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Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services

Søreide, K. ; Hallet, J. ; Matthews, J. B. ; Schnitzbauer, A. A. ; Line, P. D. ; Lai, P. B.S. ; Otero, J. ; Callegaro, D. ; Warner, S. G. and Baxter, N. N. , et al. (2020) In British Journal of Surgery 107(10). p.1250-1261
Abstract

Background: The ongoing pandemic is having a collateral health effect on delivery of surgical care to millions of patients. Very little is known about pandemic management and effects on other services, including delivery of surgery. Methods: This was a scoping review of all available literature pertaining to COVID-19 and surgery, using electronic databases, society websites, webinars and preprint repositories. Results: Several perioperative guidelines have been issued within a short time. Many suggestions are contradictory and based on anecdotal data at best. As regions with the highest volume of operations per capita are being hit, an unprecedented number of operations are being cancelled or deferred. No major stakeholder seems to have... (More)

Background: The ongoing pandemic is having a collateral health effect on delivery of surgical care to millions of patients. Very little is known about pandemic management and effects on other services, including delivery of surgery. Methods: This was a scoping review of all available literature pertaining to COVID-19 and surgery, using electronic databases, society websites, webinars and preprint repositories. Results: Several perioperative guidelines have been issued within a short time. Many suggestions are contradictory and based on anecdotal data at best. As regions with the highest volume of operations per capita are being hit, an unprecedented number of operations are being cancelled or deferred. No major stakeholder seems to have considered how a pandemic deprives patients with a surgical condition of resources, with patients disproportionally affected owing to the nature of treatment (use of anaesthesia, operating rooms, protective equipment, physical invasion and need for perioperative care). No recommendations exist regarding how to reopen surgical delivery. The postpandemic evaluation and future planning should involve surgical services as an essential part to maintain appropriate surgical care for the population during an outbreak. Surgical delivery, owing to its cross-cutting nature and synergistic effects on health systems at large, needs to be built into the WHO agenda for national health planning. Conclusion: Patients are being deprived of surgical access, with uncertain loss of function and risk of adverse prognosis as a collateral effect of the pandemic. Surgical services need a contingency plan for maintaining surgical care in an ongoing or postpandemic phase.

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type
Contribution to journal
publication status
published
subject
in
British Journal of Surgery
volume
107
issue
10
pages
12 pages
publisher
Oxford University Press
external identifiers
  • scopus:85083771998
  • pmid:32350857
ISSN
0007-1323
DOI
10.1002/bjs.11670
language
English
LU publication?
yes
id
7834f4c5-237b-49ef-b9ae-75f7d25e0419
date added to LUP
2020-06-04 14:37:20
date last changed
2021-03-04 15:37:44
@article{7834f4c5-237b-49ef-b9ae-75f7d25e0419,
  abstract     = {<p>Background: The ongoing pandemic is having a collateral health effect on delivery of surgical care to millions of patients. Very little is known about pandemic management and effects on other services, including delivery of surgery. Methods: This was a scoping review of all available literature pertaining to COVID-19 and surgery, using electronic databases, society websites, webinars and preprint repositories. Results: Several perioperative guidelines have been issued within a short time. Many suggestions are contradictory and based on anecdotal data at best. As regions with the highest volume of operations per capita are being hit, an unprecedented number of operations are being cancelled or deferred. No major stakeholder seems to have considered how a pandemic deprives patients with a surgical condition of resources, with patients disproportionally affected owing to the nature of treatment (use of anaesthesia, operating rooms, protective equipment, physical invasion and need for perioperative care). No recommendations exist regarding how to reopen surgical delivery. The postpandemic evaluation and future planning should involve surgical services as an essential part to maintain appropriate surgical care for the population during an outbreak. Surgical delivery, owing to its cross-cutting nature and synergistic effects on health systems at large, needs to be built into the WHO agenda for national health planning. Conclusion: Patients are being deprived of surgical access, with uncertain loss of function and risk of adverse prognosis as a collateral effect of the pandemic. Surgical services need a contingency plan for maintaining surgical care in an ongoing or postpandemic phase.</p>},
  author       = {Søreide, K. and Hallet, J. and Matthews, J. B. and Schnitzbauer, A. A. and Line, P. D. and Lai, P. B.S. and Otero, J. and Callegaro, D. and Warner, S. G. and Baxter, N. N. and Teh, C. S.C. and Ng-Kamstra, J. and Meara, J. G. and Hagander, L. and Lorenzon, L.},
  issn         = {0007-1323},
  language     = {eng},
  number       = {10},
  pages        = {1250--1261},
  publisher    = {Oxford University Press},
  series       = {British Journal of Surgery},
  title        = {Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services},
  url          = {http://dx.doi.org/10.1002/bjs.11670},
  doi          = {10.1002/bjs.11670},
  volume       = {107},
  year         = {2020},
}