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Janardhanan P, Khalid A, Anwaar MH, Williams R, Timms E, Ward S, Karandikar S, Dattani M. The 'hub' model for colorectal surgery: a viable paradigm shift? Ann R Coll Surg Engl 2025. [PMID: 40197111 DOI: 10.1308/rcsann.2024.0003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/09/2025] Open
Abstract
INTRODUCTION Nationally, in the aftermath of the first COVID-19 lockdown, the waiting list for elective surgery is approximately 7 million. To ameliorate an evolving crisis and improve system resilience, the Royal College of Surgeons of England proposed a 'New Deal for Surgery', promoting COVID-light sites and elective hubs. We evaluate the short-term outcomes, safety and sustainability of the hub model at a large National Health Service trust. METHODS All major elective colorectal operations performed at the hub between 8 March 2021 and 8 March 2022 were included for analysis. Pertinent data on patient demographics, operative performance and postoperative outcomes were analysed using SPSS 27. RESULTS In total, 401 cases were analysed. There was one same-day cancellation because of the unavailability of beds (0.2%). Median distance displacement for patients for their primary surgery was +3.2 miles. Twenty-one patients (5.2%) required postoperative blood transfusion. One patient had nosocomial COVID-19 (0.2%), severe complications of Clavien-Dindo grade ≥3 were observed in 33 patient (8.2%) and transfer-out for higher level care occurred in 34 cases (8.5%). Forty-six 30-day readmissions (11.5%) and two deaths (0.4%) were noted. Median length of stay was 6 days. CONCLUSIONS The volume of major colorectal surgery at the hub, with acceptable incidence of major complication, transfer-out and minimal patient displacement, attests to the efficacy and safety of the new model.
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Affiliation(s)
- P Janardhanan
- University Hospitals Birmingham NHS Foundation Trust, UK
| | - A Khalid
- University Hospitals Birmingham NHS Foundation Trust, UK
| | - M H Anwaar
- University Hospitals Birmingham NHS Foundation Trust, UK
| | - R Williams
- University Hospitals Birmingham NHS Foundation Trust, UK
| | - E Timms
- University Hospitals Birmingham NHS Foundation Trust, UK
| | - S Ward
- University Hospitals Birmingham NHS Foundation Trust, UK
| | - S Karandikar
- University Hospitals Birmingham NHS Foundation Trust, UK
| | - M Dattani
- University Hospitals Birmingham NHS Foundation Trust, UK
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Boitet LM, Meese KA, Colón-López A, Sweeney KL, Rogers DA. Feeling safe versus being safe: Perceptions of safety versus actual disease exposure across the entire health care team. J Healthc Risk Manag 2023; 43:10-18. [PMID: 37208959 DOI: 10.1002/jhrm.21542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 04/14/2023] [Indexed: 05/21/2023]
Abstract
As supply chains experienced disruptions early in the COVID-19 pandemic, personal protective equipment (PPE) quickly became scarce. The purpose of this study was to examine the impact of perceptions of inadequate PPE, fear of COVID-19 infection, and self-reported direct COVID-19 exposure on health care workers. Data to assess distress, resilience, social-ecological factors, and work and nonwork-related stressors were collected from June to July 2020 at a large medical center. Stressors were analyzed by role using descriptive statistics and multivariate regression analysis. Our data indicate that job role influenced fear of infection and perceptions of inadequate PPE in the early phase of the COVID-19 pandemic. Perceived organizational support was also related to perceptions of inadequate PPE supply. Interestingly, work location, rather than job role, was predictive of direct COVID-19 exposure. Our data highlight a disconnect between the perception of safety in the health care setting with real risk of exposure to infectious disease. This study suggests that leaders in health care should focus on cultivating supportive organizational cultures, assessing both perceived and actual safety, and provide adequate training in safety practices may improve preparedness and organizational trust during times of both certainty and crisis particularly for clinical workers with less education and training.
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Affiliation(s)
- Laurence M Boitet
- Department of Health Services Administration, UAB Medicine Office of Wellness, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA
- Department of Health Services Administration and Director of Wellness Research, University of Alabama at Birmingham (UAB), UAB Medicine Office of Wellness, UAB, Birmingham, Alabama, USA
| | - Katherine A Meese
- Department of Health Services Administration, UAB Medicine Office of Wellness, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA
- Department of Health Services Administration and Director of Wellness Research, University of Alabama at Birmingham (UAB), UAB Medicine Office of Wellness, UAB, Birmingham, Alabama, USA
| | - Alejandra Colón-López
- Department of Medical Education, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA
| | - Katherine L Sweeney
- Department of Health Services Administration and Director of Wellness Research, University of Alabama at Birmingham (UAB), UAB Medicine Office of Wellness, UAB, Birmingham, Alabama, USA
- Department of Sociology, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA
| | - David A Rogers
- Department of Health Services Administration and Director of Wellness Research, University of Alabama at Birmingham (UAB), UAB Medicine Office of Wellness, UAB, Birmingham, Alabama, USA
- Department of Surgery and Chief Wellness Officer, UAB Medicine Office of Wellness, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA
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Siragusa L, Angelico R, Angrisani M, Zampogna B, Materazzo M, Sorge R, Giordano L, Meniconi R, Coppola A, SPIGC Survey Collaborative Group. How future surgery will benefit from SARS-COV-2-related measures: a SPIGC survey conveying the perspective of Italian surgeons. Updates Surg 2023; 75:1711-1727. [PMID: 37578735 PMCID: PMC10435629 DOI: 10.1007/s13304-023-01613-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Collaborators] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 07/23/2023] [Indexed: 08/15/2023]
Abstract
COVID-19 negatively affected surgical activity, but the potential benefits resulting from adopted measures remain unclear. The aim of this study was to evaluate the change in surgical activity and potential benefit from COVID-19 measures in perspective of Italian surgeons on behalf of SPIGC. A nationwide online survey on surgical practice before, during, and after COVID-19 pandemic was conducted in March-April 2022 (NCT:05323851). Effects of COVID-19 hospital-related measures on surgical patients' management and personal professional development across surgical specialties were explored. Data on demographics, pre-operative/peri-operative/post-operative management, and professional development were collected. Outcomes were matched with the corresponding volume. Four hundred and seventy-three respondents were included in final analysis across 14 surgical specialties. Since SARS-CoV-2 pandemic, application of telematic consultations (4.1% vs. 21.6%; p < 0.0001) and diagnostic evaluations (16.4% vs. 42.2%; p < 0.0001) increased. Elective surgical activities significantly reduced and surgeons opted more frequently for conservative management with a possible indication for elective (26.3% vs. 35.7%; p < 0.0001) or urgent (20.4% vs. 38.5%; p < 0.0001) surgery. All new COVID-related measures are perceived to be maintained in the future. Surgeons' personal education online increased from 12.6% (pre-COVID) to 86.6% (post-COVID; p < 0.0001). Online educational activities are considered a beneficial effect from COVID pandemic (56.4%). COVID-19 had a great impact on surgical specialties, with significant reduction of operation volume. However, some forced changes turned out to be benefits. Isolation measures pushed the use of telemedicine and telemetric devices for outpatient practice and favored communication for educational purposes and surgeon-patient/family communication. From the Italian surgeons' perspective, COVID-related measures will continue to influence future surgical clinical practice.
