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Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review
In Antarctica, it is extremely difficult to organise medical evacuations in winter. Antarctic physicians are often alone and must be prepared to perform surgery and dentistry, even if they are not specialists. This scoping review summarises epidemiological data on the types of surgical procedures pe...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10364567/ https://www.ncbi.nlm.nih.gov/pubmed/37476913 http://dx.doi.org/10.1080/22423982.2023.2235736 |
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author | Tissot, Cécile Lecordier, Manon Hitier, Martin |
author_facet | Tissot, Cécile Lecordier, Manon Hitier, Martin |
author_sort | Tissot, Cécile |
collection | PubMed |
description | In Antarctica, it is extremely difficult to organise medical evacuations in winter. Antarctic physicians are often alone and must be prepared to perform surgery and dentistry, even if they are not specialists. This scoping review summarises epidemiological data on the types of surgical procedures performed in Antarctica and identifies gaps in the literature in this area. We searched PubMed and Google Scholar, without language restriction, for papers published between 1 January 1904, and 1 February 2022. Of the 35 papers on 12 Antarctic programs, very few were retrospective observational epidemiological studies; the majority were medical reports. The search identified 41 surgical procedures or reasons for surgical consultation, 19 different reasons for medical evacuations, and 12 causes of death that may have required surgical management. The diagnostic classifications used and the prevalence of each reported surgical speciality were heterogeneous. The most cited specialities were orthopaedics, dentistry, and digestive surgery. Telemedicine was integrated into on-site care or medical evacuation decisions. The current literature is poor, and most studies do not apply to surgical issues. The heterogeneous data collection methodologies limit their interpretation. A standardised diagnostic classification and detailed and systematic epidemiological registers will help define the contours of surgical management in Antarctica. |
format | Online Article Text |
id | pubmed-10364567 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-103645672023-07-25 Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review Tissot, Cécile Lecordier, Manon Hitier, Martin Int J Circumpolar Health Review Article (Scoping and Systematic) In Antarctica, it is extremely difficult to organise medical evacuations in winter. Antarctic physicians are often alone and must be prepared to perform surgery and dentistry, even if they are not specialists. This scoping review summarises epidemiological data on the types of surgical procedures performed in Antarctica and identifies gaps in the literature in this area. We searched PubMed and Google Scholar, without language restriction, for papers published between 1 January 1904, and 1 February 2022. Of the 35 papers on 12 Antarctic programs, very few were retrospective observational epidemiological studies; the majority were medical reports. The search identified 41 surgical procedures or reasons for surgical consultation, 19 different reasons for medical evacuations, and 12 causes of death that may have required surgical management. The diagnostic classifications used and the prevalence of each reported surgical speciality were heterogeneous. The most cited specialities were orthopaedics, dentistry, and digestive surgery. Telemedicine was integrated into on-site care or medical evacuation decisions. The current literature is poor, and most studies do not apply to surgical issues. The heterogeneous data collection methodologies limit their interpretation. A standardised diagnostic classification and detailed and systematic epidemiological registers will help define the contours of surgical management in Antarctica. Taylor & Francis 2023-07-21 /pmc/articles/PMC10364567/ /pubmed/37476913 http://dx.doi.org/10.1080/22423982.2023.2235736 Text en © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent. |
spellingShingle | Review Article (Scoping and Systematic) Tissot, Cécile Lecordier, Manon Hitier, Martin Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review |
title | Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review |
title_full | Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review |
title_fullStr | Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review |
title_full_unstemmed | Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review |
title_short | Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review |
title_sort | surgical epidemiology of antarctic stations from 1904 to 2022: a scoping review |
topic | Review Article (Scoping and Systematic) |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10364567/ https://www.ncbi.nlm.nih.gov/pubmed/37476913 http://dx.doi.org/10.1080/22423982.2023.2235736 |
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