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Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study
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, ai...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7926077/ https://www.ncbi.nlm.nih.gov/pubmed/33656697 http://dx.doi.org/10.1007/s13304-021-01010-w |
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author | Bracale, Umberto Podda, Mauro Castiglioni, Simone Peltrini, Roberto Sartori, Alberto Arezzo, Alberto Corcione, Francesco Agresta, Ferdinando |
author_facet | Bracale, Umberto Podda, Mauro Castiglioni, Simone Peltrini, Roberto Sartori, Alberto Arezzo, Alberto Corcione, Francesco Agresta, Ferdinando |
author_sort | Bracale, Umberto |
collection | PubMed |
description | 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. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s13304-021-01010-w) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-7926077 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-79260772021-03-03 Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study Bracale, Umberto Podda, Mauro Castiglioni, Simone Peltrini, Roberto Sartori, Alberto Arezzo, Alberto Corcione, Francesco Agresta, Ferdinando Updates Surg Original Article 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. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s13304-021-01010-w) contains supplementary material, which is available to authorized users. Springer International Publishing 2021-03-03 2021 /pmc/articles/PMC7926077/ /pubmed/33656697 http://dx.doi.org/10.1007/s13304-021-01010-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Bracale, Umberto Podda, Mauro Castiglioni, Simone Peltrini, Roberto Sartori, Alberto Arezzo, Alberto Corcione, Francesco Agresta, Ferdinando Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study |
title | Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study |
title_full | Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study |
title_fullStr | Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study |
title_full_unstemmed | Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study |
title_short | Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study |
title_sort | changes in surgical behaviors during the covid-19 pandemic. the sice cloud19 study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7926077/ https://www.ncbi.nlm.nih.gov/pubmed/33656697 http://dx.doi.org/10.1007/s13304-021-01010-w |
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