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Affiliation(s)
- Leandro Siragusa
- Department of Surgical Sciences, University of Rome "Tor Vergata", Rome, Italy
| | - Roberta Angelico
- HPB and Transplant Unit, Department of Surgical Sciences, University of "Rome Tor Vergata", Rome, Italy
| | - Marco Angrisani
- Department of General Surgery and Liver Transplantation, San Camillo Forlanini Hospital, Rome, Italy
| | - Biagio Zampogna
- Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy
- Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, 00128, Rome, Italy
| | - Marco Materazzo
- Department of Surgical Sciences, University of Rome "Tor Vergata", Rome, Italy.
- HPB and Transplant Unit, Department of Surgical Sciences, University of "Rome Tor Vergata", Rome, Italy.
- PhD Program in Applied Medical-Surgical Sciences, Breast Oncoplastic Surgery, University of Rome Tor Vergata, Rome, Italy.
| | - Roberto Sorge
- Department of Biostatistics, University of Rome Tor Vergata, Rome, Italy
| | - Luca Giordano
- Department of Surgery, Sapienza University of Rome, Rome, Italy
| | - Roberto Meniconi
- Department of General Surgery and Liver Transplantation, San Camillo Forlanini Hospital, Rome, Italy
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Collaborators
Annarita Marino, Giorgio Giraudo, Sofia Esposito, Alessia Urbani, Matteo De Pastena, Rodolfo Mastrapasqua, Mattia Garancini, Alice Frontal, Giovanni Pascal, Jacopo Martellucc, Francesco Falb, Alessandro Boscarelli, Pietro Bertoglio, Eleonora Trecca, Luca Galassi, Vincenzo Vento, Ambra Chiappini, Alessandro Antonelli, Francesco Bennardo, Filippo Familiari, Giuseppe Giannaccare, Andrea Sisto Zappia, Giuseppe Giuliani, Francesca Falcone, Stefano Sebastiani, Mauro Montuori, Stefano Rossi, Andrea Sagnotta, Beatrice Giuliani, Giusy Carmen Imbriani, Stefano Restaino, Lorenzo Andreani, Fabrizio Di Maria, Antonio Simone Laganà, Livio Vitiello, Federico Berton, Edoardo Virgilio, Marco Palisi, Luca Portigliotti, Marco Calussi, Luigi Conti, Claudio Mauriello, Mirko Barone, Edoardo Saladino, Alessia Giaquinta, Domenico Zerb, Giuseppe Frazzetta, Giovanni Merola, Andrea Chierici, Roberto Bini, Leonardo Centonze, Riccardo De Carlis, Luca Ferrario, Alessandro Giani, Andrea Lauterio, Nicolò Tamini, Stefano Corti, Emanuele Botteri, Jacopo Andreuccetti, Rossella D'Alessio, Giovanni Cestaro, Guglielmo Clarizia, Alessandro Spolini, Alberto Salvatore Carboni, Enrico Benzoni, Giampaolo Galiffa, Bruno Perotti, Massimiliano Veroux, Valentina Randazzo, Domenico Topa, Chiara Pranteda, Massimiliano Veroux, Giorgia Contini, Chiara Iacusso, Valerio Voglino, Pietro Vita, Francesco Maria Carrano, Luca Ambrosio, Roberto Cammarata, Gabriella Teresa Capolupo, Damiano Caputo, Filippo Carannante, Chiara Cascone, Francesco Esperto, Tommaso Farolfi, Luca Frasca, Ida Francesca Gallo, Giulia Gibin, Giancarlo Giurazza, Luca Improta, Vincenzo La Vaccara, Paolo Luffarelli, Daniela Luvero, Giovanni Marangi, Gianluca Masciana, Alessandro Mazzola, Erica Mazzotta, Chiara Isabella Miligi, Nunzio Montelione, Antonio Nenna, Paolo Orsaria, Rocco Papalia, Giuseppe Francesco Papalia, Francesco Rosario Parisi, Francesco Prata, Rosa Salzillo, Simone Santini, Francesco Sofo, Andrea Zampoli, Cinzia Tanda, Gaia Altieri, Francesco Ardito, Francesco Belia, Valentina Bianchi, Alberto Biondi, Giuseppe Brisinda, Marco Chiappetta, Gianluca Ciolli, Alessandro Ciolli, Federica Ferracci, Lorenzo Ferri, Valeria Fico, Claudio Fiorillo, Pietro Fransvea, Federica Galiandro, Francesco Giovinazzo, Antonio La Greca, Francesco Litta, Caterina Mele, Donato Paolo Pafundi, Elena Panettieri, Valerio Papa, Romeo Patini, Romeo Patini, Gerardo Perrotta, Caterina Puccioni, Pietro Santocchi, Giulia Armatura, Stefano Olmi, Gianmaria Casoni Pattacini, Stefano Salgarello, Mario Trompetto, Cristina Bombardini, Roberto La Rocca, Giuseppe Celentano, Andrea Micalef, Antonio Mazzella, Alberto Settembrini, Cesare Zoia, Luca Degrate, Giovanbattista Musumeci, Carmen Angela Maria Palopoli, Giulia Montori, Elena Bonati, Vincenza Paola Dinuzzi, Francesco Velluti, Andrea Balla, Davide Edoardo Bonasia, Diego Coletta, Giammauro Berardi, Marco Colasanti, Stefano Ferretti, Camilla Gasparoli, Germano Mariano, Stefano Avenia, Pasquale Cianci, Luca Cestino, Federico Festa, Federico Fazio, Francesca Ascari, Matteo Desio, Gabriela Aracelly Arroyo Murillo, Marco Cereda, Raffaele Galleano, Giulia David, Antonio Pansini, Carlo Gazia, Giulia Atzori, Lorenzo Ferro Desideri, Simone Famularo, Jacopo Galvanin, Veronica Maria Giudici, Giuseppe Mangiameli, Simona Mei, Flavio Milana, Andrea Pansa, Matteo Sacchi, Alberto Testori, Gabriele Di Carlo, Marco Paratore, Umberto Perrone, Aldo Vagge, Jacopo Viganò, Beatrice Torre, Mauro Alessandro Scotti, Gabriele Carbone, Raffaele Cerchione, Paola De Nardi, Lorenzo Gozzini, Luca Ottaviani, Carlotta Senni, Ottavio Piccin, Luca Pio, Francesco Colombo, Riccardo Avantifiori, Valeria Baldassarri, Roberto Caronna, Pierfranco Maria Cicerchia, Diletta Corallino, Daniele Crocetti, Gaetano Gallo, Francesco Giovanardi, Francesca Giovannetti, Redan Hassan, Angelo Iossa, Quirino Lai, Francesco Lancellotti, Alessio Lucarini, Sara Lucchese, Gennaro Mazzarella, Fabio Melandro, Andrea Minervini, Edoardo Maria Muttillo, Livia Palmieri, Rocco Pasqua, Francesco Rosiello, Giacomo Salina, Simone Sibio, Pasqualino Sirignano, Mariarita Tarallo, Sofia Usai, Camilla Vanni, Edoardo Viglietta, Martina Zambon, Nunzia Ivana Conversano, Angelo Gabriele Epifani, Valentina Milano, Luca Sacco, Mariachiara Nava, Anna