Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study

Umberto Bracale, Mauro Podda, Simone Castiglioni, Roberto Peltrini, Alberto Sartori, Alberto Arezzo, Francesco Corcione, Ferdinando Agresta, Adelmo Antonucci, Claudia Zanframundo, Fabio Cavallo, Giorgio Mazzarolo, Antonio Agrusa, Giuseppe Di Buono, Luca Aldrighetti, Guido Fiorentini, Alessandro Lucianetti, Stefano Magnone, Sergio Alfieri, Fausto RosaDonato F. Altomare, Arcangelo Picciariello, Amilcare Parisi, Antonio Di Cintio, Marco Francesco Amisano, Francesca Cravero, Michele Ammendola, Giorgio Ammerata, Alessandro Anastasi, Giuseppe Canonico, Andra Gattolin, Elisabetta Travaglio, Andrea Sartori, Massimiliano De Palma, Pierluigi Angelini, Francesco Galante, Angelo Benevento, Stefano Rausei, Angelo Serao, Francesca Abbatini, Mario Annecchiarico, Antonio Varricchio, Valerio Annessi, David Tumiati, Alfredo Annicchiarico, Antonello Mirabella, Marco V. Marino, Antonino Spinelli, Antonio Braun, Hong Tham Santi, Lucia Romano, Michele Antoniutti, Mariano Fortunato Armellino, Giulio Argenio, Augusto Verzelli, Andrea Budassi, Gianluca Baiocchi, Marie Sophie Alfano, Alessandro Balani, Marco Barone, Gianandrea Baldazzi, Diletta Cassini, Ruben Carlo Balzarotti Canger, Gianpietro Zabbialini, Andrea Belli, Francesco Izzo, Franco Bertolino, Marco Brunetti, Francesco Bianco, Antonio Cappiello, Luigi Boccia, Bernardo Boffi, Federico Perna, Stefano Bonilauri, Giuseppe Frazzetta, Pierpaolo Bordoni, Francesco Fleres, Felice Borghi, Giorgio Giraudo, Vincenzo Bottino, Alfonso Canfora, Fabrizio Briganti Piccoli, Luca Calligaris, Bruno Nipote, Aniello Gennaro Nasti, Andrea Bufalari, Francesca Bettarini, Massimo Buononato, Marco Greco, Pietro Giorgio Calò, Fabio Medas, Eugenia Cardamone, Pasquale Castaldo, Massimo Carlini, Domenico Spoletini, Carlo De Nisco, Fabio Pulighe, Carlo V. Feo, Nicolò Fabbri, Carmine Antropoli

Forskningsoutput: TidskriftsbidragArtikelPeer review

2 Citeringar (Scopus)

Sammanfattning

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.
OriginalspråkEngelska
TidskriftUpdates in Surgery
Volym73
Utgåva2
DOI
StatusPublicerad - 1 apr 2021

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