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The impact of COVID-19 on the plastic surgery activity in a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic

BACKGROUND: The Hospital das Clínicas - University of Sao Paulo Medical School (HCFMUSP) is the largest university hospital complex in Brazil. HCFMUSP has been converted into a reference center for coronavirus disease 2019. The Division of Plastic Surgery postponed non-essential surgeries and outpat...

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Autores principales: Pagotto, Vitor Penteado Figueiredo, Abbas, Laielly, Goldenberg, Dov Charles, Lobato, Rodolfo Costa, do Nascimento, Bruno Baptista, Monteiro, Gustavo Gomes Ribeiro, Camargo, Cristina Pires, de Freitas Busnardo, Fabio, Gemperli, Rolf
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7440965/
https://www.ncbi.nlm.nih.gov/pubmed/32843821
http://dx.doi.org/10.1007/s00238-020-01729-6
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author Pagotto, Vitor Penteado Figueiredo
Abbas, Laielly
Goldenberg, Dov Charles
Lobato, Rodolfo Costa
do Nascimento, Bruno Baptista
Monteiro, Gustavo Gomes Ribeiro
Camargo, Cristina Pires
de Freitas Busnardo, Fabio
Gemperli, Rolf
author_facet Pagotto, Vitor Penteado Figueiredo
Abbas, Laielly
Goldenberg, Dov Charles
Lobato, Rodolfo Costa
do Nascimento, Bruno Baptista
Monteiro, Gustavo Gomes Ribeiro
Camargo, Cristina Pires
de Freitas Busnardo, Fabio
Gemperli, Rolf
author_sort Pagotto, Vitor Penteado Figueiredo
collection PubMed
description BACKGROUND: The Hospital das Clínicas - University of Sao Paulo Medical School (HCFMUSP) is the largest university hospital complex in Brazil. HCFMUSP has been converted into a reference center for coronavirus disease 2019. The Division of Plastic Surgery postponed non-essential surgeries and outpatient consultations, accomplishing new guidelines (ANG) of national and international organizations. Even with these challenges arising from the pandemic, alternatives were considered to maintain institutional characteristics. This study aims to analyze this new scenario and the impact on patients’ assistance and Plastic Surgery residents training. METHODS: Total number of surgeries, type of procedures, and outpatient consultations in 2020, before (pre-ANG) and after (post-ANG) ANG, were compared with the same period in 2019 (2019-pre and 2020-post). RESULTS: A marked reduction in the total number of surgeries and outpatient consultations was observed in the post-ANG period. In the post-ANG period, 267 operations were performed (26.7 ± 20.3/week), while in the 2019-post period, 1036 surgeries were performed (103.6 ± 9.7/week) (p = 0.0002). Similarly, 1571 consultations were conducted in the post-ANG period (157.1 ± 93.6/week), while in the 2019-post period, 3907 were performed (390.7 ± 43.1/week) (p = 0.0003). However, in the post-ANG period, an increase in the proportion of reconstructive compared with aesthetic surgery was observed. The maintenance of highly complex procedures such as microsurgical transplants was also identified. CONCLUSIONS: The predominant profile of reconstructive surgeries at the Division of Plastic Surgery allowed the continuity of procedures at all technical complexity levels, patient care maintenance, and Plastic Surgery residents training. Level of evidence: not ratable
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spelling pubmed-74409652020-08-21 The impact of COVID-19 on the plastic surgery activity in a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic Pagotto, Vitor Penteado Figueiredo Abbas, Laielly Goldenberg, Dov Charles Lobato, Rodolfo Costa do Nascimento, Bruno Baptista Monteiro, Gustavo Gomes Ribeiro Camargo, Cristina Pires de Freitas Busnardo, Fabio Gemperli, Rolf Eur J Plast Surg Original Paper BACKGROUND: The Hospital das Clínicas - University of Sao Paulo Medical School (HCFMUSP) is the largest university hospital complex in Brazil. HCFMUSP has been converted into a reference center for coronavirus disease 2019. The Division of Plastic Surgery postponed non-essential surgeries and outpatient consultations, accomplishing new guidelines (ANG) of national and international organizations. Even with these challenges arising from the pandemic, alternatives were considered to maintain institutional characteristics. This study aims to analyze this new scenario and the impact on patients’ assistance and Plastic Surgery residents training. METHODS: Total number of surgeries, type of procedures, and outpatient consultations in 2020, before (pre-ANG) and after (post-ANG) ANG, were compared with the same period in 2019 (2019-pre and 2020-post). RESULTS: A marked reduction in the total number of surgeries and outpatient consultations was observed in the post-ANG period. In the post-ANG period, 267 operations were performed (26.7 ± 20.3/week), while in the 2019-post period, 1036 surgeries were performed (103.6 ± 9.7/week) (p = 0.0002). Similarly, 1571 consultations were conducted in the post-ANG period (157.1 ± 93.6/week), while in the 2019-post period, 3907 were performed (390.7 ± 43.1/week) (p = 0.0003). However, in the post-ANG period, an increase in the proportion of reconstructive compared with aesthetic surgery was observed. The maintenance of highly complex procedures such as microsurgical transplants was also identified. CONCLUSIONS: The predominant profile of reconstructive surgeries at the Division of Plastic Surgery allowed the continuity of procedures at all technical complexity levels, patient care maintenance, and Plastic Surgery residents training. Level of evidence: not ratable Springer Berlin Heidelberg 2020-08-21 2020 /pmc/articles/PMC7440965/ /pubmed/32843821 http://dx.doi.org/10.1007/s00238-020-01729-6 Text en © Springer-Verlag GmbH Germany, part of Springer Nature 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Paper
Pagotto, Vitor Penteado Figueiredo
Abbas, Laielly
Goldenberg, Dov Charles
Lobato, Rodolfo Costa
do Nascimento, Bruno Baptista
Monteiro, Gustavo Gomes Ribeiro
Camargo, Cristina Pires
de Freitas Busnardo, Fabio
Gemperli, Rolf
The impact of COVID-19 on the plastic surgery activity in a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic
title The impact of COVID-19 on the plastic surgery activity in a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic
title_full The impact of COVID-19 on the plastic surgery activity in a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic
title_fullStr The impact of COVID-19 on the plastic surgery activity in a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic
title_full_unstemmed The impact of COVID-19 on the plastic surgery activity in a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic
title_short The impact of COVID-19 on the plastic surgery activity in a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic
title_sort impact of covid-19 on the plastic surgery activity in a high-complexity university hospital in brazil: the importance of reconstructive plastic surgery during the pandemic
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7440965/
https://www.ncbi.nlm.nih.gov/pubmed/32843821
http://dx.doi.org/10.1007/s00238-020-01729-6
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