Maffioli, Simona Giuratrabocchetta, Filippo Baracchi, Michele Zuolo, Marco Ceresoli, Daunia Verdi, Andrea Belli, Francesco Pata, Elisa Piovano, Giovanlorenzo Pastore, Federico Bernabei, Selene Deiana, Alberto Arceri, Claudio D'Agostino, Chiara Marafante, Elisabetta Moggia, Sara Parini, Marco Moretti, Fabio Uggeri, Nicholas Pontarolo, Tommaso Fontana, Graziano Palmisano, Mario Giuffrida, Eleonora Guaitoli, Carlotta Ferretti, Giorgia Iacopino, Rossella Gioco, Giuseppe Roscitano, Paolo Montanelli, Maria Francesca Chiappetta, Enrico Pinotti, Erica Monati, Giada Fazio, Francesco Di Pietro, Francesco Damarco, Andrea Barberis, Andrea Razzore, Angelo Pascale, Sara Loi, Francesco Ferrara, Matteo Rossi, Giorgio Lisi, Giovanni Viel, Diego Sasia, Dario Bono, Emanuele Rampino Cordaro, Elena Giacomelli, Iacopo Giani, Luca Seriau, Gianluca Pellino, Marco Sparavigna, Giuseppe Trigiante, Roberto Giuseppe D'Ambrogio, Francesca Cardella, Sara Guzzetti, Andrea-Pierre Luzzi, Giacomo Carganico, Beatrice Drago, Giancarlo Micheletto, Riccardo Orlandi, Carmen Cutolo, Umberto Gibello, Massimiliano Mistrangelo, Edoardo Forcignanò, Stefano D'Ugo, Pasquale Losurdo, Mattia Manitto, Guido Caroli, Melania Franco, Pier Luigi Tilocca, Paolo Mendogni, Giuseppe Sena, Daniele Sambucci, Claudio Luciani, Pietro Atelli, Agostino Guida, Fabio Marino, Andrea Morini, Maria Grazia Sibilla, Filippo Longo, Sara Giaccari, Vincenzo Vigorita, Alberto Balduzzi, Fabio Barra, Daniele Delogu, Erica Milone, Lapo Bencini, Vittorio Aprile, Piermarco Papini, Nicola Montemurro, Matteo Cavallo, Arcangelo Picciariello, Giovanni Tomasicchio, Alessandra Fittipaldi, Michele Maruccia, Simone Gerardi, Nicola Cillara, Simona Deidda, Giuseppe Demarinis, Enrico Peiretti, Filippo Tatti, Claudio Iovino, Gaetano Isola, Valerio Calogero Progno, Marcello Migliore, Giorgio Badessi, Chiara Barillà, Gaetano Silvio Calleri, Stefano Cianci, Fausto Fama, Francesco Fleres, Carmelo Mazzeo, Mario Gaetano Visaloco, Carlo Marchetto, Federico Bolognesi, Laura Benuzzi, Greta Bracchetti, Francesco Brucchi, Carlo Alberto Manzo, Luca Scaravilli, Carlo Ferrari, Aldo Rocca, Pasquale Napolitano, Pietro Anoldo, Chiara Caricato, Michele Manigrasso, Marco Milone, Luigi Napolitano, Giuseppe Palomba, Vincenzo Schiavone, Martino Vetrella, Ugo Grossi, Lucia Moletta, Alfredo Annicchiarico, Ivan Vella, Giuseppe Talesa, Ugo Boggi, Francesco Aiello, Alessandro Anselmo, Amedeo Antonelli, Giulia Bacchiocchi, Federico Beati, Vittoria Bellato, Federica Billeci, Francesca Blasi, Oreste Claudio Buonomo, Michela Campanelli, Giulia Coco, Alessia Contadini, Luigi Eduardo Conte, Giulia D'Ippolito, Arianna Di Marcantonio, Claudia Fede Spicchiale, Gabriele Gallo Afflitto, Alice Gismondi, Giulio Gorgolini, Alessandra Vittoria Granai, Simona Grande, Andrea Gravina, Andrea Martina Guida, Sara Ingallinella, Laura Keci, Eleonora Latini, Davide Marino, Fabio Massimo Oddi, Luca Orecchia, Cristine Brooke Pathirannehalage Don, Marco Pellicciaro, Lorenzo Petagna, Brunella Maria Pirozzi, Claudia Quaranta, Maurizio Rho, Alessandro Rosina, Maria Sara Santicchia, Federica Saraceno, Alfonso Schiavone, Bruno Sensi, Alessandra Spina, Luca Sullo, Federico Tacconi, Riccardo Tajè, Gianluca Vanni, Danilo Vinci, Giulia Vita, Giuseppe Alba, Simona Badalucco, Ludovico Carbone, Osvaldo Carpineto Samorani, Glauco Chisci, Roberto Cuomo, Alessandro Francia, Daniele Fusario, Bruno Gargiulo, Edoardo Pasqui, Leonardo Pasquetti, Pasquale Puoti, Luca Resca, Jacopo Cumbo, Stefano Ganio, Giuseppe Vizzielli, Marco Anastasi, Domenico Guerra, Andrea Romanzi, Alberto Vannelli, Marco Baia,
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Farid Y, Vissers G, Ortiz S, Tondu T, Thiessen F, Coppieters Y, Wauthy P. Are surgeons ready to get the COVID-19 vaccine? Acta Chir Belg 2023; 123:238-243. [PMID: 34474635 DOI: 10.1080/00015458.2021.1975892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Accepted: 08/30/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Vaccination against COVID-19 has started in several countries already and is on its way in others. However, there is an important hesitance towards the vaccine. The aim of this study is to evaluate the vaccination hesitance and main concerns towards the vaccine among surgeons. METHODS An anonymous survey of 16 questions was sent to 138 Belgian surgeons before the start of vaccination in Belgium. The questions were divided into sections, evaluating demographics, COVID-19 test status and symptoms, the surgeon's opinion on the COVID-19 vaccination and their main concerns. RESULTS Ninety-three out of 138 surgeons (67.4%) completed the survey: two-third of them were residents. Sixty-nine surgeons (74.2%) do want to get vaccinated. Forty-two surgeons (45.2%) feel like they do not have enough information about the vaccine. Residents feel significantly more underinformed than consultants (52.3% and 29.0%, respectively). Surgeons who feel to be well-informed are more willing to get vaccinated (92.2%) compared to those who feel to have a lack of information (52.4%). The main concerns among surgeons include effectiveness (26.9%), safety and side effects (19.4%) and organisation and vaccination strategy (12.9%). Twenty-five surgeons (26.9%) have no concerns at all. CONCLUSION Most surgeons (74.2%) are ready for their COVID-19 vaccine. However, some of the surgeons are still doubtful about the vaccine. A lack of information plays a major role in their scepticism. A strong communication strategy is necessary to educate, reassure and motivate surgeons to get vaccinated.
