Impact of COVID-19 on surgical specialist training as quantified by trainee complication rates for cataract surgery
Background: Reduction in elective surgeries during the COVID-19 pandemic has negatively impacted surgical specialist training. Posterior capsule rupture rate (PCR), a complication of cataract surgery, is an objective measure of the quality of ophthalmic surgery. This study aimed to compare PCR pre-...
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| Veröffentlicht in: | South African journal of surgery 2022-09, Vol.60 (3), p.199-203 |
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| description | Background: Reduction in elective surgeries during the COVID-19 pandemic has negatively impacted surgical specialist training. Posterior capsule rupture rate (PCR), a complication of cataract surgery, is an objective measure of the quality of ophthalmic surgery. This study aimed to compare PCR pre- and post-COVID-19 in trainees and consultants.Methods: A single-centre consecutive cases series of cataract surgeries performed at Groote Schuur Hospital, between 1 February 2017 and 31 May 2021 were analysed. Our main outcome measure was the effect of the volume of cataract surgeries on PCRs between ophthalmology trainees and consultants before and after the COVID-19 reduction in elective surgeries on 23 March 2020.Results: During the study period, 4 157 cataract surgeries were performed (3 493 in the 38 months pre-COVID-19 and 664 in the 14 months post-COVID-19). Fourteen ophthalmology trainees and six consultants performed 2 919 and 1 238 cataract surgeries, respectively. In the trainees the PCR was 4.4% pre-COVID-19 and 10.0% post-COVID-19 (odds ratio [OR] 2.44; p |
| doi_str_mv | 10.17159/2078-5151/SAJS3764 |
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Posterior capsule rupture rate (PCR), a complication of cataract surgery, is an objective measure of the quality of ophthalmic surgery. This study aimed to compare PCR pre- and post-COVID-19 in trainees and consultants.Methods: A single-centre consecutive cases series of cataract surgeries performed at Groote Schuur Hospital, between 1 February 2017 and 31 May 2021 were analysed. Our main outcome measure was the effect of the volume of cataract surgeries on PCRs between ophthalmology trainees and consultants before and after the COVID-19 reduction in elective surgeries on 23 March 2020.Results: During the study period, 4 157 cataract surgeries were performed (3 493 in the 38 months pre-COVID-19 and 664 in the 14 months post-COVID-19). Fourteen ophthalmology trainees and six consultants performed 2 919 and 1 238 cataract surgeries, respectively. In the trainees the PCR was 4.4% pre-COVID-19 and 10.0% post-COVID-19 (odds ratio [OR] 2.44; p<0.001; CI 1.71–3.47; relative risk [RR] 2.29). The PCR of consultants remained unchanged with a PCR of 3.4% pre- and post-COVID-19 (OR 1.02; p = 0.97; CI 0.42–2.46; RR 1.02).Conclusion: COVID-19 has caused a marked reduction in the volume of cataract surgery which has resulted in a deterioration in the performance of trainees, but not consultants, and quantifies the negative impact of the pandemic on surgical training in ophthalmology. This highlights the need to develop plans to improve surgical training during the COVID-19 recovery period.</description><identifier>ISSN: 0038-2361</identifier><identifier>EISSN: 2078-5151</identifier><identifier>DOI: 10.17159/2078-5151/SAJS3764</identifier><language>eng</language><publisher>Pinelands: Medpharm Publications</publisher><subject>Cataract ; cataract surgical complications ; Consulting services ; Coronaviruses ; COVID-19 ; Elective surgery ; Epidemics ; Eye surgery ; Ophthalmology ; Pandemics ; posterior capsule rupture rates ; Surgery ; Surgical education ; Surgical training ; Training</subject><ispartof>South African journal of surgery, 2022-09, Vol.60 (3), p.199-203</ispartof><rights>COPYRIGHT 2022 Medpharm Publications</rights><rights>2022. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-8538-7296 ; 0000-0003-0364-3338</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids></links><search><creatorcontrib>Steffen, J</creatorcontrib><creatorcontrib>Mustak, H</creatorcontrib><title>Impact of COVID-19 on surgical specialist training as quantified by trainee complication rates for cataract surgery</title><title>South African journal of surgery</title><description>Background: Reduction in elective surgeries during the COVID-19 pandemic has negatively impacted surgical specialist training. Posterior capsule rupture rate (PCR), a complication of cataract surgery, is an objective measure of the quality of ophthalmic surgery. This study aimed to compare PCR pre- and post-COVID-19 in trainees and consultants.Methods: A single-centre consecutive cases series of cataract surgeries performed at Groote Schuur Hospital, between 1 February 2017 and 31 May 2021 were analysed. Our main outcome measure was the effect of the volume of cataract surgeries on PCRs between ophthalmology trainees and consultants before and after the COVID-19 reduction in elective surgeries on 23 March 2020.Results: During the study period, 4 157 cataract surgeries were performed (3 493 in the 38 months pre-COVID-19 and 664 in the 14 months post-COVID-19). Fourteen ophthalmology trainees and six consultants performed 2 919 and 1 238 cataract surgeries, respectively. In the trainees the PCR was 4.4% pre-COVID-19 and 10.0% post-COVID-19 (odds ratio [OR] 2.44; p<0.001; CI 1.71–3.47; relative risk [RR] 2.29). The PCR of consultants remained unchanged with a PCR of 3.4% pre- and post-COVID-19 (OR 1.02; p = 0.97; CI 0.42–2.46; RR 1.02).Conclusion: COVID-19 has caused a marked reduction in the volume of cataract surgery which has resulted in a deterioration in the performance of trainees, but not consultants, and quantifies the negative impact of the pandemic on surgical training in ophthalmology. This highlights the need to develop plans to improve surgical training during the COVID-19 recovery period.