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, aim...
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| Veröffentlicht in: | Updates in Surgery 2021-04, Vol.73 (2), p.731-744 |
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| creator | Bracale, Umberto Podda, Mauro Castiglioni, Simone Peltrini, Roberto Sartori, Alberto Arezzo, Alberto Corcione, Francesco Agresta, Ferdinando |
| 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 ( |
| doi_str_mv | 10.1007/s13304-021-01010-w |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7926077</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A710618889</galeid><sourcerecordid>A710618889</sourcerecordid><originalsourceid>FETCH-LOGICAL-c513t-3b829817a95d06c1f286cdf10e0c8e3f823ddf08796230a4ef3a9fa63b4830293</originalsourceid><addsrcrecordid>eNp9UcFuGyEQRVWrJnLzAz1Ue-xlXWDWLFwqRZukjWTJUhJLvSHMwppoDS7sOsrfF2fdqL2EkQDNvPcY5iH0meA5wbj-lggArkpMSYlJjvLpHTqnGHgJQOj7050A-XWGLlJ6xHmBOO4f0RkAWzAm6nN012yV70wqnC_SGDun1bLYmK06uFVMRbuOznfFsDVFEw7uqiSi2Cvfmp3T8-Ihp-9vm-uiWa7WV7l0P4zt8yf0wao-mYvTOUPrm-uH5me5XP24bS6XpV4QGErYcCo4qZVYtJhpYilnurUEG6y5AcsptK3FvBaMAlaVsaCEVQw2FQdMBczQ90l3P252ptXGD1H1ch_dTsVnGZST_1e828ouHGQtKMN1nQW-ngRi-D2aNMidS9r0vfImjEnSKj-9IFUe3AzNJ2ineiOdtyEr6hwvkwjeWJfzlzXBjHDOj83RiaBjSCka-9oXwfJooJwMlNlA-WKgfMqkL__-6JXy164MgAmQ9kdfTJSPYYw-T_kt2T-J2aQQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2496251400</pqid></control><display><type>article</type><title>Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Bracale, Umberto ; Podda, Mauro ; Castiglioni, Simone ; Peltrini, Roberto ; Sartori, Alberto ; Arezzo, Alberto ; Corcione, Francesco ; Agresta, Ferdinando</creator><creatorcontrib>Bracale, Umberto ; Podda, Mauro ; Castiglioni, Simone ; Peltrini, Roberto ; Sartori, Alberto ; Arezzo, Alberto ; Corcione, Francesco ; Agresta, Ferdinando ; CLOUD-19 Collaborative Group ; the CLOUD-19 Collaborative Group</creatorcontrib><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.</description><identifier>ISSN: 2038-131X</identifier><identifier>ISSN: 2038-3312</identifier><identifier>EISSN: 2038-3312</identifier><identifier>DOI: 10.1007/s13304-021-01010-w</identifier><identifier>PMID: 33656697</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Analysis ; COVID-19 - epidemiology ; Elective Surgical Procedures - statistics & numerical data ; Epidemics ; Humans ; Infection Control - standards ; Italy - epidemiology ; Laparoscopy - statistics & numerical data ; Medicine ; Medicine & Public Health ; Online databases ; Original ; Original Article ; Pandemics ; Practice Patterns, Physicians' - statistics & numerical data ; SARS-CoV-2 ; Surgery ; Surveys and Questionnaires</subject><ispartof>Updates in Surgery, 2021-04, Vol.73 (2), p.731-744</ispartof><rights>The Author(s) 2021</rights><rights>COPYRIGHT 2021 Springer</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-3b829817a95d06c1f286cdf10e0c8e3f823ddf08796230a4ef3a9fa63b4830293</citedby><cites>FETCH-LOGICAL-c513t-3b829817a95d06c1f286cdf10e0c8e3f823ddf08796230a4ef3a9fa63b4830293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s13304-021-01010-w$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s13304-021-01010-w$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33656697$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bracale, Umberto</creatorcontrib><creatorcontrib>Podda, Mauro</creatorcontrib><creatorcontrib>Castiglioni, Simone</creatorcontrib><creatorcontrib>Peltrini, Roberto</creatorcontrib><creatorcontrib>Sartori, Alberto</creatorcontrib><creatorcontrib>Arezzo, Alberto</creatorcontrib><creatorcontrib>Corcione, Francesco</creatorcontrib><creatorcontrib>Agresta, Ferdinando</creatorcontrib><creatorcontrib>CLOUD-19 Collaborative Group</creatorcontrib><creatorcontrib>the CLOUD-19 Collaborative Group</creatorcontrib><title>Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study</title><title>Updates in Surgery</title><addtitle>Updates Surg</addtitle><addtitle>Updates Surg</addtitle><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.