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Affiliation(s)
- Yasser Farid
- Department of Plastic, Reconstructive and Aesthetic Surgery, CHU Brugmann - site Victor Horta, Brussels Belgium
| | - Gino Vissers
- Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital Antwerp, Edegem, Belgium
| | - Soccoro Ortiz
- Department of Plastic, Reconstructive and Aesthetic Surgery, CHU Brugmann - site Victor Horta, Brussels Belgium
| | - Thierry Tondu
- Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital Antwerp, Edegem, Belgium
| | - Filip Thiessen
- Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital Antwerp, Edegem, Belgium
| | - Yves Coppieters
- School of Public Health, Université libre de Bruxelles (ULB), Bruxelles, Belgium
| | - Pierre Wauthy
- Department of Cardiac Surgery, CHU Brugmann - site Victor Horta, Brussels, Belgium
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Khadka S, Saleem M, Usman M, Hashmi FK, Tariq F, Zaheer W, Imon S, Inam A, Gupta RP, Aryal P. Qualitative exploration of perspectives of the pharmacists working in public-sector hospitals during COVID-19 pandemic. J Pharm Policy Pract 2023; 16:45. [PMID: 36932458 PMCID: PMC10022563 DOI: 10.1186/s40545-023-00549-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2022] [Accepted: 03/06/2023] [Indexed: 03/19/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic, a serious global health threat, has excruciating social and economic implications given its transmissibility, lack of therapy, and severity. In such a situation, pharmacists as frontline healthcare professionals hold a significant position to tackle. This study was designed to explore the perception and preparedness of pharmacists working in public sector hospitals amid such a pandemic in Pakistan. METHODS A total of 11 pharmacists were interviewed for this qualitative study design through a semi-structured interview guide. The interviews were recorded and transcribed verbatim. RESULTS The thematic content analysis yielded six major themes; understanding of COVID-19, perceptions towards COVID-19, preventive aspects, management aspects, changes to lifestyle, and psychological aspects. Though efficient preparedness and approach to fighting against such pandemics were reported, pharmacists were found susceptible to infection and psychological stress. They also expressed lockdown as an effective measure to prevent the disease from spreading but still were concerned about its economic and social impact. CONCLUSIONS Adequate planning and facilities from the national level should be made available for strengthening the hospital pharmacy service that helps improve the overall healthcare system of low- and middle-income countries like Pakistan. The provision of a protective facility, incentives, and occupational health surveillance packages are deemed necessary to boost the self-esteem and morale of hospital pharmacists that safeguard the early and effective management of such disasters.
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Affiliation(s)
- Sitaram Khadka
- Level One Plus Hospital, Golan Heights, Syria. .,Shree Birendra Hospital, Nepalese Army Institute of Health Sciences, Kathmandu, Nepal.
| | - Mohammad Saleem
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Muhammad Usman
- Institute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Furqan K Hashmi
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Fatima Tariq
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Warda Zaheer
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Sabahat Imon
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Aqsa Inam
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Ravi Prasad Gupta
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Pallav Aryal
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
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Cayo-Rojas CF, Córdova-Limaylla N, Briceño-Vergel G, Ladera-Castañeda M, Cachay-Criado H, López-Gurreonero C, Cornejo-Pinto A, Cervantes-Ganoza L. Psychometric evidence of a perception scale about covid-19 vaccination process in Peruvian dentists: a preliminary validation. BMC Health Serv Res 2022; 22:1296. [PMID: 36307809 PMCID: PMC9614191 DOI: 10.1186/s12913-022-08677-w] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 10/11/2022] [Indexed: 12/03/2022] Open
Abstract
Background In the current pandemic context, dental professionals have greater occupational risks due to their healthcare activity, placing their expectations on the vaccine as a means of protection and at the same time hoping that the immunization process will be safe, reliable and comfortable, giving them greater peace of mind when they return to work. Therefore, the aim of the present study was to develop and provide a preliminary validation of a scale to measure perception of the COVID-19 vaccination process in Peruvian dental professionals. Methods Cross-sectional study with instrumental design. The scale was self-administered virtually. It was distributed through social networks to 220 dental professionals from two universities in the Peruvian capital between June and August 2021. The Aiken V was used for content analysis, while descriptive statistics such as mean, variance, kurtosis and skewness were used for construct validation, in addition to Pearson’s correlation matrix for analysis of the 18 items. Subsequently, a Parallel Analysis based on minimum rank factor analysis was performed. Finally, the reliability of the total scale and its dimensions was evaluated with Cronbach’s alpha. Results The Aiken V coefficient values were favorable for all items. Parallel analysis indicated the existence of three dimensions. Principal component analysis with rotation suggested grouping eight items for the first dimension, six items for the second dimension and four items for the third dimension. These dimensions showed good reliability, as Cronbach’s alpha was 0.87, (95% confidence interval [CI]: 0.84–0.90), 0.80 (95% CI: 0.75–0.84) and 0.82 (95% CI: 0.78–0.86), respectively. In addition, the overall reliability of the scale was 0.89 (95% CI: 0.86–0.91), being acceptable. Conclusions The perception scale of the COVID-19 vaccination process in dental professionals proved preliminarily to be a valid and reliable scale that can be used for research purposes. However, it is recommended to extend its application and evaluate its metric properties in other health professionals.
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de Brito BB, Marques HS, Silva FAFD, Cordeiro Santos ML, Araújo GRL, Valente LDA, Freire de Melo F. Influence of the COVID-19 pandemic in the gastrointestinal oncology setting: An overview. World J Gastrointest Pathophysiol 2022; 13:157-169. [PMID: 36187602 PMCID: PMC9516457 DOI: 10.4291/wjgp.v13.i5.157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 05/27/2022] [Accepted: 08/14/2022] [Indexed: 02/08/2023] Open
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has been impacting healthcare in various ways worldwide and cancer patients are greatly affected by the coronavirus disease 2019 (COVID-19) pandemic. The reorganization of the health facilities in order to supply the high demand resulting from the aforementioned infection as well as the social isolation measures led to impairments for the diagnosis and follow-up of patients with gastrointestinal cancers, which has had an impact on the prognosis of the oncologic patients. In that context, health authorities and organizations have elaborated new guidelines with specific recommendations for the management of individuals with gastrointestinal neoplasms during the pandemic. Of note, oncologic populations seem to be more susceptible to unfavorable outcomes when exposed to SARS-CoV-2 infection and some interactions involving virus, tumor, host immune system and anticancer therapies are probably related to the poorer prognosis observed in those COVID-19 patients. Moreover, vaccination stands out as the main prevention method against severe SARS-CoV-2 infection and some particularities have been observed regarding the seroconversion of vaccinated oncologic patients including those with gastrointestinal malignancies. In this minireview, we gather updated information regarding the influence of the pandemic in the diagnosis of gastrointestinal neoplasms, new recommendations for the management of gastrointestinal cancer patients, the occurrence of SARS-CoV-2 infection in those individuals and the scenario of the vaccination against the virus in that population.
