive and -negative patients. The reduction in effective beds dedicated to surgical activity was significant, affecting 59% of the responding units. 12.4% of the respondents in phase I, 2.6% in phase II, and 7.7% in phase III reported that their surgical unit had been closed. 51.4%, 23.5%, and 47.8% of the respondents had at least one colleague reassigned to non-surgical COVID-19 activities during the three phases. There has been a reduction in elective (> 200 procedures: 2.1%, 20.6% and 9.9% in the three phases, respectively) and emergency (< 20 procedures: 43.3%, 27.1%, 36.5% in the three phases, respectively) surgical activity. The use of laparoscopy also had a setback in phase I (25.8% performed less than 20% of elective procedures through laparoscopy). 60.6% of the respondents used a smoke evacuation device during laparoscopy in phase I, 61.6% in phase II, and 64.2% in phase III. Almost all responders (82.8% vs. 93.2% vs. 92.7%) in each analyzed period did not modify or reduce the use of high-energy devices. Conclusion: This survey offers three faithful snapshots of how the surgical community has reacted to the COVID-19 pandemic during its three phases. The significant reduction in surgical activity indicates that better health policies and more evidence-based guidelines are needed to make up for lost time and surgery not performed during the pandemic.
KW - COVID-19
KW - Elective Surgical Procedures
KW - Elective surgery
KW - Emergency surgery
KW - Humans
KW - Infection Control
KW - Italy
KW - Laparoscopic surgery
KW - Laparoscopy
KW - Pandemics
KW - Practice Patterns, Physicians'
KW - SARS-CoV-2
KW - Survey
KW - Surveys and Questionnaires
KW - COVID-19
KW - Elective Surgical Procedures
KW - Elective surgery
KW - Emergency surgery
KW - Humans
KW - Infection Control
KW - Italy
KW - Laparoscopic surgery
KW - Laparoscopy
KW - Pandemics
KW - Practice Patterns, Physicians'
KW - SARS-CoV-2
KW - Survey
KW - Surveys and Questionnaires
UR - http://hdl.handle.net/10807/177485
U2 - 10.1007/s13304-021-01010-w
DO - 10.1007/s13304-021-01010-w
M3 - Article
SN - 2038-131X
VL - 73
SP - 731-744-744
JO - Updates in Surgery
JF - Updates in Surgery
ER -