Dataset Information

Impact of the COVID-19 pandemic on the practice of endocrine surgery.

ABSTRACT:

Background

This study investigates the impact of the COVID-19 pandemic on endocrine surgeons.

Methods

A survey on the professional, educational, and clinical impact was sent to active and corresponding members of the American Association of Endocrine Surgeons (AAES) in September 2020. Chi-square and paired t-test were used for analysis.

Results

77 surgeons responded (14.8 %). All reported suspension of elective surgeries; 37.7 % were reassigned to other duties during this time. The median number of cases backlogged was 30 (IQR 15-50). Most surgeons reported decreased clinical volume (74.6 %). The use of virtual platforms for clinical and educational purposes increased from pre-COVID-19 levels (all p < 0.001). Use of in-office procedures (p < 0.001) and length of observation prior to discharge for thyroid surgery (p < 0.05) decreased.

Conclusion

The COVID-19 pandemic led to suspension of operations and decreased practice volume for endocrine surgeons. Surgeons increased use of virtual platforms, decreased in-office procedures, and decreased duration of observation for thyroid surgery in response.

SUBMITTER: Beninato T

PROVIDER: S-EPMC8294714 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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Publications

Impact of the COVID-19 pandemic on the practice of endocrine surgery.

Beninato Toni T Laird Amanda M AM Graves Claire E CE Drake F Thurston FT Alhefdhi Amal A Lee James A JA Kuo Jennifer H JH Grubbs Elizabeth G EG Wang Tracy S TS Pasieka Janice L JL Lubitz Carrie C CC

American journal of surgery 20210721 4

<h4>Background</h4>This study investigates the impact of the COVID-19 pandemic on endocrine surgeons.<h4>Methods</h4>A survey on the professional, educational, and clinical impact was sent to active and corresponding members of the American Association of Endocrine Surgeons (AAES) in September 2020. Chi-square and paired t-test were used for analysis.<h4>Results</h4>77 surgeons responded (14.8 %). All reported suspension of elective surgeries; 37.7 % were reassigned to other duties during this t ...[more]

PMID: 34315576

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Project description:BackgroundIn the midst of the COVID-19 pandemic, patients have continued to present with endocrine (surgical) pathology in an environment depleted of resources. This study investigated how the pandemic affected endocrine surgery practice.MethodsPanSurg-PREDICT is an international, multicentre, prospective, observational cohort study of emergency and elective surgical patients in secondary/tertiary care during the pandemic. PREDICT-Endocrine collected endocrine-specific data alongside demographics, COVID-19 and outcome data from 11-3-2020 to 13-9-2020.ResultsA total of 380 endocrine surgery patients (19 centres, 12 countries) were analysed (224 thyroidectomies, 116 parathyroidectomies, 40 adrenalectomies). Ninety-seven percent were elective, and 63% needed surgery within 4 weeks. Eight percent were initially deferred but had surgery during the pandemic; less than 1% percent was deferred for more than 6 months. Decision-making was affected by capacity, COVID-19 status or the pandemic in 17%, 5% and 7% of cases. Indication was cancer/worrying lesion in 61% of thyroidectomies and 73% of adrenalectomies and calcium 2.80 mmol/l or greater in 50% of parathyroidectomies. COVID-19 status was unknown at presentation in 92% and remained unknown before surgery in 30%. Two-thirds were asked to self-isolate before surgery. There was one COVID-19-related ICU admission and no mortalities. Consultant-delivered care occurred in a majority (anaesthetist 96%, primary surgeon 76%). Post-operative vocal cord check was reported in only 14% of neck endocrine operations. Both of these observations are likely to reflect modification of practice due to the pandemic.ConclusionThe COVID-19 pandemic has affected endocrine surgical decision-making, case mix and personnel delivering care. Significant variation was seen in COVID-19 risk mitigation measures. COVID-19-related complications were uncommon. This analysis demonstrates the safety of endocrine surgery during this pandemic.

Dataset Information

Impact of the COVID-19 pandemic on the practice of endocrine surgery.

Background

Methods

Results

Conclusion

Publications

Impact of the COVID-19 pandemic on the practice of endocrine surgery.

Similar Datasets

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