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Affiliation(s)
- Breno Bittencourt de Brito
- Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Vitória da Conquista 45029-094, Bahia, Brazil
| | - Hanna Santos Marques
- Campus Vitória da Conquista, Universidade Estadual do Sudoeste da Bahia, Vitória da Conquista 45055-380, Bahia, Brazil
| | | | - Maria Luísa Cordeiro Santos
- Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Vitória da Conquista 45029-094, Bahia, Brazil
| | - Glauber Rocha Lima Araújo
- Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Vitória da Conquista 45029-094, Bahia, Brazil
| | - Lara de Araujo Valente
- Campus Vitória da Conquista, Universidade Estadual do Sudoeste da Bahia, Vitória da Conquista 45055-380, Bahia, Brazil
| | - Fabrício Freire de Melo
- Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Vitória da Conquista 45029-094, Brazil
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8
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Lisi G, Gentileschi P, Spoletini D, Passaro U, Orlandi S, Campanelli M. Sclerotherapy for III- and IV-degree hemorrhoids: Results of a prospective study. Front Surg 2022; 9:978574. [PMID: 36117836 PMCID: PMC9474687 DOI: 10.3389/fsurg.2022.978574] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Accepted: 08/08/2022] [Indexed: 01/11/2023] Open
Abstract
BackgroundIn the last 2 years, anorectal surgery has been strongly affected and even surgery for urgent cases cannot be scheduled; also, patients with III- and IV-degree bleeding hemorrhoids should be treated conservatively. The aim was to evaluate the effectiveness of sclerotherapy in patients who had to postpone surgery.MethodsWe included all patients with III- and IV-degree bleeding hemorrhoids who underwent outpatient sclerotherapy. The visual analog scale and the hemorrhoid severity score were used at the baseline and at 4 weeks after the procedure with a telephone interview, and all patients were outpatient-evaluated 1 week, 1 month, and 1 year after the treatment. All pre- and postoperative data were recorded.ResultsFrom October 2020 to November 2021, 19 patients with III- (12 patients; 63%) and IV-degree (7 patients; 37%) bleeding hemorrhoids were enrolled. The mean operative time was 4.5 min, and no intraoperative complications occurred. One case of tenesmus and three failures were detected. Six months after the procedure, the overall success rate was 84%, although all of the patients enrolled reported persistent bleeding at the end of the study period. Of these, 5 patients (26%) were scheduled for surgery and 11 patients (58%) refused surgery and asked to undergo a re-do sclerotherapy.ConclusionSclerotherapy with 3% polidocanol foam is a safe and effective procedure also in III- and IV-degree bleeding hemorrhoids. The long-term data on the length of the foam remain to be evaluated in additional studies.
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Affiliation(s)
- Giorgio Lisi
- Department of Surgery, Sant’Eugenio Hospital, Rome, Italy
- Correspondence: Giorgio Lisi
| | - Paolo Gentileschi
- Department of Bariatric and Metabolic Surgery, University of Tor Vergata, San Carlo of Nancy Hospital, Rome, Italy
| | | | | | - Simone Orlandi
- Department of Gastroenterology and Digestive Endoscopy, IRCSS Sacro Cuore don Calabria, Negrar di Valpolicella, Italy
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9
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Carvalho F, Rogers AC, Chang TP, Chee Y, Subramaniam D, Pellino G, Hardy K, Kontovounisios C, Tekkis P, Rasheed S. Feasibility and usability of a regional hub model for colorectal cancer services during the COVID-19 pandemic. Updates Surg 2022; 74:619-628. [PMID: 35239150 PMCID: PMC8891734 DOI: 10.1007/s13304-022-01264-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 12/13/2021] [Indexed: 11/17/2022]
Abstract
The outbreak of the COVID-19 pandemic produced unprecedented challenges, at a global level, in the provision of cancer care. With the ongoing need in the delivery of life-saving cancer treatment, the surgical management of patients with colorectal cancer required prompt significant transformation. The aim of this retrospective study is to report the outcome of a bespoke regional Cancer Hub model in the delivery of elective and essential colorectal cancer surgery, at the height of the first wave of the COVID-19 pandemic. 168 patients underwent colorectal cancer surgery from April 1st to June 30th of 2020. Approximately 75% of patients operated upon underwent colonic resection, of which 47% were left-sided, 34% right-sided and 12% beyond total mesorectal excision surgeries. Around 79% of all resectional surgeries were performed via laparotomy, and the remainder 21%, robotically or laparoscopically. Thirty-day complication rate, for Clavien-Dindo IIIA and above, was 4.2%, and 30-day mortality rate was 0.6%. Re-admission rate, within 30 days post-discharge, was 1.8%, however, no patient developed COVID-19 specific complications post-operatively and up to 28 days post-discharge. The established Cancer Hub offered elective surgical care for patients with colorectal cancer in a centralised, timely and efficient manner, with acceptable post-operative outcomes and no increased risk of contracting COVID-19 during their inpatient stay. We offer a practical model of care that can be used when elective surgery "hubs" for streamlined delivery of elective care needs to be established in an expeditious fashion, either due to the COVID-19 pandemic or any other future pandemics.