</description><subject>Cataract</subject><subject>cataract surgical complications</subject><subject>Consulting services</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Elective surgery</subject><subject>Epidemics</subject><subject>Eye surgery</subject><subject>Ophthalmology</subject><subject>Pandemics</subject><subject>posterior capsule rupture rates</subject><subject>Surgery</subject><subject>Surgical education</subject><subject>Surgical training</subject><subject>Training</subject><issn>0038-2361</issn><issn>2078-5151</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptUU1r3DAUNKWBLml-QS-CQm9O9GFJ9nHZtumWQA5JexXPsrTWYluOJBf230fOlraBooNg3sw83kxRfCD4mkjCmxuKZV1ywsnNw_b7A5OielNs_oBviw3GrC4pE-RdcRWjazHljNacsU0R9-MMOiFv0e7-5_5zSRrkJxSXcHAaBhRnox0MLiaUArjJTQcEET0tMCVnnelQezpPjEHaj_OQZclliwDJRGR9QBmAsC5ZXU04vS8uLAzRXP3-L4sfX7887r6Vd_e3-932rtQVE6lsbSs5Zk3LBNQ1tUwa0kGncddQbWxdWSF517GmsppWwlCaqdI2QKCCWlp2WXw8-87BPy0mJnX0S5jySkVljo4Kwelf1gEGo9xkfT5Hjy5qtZWUEUIkrzLr-j-s_DozOu0nY13GXwk-_SPoDQypj35Y1mziayI7E3XwMQZj1RzcCOGkCFYvBau1S7V2qSIc41pwVt2eVRHanH3KEzMvrepTmqPqu0H1MHV58zojmFOszFGr8cVB_RJYOaaANA17Bl8Psfs</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Steffen, J</creator><creator>Mustak, H</creator><general>Medpharm Publications</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0002-8538-7296</orcidid><orcidid>https://orcid.org/0000-0003-0364-3338</orcidid></search><sort><creationdate>20220901</creationdate><title>Impact of COVID-19 on surgical specialist training as quantified by trainee complication rates for cataract surgery</title><author>Steffen, J ; Mustak, H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-bfb75039b36a882f37e1dadc0d92cef84f675dd394fc246e229b37f9a1a4a87f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cataract</topic><topic>cataract surgical complications</topic><topic>Consulting services</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Elective surgery</topic><topic>Epidemics</topic><topic>Eye surgery</topic><topic>Ophthalmology</topic><topic>Pandemics</topic><topic>posterior capsule rupture rates</topic><topic>Surgery</topic><topic>Surgical education</topic><topic>Surgical training</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Steffen, J</creatorcontrib><creatorcontrib>Mustak, H</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>South African journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Steffen, J</au><au>Mustak, H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of COVID-19 on surgical specialist training as quantified by trainee complication rates for cataract surgery</atitle><jtitle>South African journal of surgery</jtitle><date>2022-09-01</date><risdate>2022</risdate><volume>60</volume><issue>3</issue><spage>199</spage><epage>203</epage><pages>199-203</pages><issn>0038-2361</issn><eissn>2078-5151</eissn><abstract>Background: Reduction in elective surgeries during the COVID-19 pandemic has negatively impacted surgical specialist training. Posterior capsule rupture rate (PCR), a complication of cataract surgery, is an objective measure of the quality of ophthalmic surgery. This study aimed to compare PCR pre- and post-COVID-19 in trainees and consultants.Methods: A single-centre consecutive cases series of cataract surgeries performed at Groote Schuur Hospital, between 1 February 2017 and 31 May 2021 were analysed. Our main outcome measure was the effect of the volume of cataract surgeries on PCRs between ophthalmology trainees and consultants before and after the COVID-19 reduction in elective surgeries on 23 March 2020.Results: During the study period, 4 157 cataract surgeries were performed (3 493 in the 38 months pre-COVID-19 and 664 in the 14 months post-COVID-19). Fourteen ophthalmology trainees and six consultants performed 2 919 and 1 238 cataract surgeries, respectively. In the trainees the PCR was 4.4% pre-COVID-19 and 10.0% post-COVID-19 (odds ratio [OR] 2.44; p<0.001; CI 1.71–3.47; relative risk [RR] 2.29). The PCR of consultants remained unchanged with a PCR of 3.4% pre- and post-COVID-19 (OR 1.02; p = 0.97; CI 0.42–2.46; RR 1.02).Conclusion: COVID-19 has caused a marked reduction in the volume of cataract surgery which has resulted in a deterioration in the performance of trainees, but not consultants, and quantifies the negative impact of the pandemic on surgical training in ophthalmology. This highlights the need to develop plans to improve surgical training during the COVID-19 recovery period.</abstract><cop>Pinelands</cop><pub>Medpharm Publications</pub><doi>10.17159/2078-5151/SAJS3764</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-8538-7296</orcidid><orcidid>https://orcid.org/0000-0003-0364-3338</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Cataract cataract surgical complications Consulting services Coronaviruses COVID-19 Elective surgery Epidemics Eye surgery Ophthalmology Pandemics posterior capsule rupture rates Surgery Surgical education Surgical training Training |
| title | Impact of COVID-19 on surgical specialist training as quantified by trainee complication rates for cataract surgery |
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