</description><subject>Analysis</subject><subject>COVID-19 - epidemiology</subject><subject>Elective Surgical Procedures - statistics & numerical data</subject><subject>Epidemics</subject><subject>Humans</subject><subject>Infection Control - standards</subject><subject>Italy - epidemiology</subject><subject>Laparoscopy - statistics & numerical data</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Online databases</subject><subject>Original</subject><subject>Original Article</subject><subject>Pandemics</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>SARS-CoV-2</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><issn>2038-131X</issn><issn>2038-3312</issn><issn>2038-3312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9UcFuGyEQRVWrJnLzAz1Ue-xlXWDWLFwqRZukjWTJUhJLvSHMwppoDS7sOsrfF2fdqL2EkQDNvPcY5iH0meA5wbj-lggArkpMSYlJjvLpHTqnGHgJQOj7050A-XWGLlJ6xHmBOO4f0RkAWzAm6nN012yV70wqnC_SGDun1bLYmK06uFVMRbuOznfFsDVFEw7uqiSi2Cvfmp3T8-Ihp-9vm-uiWa7WV7l0P4zt8yf0wao-mYvTOUPrm-uH5me5XP24bS6XpV4QGErYcCo4qZVYtJhpYilnurUEG6y5AcsptK3FvBaMAlaVsaCEVQw2FQdMBczQ90l3P252ptXGD1H1ch_dTsVnGZST_1e828ouHGQtKMN1nQW-ngRi-D2aNMidS9r0vfImjEnSKj-9IFUe3AzNJ2ineiOdtyEr6hwvkwjeWJfzlzXBjHDOj83RiaBjSCka-9oXwfJooJwMlNlA-WKgfMqkL__-6JXy164MgAmQ9kdfTJSPYYw-T_kt2T-J2aQQ</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Bracale, Umberto</creator><creator>Podda, Mauro</creator><creator>Castiglioni, Simone</creator><creator>Peltrini, Roberto</creator><creator>Sartori, Alberto</creator><creator>Arezzo, Alberto</creator><creator>Corcione, Francesco</creator><creator>Agresta, Ferdinando</creator><general>Springer International Publishing</general><general>Springer</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210401</creationdate><title>Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study</title><author>Bracale, Umberto ; Podda, Mauro ; Castiglioni, Simone ; Peltrini, Roberto ; Sartori, Alberto ; Arezzo, Alberto ; Corcione, Francesco ; Agresta, Ferdinando</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-3b829817a95d06c1f286cdf10e0c8e3f823ddf08796230a4ef3a9fa63b4830293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Analysis</topic><topic>COVID-19 - epidemiology</topic><topic>Elective Surgical Procedures - statistics & numerical data</topic><topic>Epidemics</topic><topic>Humans</topic><topic>Infection Control - standards</topic><topic>Italy - epidemiology</topic><topic>Laparoscopy - statistics & numerical data</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Online databases</topic><topic>Original</topic><topic>Original Article</topic><topic>Pandemics</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>SARS-CoV-2</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bracale, Umberto</creatorcontrib><creatorcontrib>Podda, Mauro</creatorcontrib><creatorcontrib>Castiglioni, Simone</creatorcontrib><creatorcontrib>Peltrini, Roberto</creatorcontrib><creatorcontrib>Sartori, Alberto</creatorcontrib><creatorcontrib>Arezzo, Alberto</creatorcontrib><creatorcontrib>Corcione, Francesco</creatorcontrib><creatorcontrib>Agresta, Ferdinando</creatorcontrib><creatorcontrib>CLOUD-19 Collaborative Group</creatorcontrib><creatorcontrib>the CLOUD-19 Collaborative Group</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Updates in Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bracale, Umberto</au><au>Podda, Mauro</au><au>Castiglioni, Simone</au><au>Peltrini, Roberto</au><au>Sartori, Alberto</au><au>Arezzo, Alberto</au><au>Corcione, Francesco</au><au>Agresta, Ferdinando</au><aucorp>CLOUD-19 Collaborative Group</aucorp><aucorp>the CLOUD-19 Collaborative Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study</atitle><jtitle>Updates in Surgery</jtitle><stitle>Updates Surg</stitle><addtitle>Updates Surg</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>73</volume><issue>2</issue><spage>731</spage><epage>744</epage><pages>731-744</pages><issn>2038-131X</issn><issn>2038-3312</issn><eissn>2038-3312</eissn><abstract>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.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33656697</pmid><doi>10.1007/s13304-021-01010-w</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2038-131X |
| ispartof | Updates in Surgery, 2021-04, Vol.73 (2), p.731-744 |
| issn | 2038-131X 2038-3312 2038-3312 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Analysis COVID-19 - epidemiology Elective Surgical Procedures - statistics & numerical data Epidemics Humans Infection Control - standards Italy - epidemiology Laparoscopy - statistics & numerical data Medicine Medicine & Public Health Online databases Original Original Article Pandemics Practice Patterns, Physicians' - statistics & numerical data SARS-CoV-2 Surgery Surveys and Questionnaires |
| title | Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study |
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