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Affiliation(s)
- Filipe Carvalho
- Department of Colorectal Surgery, The Royal Marsden Hospital NHS Foundation Trust, London, SW3 6JJ UK
| | - Ailín C. Rogers
- Department of Colorectal Surgery, The Royal Marsden Hospital NHS Foundation Trust, London, SW3 6JJ UK
| | - Tou-Pin Chang
- Department of Colorectal Surgery, The Royal Marsden Hospital NHS Foundation Trust, London, SW3 6JJ UK
| | - Yinshan Chee
- Department of Colorectal Surgery, The Royal Marsden Hospital NHS Foundation Trust, London, SW3 6JJ UK
| | - Dhivya Subramaniam
- Department of Colorectal Surgery, The Royal Marsden Hospital NHS Foundation Trust, London, SW3 6JJ UK
| | - Gianluca Pellino
- Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania “Luigi Vanvitelli”, Naples, Italy
- Colorectal Surgery, Vall d’Hebron University Hospital, Barcelona, Spain
| | - Katy Hardy
- Department of Colorectal Surgery, The Royal Marsden Hospital NHS Foundation Trust, London, SW3 6JJ UK
| | - Christos Kontovounisios
- Department of Colorectal Surgery, The Royal Marsden Hospital NHS Foundation Trust, London, SW3 6JJ UK
- Chelsea and Westminster Hospitals NHS Foundation Trust, London, SW10 9NH UK
- Department of Surgery and Cancer, Imperial College London, London, SW10 9NH UK
| | - Paris Tekkis
- Department of Colorectal Surgery, The Royal Marsden Hospital NHS Foundation Trust, London, SW3 6JJ UK
- Chelsea and Westminster Hospitals NHS Foundation Trust, London, SW10 9NH UK
- Department of Surgery and Cancer, Imperial College London, London, SW10 9NH UK
| | - Shahnawaz Rasheed
- Department of Colorectal Surgery, The Royal Marsden Hospital NHS Foundation Trust, London, SW3 6JJ UK
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10
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Lisi G, Campanelli M, Mastrangeli MR, Spoletini D, Menditto R, Grande S, Boccuzzi M, Grande M. The treatment of acute appendicitis in two age-based groups during COVID-19 pandemic: a retrospective experience in a COVID-19 referral hospital. Int J Colorectal Dis 2022; 37:323-328. [PMID: 34738164 PMCID: PMC8567973 DOI: 10.1007/s00384-021-04060-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/29/2021] [Indexed: 02/04/2023]
Abstract
PURPOSE During the past months, the Italian Government has reduced the restrictions and access to hospitals as well as outpatient. Since then, up to 40% of non-traumatic abdominal emergencies have had unusual delayed treatment. Given the rapidly evolving situation and the absence of evidence to support recommendations during the COVID-19 pandemic, it is useful to assess how the current situation is influencing the management of elderly patients with acute appendicitis. METHODS Between February 2020 and December 2020, all patients 18 years or older undergone appendectomy were included. Patients were divided in two age-based groups (young groups, YG; elderly group, EG). Surgical approach, hospital stay, post-operative complications, radiology reports, and histologic examination were included in the retrospective analysis. RESULTS One hundred eight patients underwent appendectomy, 81 patients into the YG, and 27 in the EG. Laparoscopy was performed in 87.7% of the YG and in 51.8% of the elderly (p < 0.000), while conversion to laparotomy was necessary in 3.7% in the YG vs 22.3% of the other group (p < 0.009). Open procedures were more frequent in the EG, 25.9% vs 8.6% (p value < 0.05). No mortality rate was reported in both groups; moreover, the mean hospital stay was greater in the EG than the YG (p < 0.000). CONCLUSION Our data highlighted a partial delay in diagnosis in the elderly group, and an increase in complicated appendicitis also demonstrated by the need for conversion to laparotomy despite no significant relationship between these findings and the histologic examination was reported.
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Affiliation(s)
- Giorgio Lisi
- Department of Surgery, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, 00144, Rome, Italy.
| | - Michela Campanelli
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
| | | | - Domenico Spoletini
- Department of Surgery, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, 00144, Rome, Italy
| | - Rosa Menditto
- Department of Surgery, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, 00144, Rome, Italy
| | - Simona Grande
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
| | - Massimiliano Boccuzzi
- Department of Surgery, San Sebastiano Hospital, via Tuscolana 1, 00046, Frascati, Rome, Italy
| | - Michele Grande
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
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11
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Yi K, Li Y, Peng H, Wang X, Tu R. Empathic Psychology: A Code of Risk Prevention and Control for Behavior Guidance in the Multicultural Context. Front Psychol 2021; 12:781710. [PMID: 34899533 PMCID: PMC8652115 DOI: 10.3389/fpsyg.2021.781710] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Accepted: 10/20/2021] [Indexed: 12/12/2022] Open
Abstract
This study aims to uncover the relationship among multicultural differences, empathy, and the behaviors of risk prevention and control in the context of crisis events by using a sample of 300 individuals in 10 different multicultural countries. A theoretical logic model was applied to empirical analysis, and the results indicated that cultural differences positively influenced the behavior of empathy communication and risk prevention and control. Further analyses revealed that real-time monitoring of changes in empathy could provide better options of measures for local risk prevention and control when the same crisis event occurred in a multicultural context. With user-generated content (UGC) emerging in the web 2.0 era, this paper proposed a more profound empathy code regarding the periodicity of risk prevention and control. This paper expects to contribute to the circumvention of cognitive errors caused by cultural differences, and to further provide effective conduction for individuals' risk prevention and control behaviors.
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Affiliation(s)
- Kui Yi
- College of Economics and Management, East China Jiaotong University, Nanchang, China
| | - Yi Li
- College of Economics and Management, East China Jiaotong University, Nanchang, China
| | - Huaxin Peng
- Media and Communication School, Shenzhen University, Shenzhen, China
| | - Xingrong Wang
- College of Economics and Management, East China Jiaotong University, Nanchang, China
| | - Rungting Tu
- College of Management, Shenzhen University, Shenzhen, China
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12
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Lisi G, Campanelli M, Mastrangeli MR, Grande S, Viarengo MA, Garbarino GM, Vanni G, Grande M. Acute appendicitis in elderly during Covid-19 pandemic. Int J Colorectal Dis 2021; 36:2287-2290. [PMID: 34046696 PMCID: PMC8159028 DOI: 10.1007/s00384-021-03959-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/21/2021] [Indexed: 02/04/2023]
Abstract
PURPOSE During the past months, the Italian Government has reduced the restrictions and access to hospitals. Since then, up to 40% of non-traumatic abdominal emergencies have had unusual delayed treatment. Given the rapidly evolving situation and the absence of evidence to support recommendations during the pandemic, it is useful to assess how the current situation is influencing the management of elderly with acute appendicitis. METHODS Between February 2020 and December 2020, all patients older than 68 years old undergone appendectomy were included. Surgical approach, hospital stay, post-operative complications, radiology reports, and histologic examination were included in the retrospective analysis and compared with a same sample of the same period before the pandemic. RESULTS Twenty-seven patients underwent appendectomy for acute appendicitis during the pandemic and 34 patients in the pre-outbreak period. Laparoscopic approach was completed in 51.8% of the cases, while conversion to laparotomy in 22.3% of patients and open procedure in the 25.9%, before the pandemic 73.6%, 14.7%, and 11.7%, respectively. During the pandemic, complicated appendicitis occurred in 59.3% of the cases (26.5% before the outbreak). One patient was treated for a pelvic abscess, while no minor complications were detected. No mortality rate was reported, with a mean hospital stay of 5.64 days during the outbreak and 4.21 days before the pandemic. CONCLUSION Our data highlighted a partial delay in diagnosis in the elderly group, and an increase in complicated appendicitis also demonstrated by the need for conversion to laparotomy.
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Affiliation(s)
- G Lisi
- Department of Surgery, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, 00144, Rome, Italy.
| | - M Campanelli
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
| | - M R Mastrangeli
- Department of Surgery, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, 00144, Rome, Italy
| | - S Grande
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
| | - M A Viarengo
- Day-Case Surgery Unit, Israelitic Hospital, 00144, Rome, Italy
| | - G M Garbarino
- Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea University, Via di Grottarossa, 1035-39, 00189, Rome, Italy
| | - G Vanni
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
| | - M Grande
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
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13
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Ielpo B, Podda M, Pellino G, Pata F, Caruso R, Gravante G, Di Saverio S, ACIE Appy Study Collaborative. Author response: Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study. Br J Surg 2021; 108:e313. [PMID: 34000031 PMCID: PMC7675377 DOI: 10.1002/bjs.11999] [Citation(s) in RCA: 49] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2021] [Accepted: 04/26/2021] [Indexed: 02/05/2023]
Abstract
Background Surgical strategies are being adapted to face the COVID‐19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X‐ray plus molecular testing (PCR) being the commonest (19·8 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6·6 and 2·4 per cent respectively before, but 23·7 and 5·3 per cent, during the pandemic (both P < 0·001). One‐third changed their approach from laparoscopic to open surgery owing to the popular (but evidence‐lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one‐third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS‐CoV‐2.
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Affiliation(s)
- B Ielpo
- Department of Surgery, Hepatopancreatobiliary Unit, University Hospital Leon,
Leon, Spain
| | - M Podda
- Department of General and Emergency Surgery, Cagliari University Hospital,
Azienda Ospedaliero‐Universitaria, Cagliari, Italy
| | - G Pellino
- Colorectal Surgery, Vall d'Hebron University Hospital, Barcelona,
Spain
- Department of Advanced Medical and Surgical Sciences, Universitá degli Studi
della Campania ‘Luigi Vanvitelli’, Naples, Italy
| | - F Pata
- General Surgery Unit, Nicola Giannettasio Hospital,
Corigliano‐Rossano, Italy
- Department of General Surgery, La Sapienza University, Rome,
Italy
| | - R Caruso
- Hospital Universitario HM Sanchinarro, Madrid, Spain
| | - G Gravante
- Department of General Surgery, Ospedale ‘Francesco Ferrari’,
Casarano, Italy
| | - S Di Saverio
- Department of General Surgery, University of Insubria, University Hospital of
Varese, ASST Sette Laghi, Regione LombardiaVarese, Italy
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14
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Nugroho A, Arifin F, Wibowo AA, Handaya AY, Rivai MI, Mulyawan M, Niam M, Budiono P, Kristian I, Putro MD, Widianto P, Warsinggih W. Delivery of digestive surgery services during the COVID-19 pandemic: Indonesian Society of Digestive Surgeons online survey. Asian J Endosc Surg 2021; 14:540-547. [PMID: 33401334 DOI: 10.1111/ases.12913] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 11/12/2020] [Accepted: 12/09/2020] [Indexed: 12/24/2022]
Abstract
INTRODUCTION During the coronavirus disease 2019 (COVID-19) pandemic, digestive surgery potentially exposes both health-care professionals and vulnerable patients to COVID-19. A survey was conducted with aim to determine the digestive surgery services provided during the COVID-19 pandemic, optimize safety for patients and clinicians, and safeguard health-care services. METHODS An online survey was conceived and circulated to members of the Indonesian Society of Digestive Surgeons. The survey was conducted in two phases, in April 2020 and July 2020, to evaluate changes in response to the COVID-19 pandemic. RESULTS Early in the pandemic (April 2020), the median number of major digestive surgeries performed monthly declined from 20 cases (range. 3-100 cases) to 1 case (range. 0-10 cases) (P < .001; Wilcoxon signed-rank test). Most of the cases in April 2020 addressed emergency problems, but more definitive surgeries were performed during the later period of the survey. The importance of screening for COVID-19 with polymerase chain reaction has increased over time, and a more comprehensive screening methodology incorporating real-time polymerase chain reaction, chest CT, and rapid antibody test were evident in 31.37% of July 2020 responses. CONCLUSION Our survey has shown that surgeons adapted to the evolving pandemic and continue to do so only with appropriate safety assurances.
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Affiliation(s)
- Adianto Nugroho
- Indonesian Society of Digestive Surgeons, Jakarta, Indonesia.,Department of Surgery, Fatmawati Central General Hospital, Jakarta, Indonesia
| | - Fransicus Arifin
- Indonesian Society of Digestive Surgeons, Jakarta, Indonesia.,Department of Surgery, M. Soewandhi District Hospital, Surabaya, Indonesia
| | - Agung Ary Wibowo
- Indonesian Society of Digestive Surgeons, Jakarta, Indonesia.,Department of Surgery, Ulin District Hospital, Faculty of Medicine, Lambung Mangkurat University, Banjarmasin, Indonesia
| | - A Yuda Handaya
- Indonesian Society of Digestive Surgeons, Jakarta, Indonesia.,Department of Surgery, Dr. Sardjito Central General Hospital, Faculty of Medicine, Gajah Mada University, Yogyakarta, Indonesia
| | - M Iqbal Rivai
- Indonesian Society of Digestive Surgeons, Jakarta, Indonesia.,Department of Surgery, M. Djamil Central General Hospital, Faculty of Medicine, Andalas University, Padang, Indonesia
| | - Made Mulyawan
- Indonesian Society of Digestive Surgeons, Jakarta, Indonesia.,Department of Surgery, Sanglah Central General Hospital, Faculty of Medicine, Udayana University, Denpasar, Indonesia
| | - Muhammad Niam
- Indonesian Society of Digestive Surgeons, Jakarta, Indonesia.,Department of Surgery, Syaiful Anwar District Hospital. Faculty of Medicine, Brawijaya University, Malang, Indonesia
| | - Parish Budiono
- Indonesian Society of Digestive Surgeons, Jakarta, Indonesia.,Department of Surgery, Dr. Karyadi Central General Hospital, Faculty of Medicine, Diponegoro University, Semarang, Indonesia
| | - Iwan Kristian
- Indonesian Society of Digestive Surgeons, Jakarta, Indonesia.,Department of Surgery, Dr. Soetomo Central General Hospital, Faculty of Medicine, Airlangga University, Surabaya, Indonesia
| | - Mamiek Dwi Putro
- Indonesian Society of Digestive Surgeons, Jakarta, Indonesia.,Department of Surgery, Dr. Soetomo Central General Hospital, Faculty of Medicine, Airlangga University, Surabaya, Indonesia
| | - Perwira Widianto
- Indonesian Society of Digestive Surgeons, Jakarta, Indonesia.,Department of Surgery, Persahabatan Central General Hospital, Jakarta, Indonesia
| | - Warsinggih Warsinggih
- Indonesian Society of Digestive Surgeons, Jakarta, Indonesia.,Department of Surgery, Dr. Wahidin Sudirohusodo Central General Hospital, Faculty of Medicine, Hasanudin University, Makasar, Indonesia
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15
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The Psychological Impact of the COVID-19 Pandemic on Pregnant Women. Healthcare (Basel) 2021; 9:healthcare9060725. [PMID: 34204712 PMCID: PMC8231526 DOI: 10.3390/healthcare9060725] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2021] [Revised: 06/04/2021] [Accepted: 06/08/2021] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic has meant significant precautions and changes in delivering healthcare services. The aim of the study was to explore the lifestyle changes of pregnant women during the COVID-19 pandemic in Romania, the changes in prenatal care and delivery during the pandemic and the psychological impact on women and to determine how healthcare providers can help them to overcome this period. METHODS A cross-sectional survey was conducted anonymously and distributed among pregnancy-related groups from Romania, recruiting 559 study participants, between May and October 2020. A total of 559 pregnant women completed an online 26-item questionnaire but we only validated 557 responses for study. The survey included basic demographic questions, pregnancy-related questions, questions regarding the pregnant women's lifestyle changes during the pandemic and their perception of the COVID-19 pandemic and questions which evaluated the impact of the pandemic on prenatal care and delivery in Romania. RESULTS The pandemic restrictions affected women's routine activities regarding professional, familial and social life. Therefore, for pregnant women who were emotionally vulnerable, these restrictions had a great impact on their mental health. The majority of the study participants (78.8%, N = 439) were emotionally affected by the pandemic. The fear related to the possibility of having their pregnancy affected by the virus was dominant in the group (45.8%). A high number of women (69.5%) felt safe when they accessed health services, but private hospitals were considered safer (53.1%) compared to public hospitals (14.4%). The majority of participants (53.7%) used to have prenatal care in a private healthcare system. During the pandemic, preventive measures were associated with low confidence in the healthcare system. Of the total group of participants, 123 women (22.1%) gave birth during the pandemic. Of these, a majority of the study participants considered that it was very difficult for them to cope without their partner during the hospitalization and labor period. CONCLUSIONS The main anxiety of pregnant women were related to threats to their lives and their baby's health because of the uncertainty caused by pandemic. It is important to know that the restrictions and the changes in maternity care had a negative impact on them. This conclusion must be taken into account when preventive measures will be decided for helping them to get through such a period. Additionally, psychological support will be essential for improving the mental health of pregnant women and for preventing a negative outcome of the pregnancy. These feelings must be taken into account when preventive measures will be established during pandemic and a psychological support will be essential for improving their mental health for preventing negative outcome of pregnancy.
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16
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Vailas M, Sotiropoulou M, Mulita F, Maroulis I. Fear of COVID-19 infection among surgeons and hesitancy for vaccination. Who is the culprit to blame? Br J Surg 2021; 108:e184. [PMID: 33793761 PMCID: PMC7929201 DOI: 10.1093/bjs/znab032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Accepted: 01/08/2021] [Indexed: 02/07/2023]
Affiliation(s)
- Michail Vailas
- Department of Surgery, University of Patras, University Hospital of Patras, Patra, Greece
| | - Maria Sotiropoulou
- Third Department of Surgery, Evangelismos General Hospital, Athens, Greece
| | - Francesk Mulita
- Department of Surgery, University of Patras, University Hospital of Patras, Patra, Greece
| | - Ioannis Maroulis
- Department of Surgery, University of Patras, University Hospital of Patras, Patra, Greece
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17
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Selvaggi L, Menegon Tasselli F, Sciaudone G, Kontovounisios C, Cosenza A, Sica GS, Selvaggi F, Pellino G. Shifting paradigms in two common abdominal surgical emergencies during the pandemic. Br J Surg 2021; 108:e127-e128. [PMID: 33793730 DOI: 10.1093/bjs/znaa158] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Accepted: 12/04/2020] [Indexed: 11/13/2022]
Abstract
During the pandemic there was a reduction in access to the hospital and surgical treatment of appendicitis and cholecystitis at a global level. Some strategies adopted during this challenging time could be applied even after the emergency has been controlled.
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Affiliation(s)
- L Selvaggi
- Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy
| | - F Menegon Tasselli
- Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy
| | - G Sciaudone
- Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy
| | - C Kontovounisios
- Department of Surgery and Cancer, Imperial College, London, UK
- Department of Colorectal Surgery, Royal Marsden Hospital, London, UK
- Department of Colorectal Surgery, Chelsea and Westminster NHS Foundation Trust, London, UK
| | - A Cosenza
- Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy
| | - G S Sica
- Department of Surgery, Minimally Invasive Unit, Università degli Studi di Roma 'Tor Vergata', Rome, Italy
| | - F Selvaggi
- Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy
| | - G Pellino
- Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy
- Colorectal Surgery, Vall d'Hebron University Hospital, Barcelona, Spain
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18
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Fiest KM, Parsons Leigh J, Krewulak KD, Plotnikoff KM, Kemp LG, Ng-Kamstra J, Stelfox HT. Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review. BMC Psychiatry 2021; 21:91. [PMID: 33568141 PMCID: PMC7875435 DOI: 10.1186/s12888-021-03090-9] [Citation(s) in RCA: 46] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Accepted: 02/02/2021] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Prior to the COVID-19 pandemic, physicians experienced unprecedented levels of burnout. The uncertainty of the ongoing COVID-19 pandemic along with increased workload and difficult medical triage decisions may lead to a further decline in physician psychological health. METHODS We searched Medline, EMBASE, and PsycINFO for primary research from database inception (Medline [1946], EMBASE [1974], PsycINFO [1806]) to November 17, 2020. Titles and abstracts were screened by one of three reviewers and full-text article screening and data abstraction were conducted independently, and in duplicate, by three reviewers. RESULTS From 6223 unique citations, 480 articles were reviewed in full-text, with 193 studies (of 90,499 physicians) included in the final review. Studies reported on physician psychological symptoms and management during seven infectious disease outbreaks (severe acute respiratory syndrome [SARS], three strains of Influenza A virus [H1N1, H5N1, H7N9], Ebola, Middle East respiratory syndrome [MERS], and COVID-19) in 57 countries. Psychological symptoms of anxiety (14.3-92.3%), stress (11.9-93.7%), depression (17-80.5%), post-traumatic stress disorder (13.2-75.2%) and burnout (14.7-76%) were commonly reported among physicians, regardless of infectious disease outbreak or country. Younger, female (vs. male), single (vs. married), early career physicians, and those providing direct care to infected patients were associated with worse psychological symptoms. INTERPRETATION Physicians should be aware that psychological symptoms of anxiety, depression, fear and distress are common, manifest differently and self-management strategies to improve psychological well-being exist. Health systems should implement short and long-term psychological supports for physicians caring for patients with COVID-19.
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Affiliation(s)
- Kirsten M Fiest
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada.
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada.
- O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, 3134 Hospital Drive NW, Calgary, Alberta, T2N4Z6, Canada.
| | - Jeanna Parsons Leigh
- O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, 3134 Hospital Drive NW, Calgary, Alberta, T2N4Z6, Canada
- School of Health Administration, Faculty of Health and Department of Critical Care Medicine, Faculty of Medicine, Dalhousie University, 5850 College Street, Halifax, Nova Scotia, B3H4R2, Canada
| | - Karla D Krewulak
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Kara M Plotnikoff
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Laryssa G Kemp
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Joshua Ng-Kamstra
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Henry T Stelfox
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
- O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, 3134 Hospital Drive NW, Calgary, Alberta, T2N4Z6, Canada
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Sharif SP, Blagrove E. COVID-19, masks and communication in the operating theatre: the importance of face value. Psychol Med 2020; 52:1. [PMID: 32938519 PMCID: PMC7520635 DOI: 10.1017/s0033291720003669] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Revised: 09/15/2020] [Accepted: 09/15/2020] [Indexed: 12/03/2022]
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