Changes in surgical practice by surgical residents and consultants during COVID-19 pandemic: A cross-sectional survey
Keywords:COVID-19, Surgical practice, Training, Elective surgery, Pandemic
Background: During the COVID-19 pandemic, surgical practice is greatly changed as a strategy to prevent infection to the health care workers. This study was done to see what changes have been made in the surgical practice by the surgical consultants and residents in various surgical disciplines.
Methods: A Survey form was developed on the “Google Forms” application and distributed to surgical consultants and residents. The submission was received online during May 2020. The collected data were entered and analyzed using SPSS V.23. Qualitative data were presented as frequencies and percentages. Quantitative data were presented as mean and standard deviation.
Results: Overall, 272 consultants and residents from 45 teaching hospitals from Pakistan and around the world participated in the survey. Among the participants, 100 (36.8%) were surgical consultants and 172 (63.2%) were surgical residents. About 42% of participants were not performing elective surgeries during this pandemic of COVID-19 but almost all participants were performing emergency surgeries (93%). Over 60% of the respondents admitted that their practice is either reduced to more than 50% or completely shut down during this pandemic. Over 80% stated that their training activities were compromised due to the pandemic.
Conclusion: COVID-19 pandemic has greatly affected surgical practice both in the public and corporate sectors. Elective surgeries are affected the most in addition to the suspension of training activities of the residents.
Kilbourne ED. Influenza pandemics of the 20th century. Emerg Infect Dis. 2006;12:9–14.
Batter PM. Influenza pandemic planning for cancer patients. Curr Oncol. 2006;13:119–20.
Peeri NC, Shrestha N, Rahman MS, Zaki R, Tan Z, Bibi S, et al. The SARS, MERS and novel coronavirus (COVID-19) epidemics, the newest and biggest global health threats: what lessons have we learned?. Int J Epidemiol. 2020;49:717-26. doi:10.1093/ije/dyaa033
Harkin DW. Ethics for surgeons during the COVID-19 pandemic, review article. Ann Med Surg [Internet]. 2020;55(June):316–9. Available from: https://doi.org/10.1016/j.amsu.2020.06.003
Ministry of Health GoP. COVID-19 Health Advisory Platform by Ministry of National Health Services Regulations and Coordination [Internet]. Covid.Gov. 2020. p. 30–2. Available from: http://covid.gov.pk/
World Health Organization. https://wwwwhoint/emergencies/diseases/novel-coronavirus-2019. [Online]. [Accessed on15 May 2020].
Ran L, Chen X, Wang Y, Wu W, Zhang L, Tan X. Risk factors of healthcare workers with corona virus disease 2019: A retrospective cohort study in a designated hospital of Wuhan in China. Clin Infect Dis. 2020; Available from: https://doi.org/10.1093/cid/ciaa287.
Rana RS, Ather MH, Enam SA. Change in surgical practice amidst COVID 19; example from a tertiary care centre in Pakistan. Ann Med Surg. [Internet]. 2020; 54:79–81. Available from: https://doi.org/10.1016/j.amsu.2020.04.035.
ACS. COVID-19 Guidelines for Triage of pediatric Patients. ACS website [Internet]. 2020; Available from: https://www.facs.org/COVID-19/clinical-guidance/elective-case/urology.
Clinical guide to surgical prioritisation during the coronavirus pandemic. NHS -Royal Coll Surg Engl. [Internet]. 2020; Available from: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/C0221-specialtyguide-surgical-prioritisation-v1.pdf
Saleem M, Shehata S. WOFAPS consensus statement: Role of the pediatric surgeons in COVID19. WOFAPS. [Internet]. 2020;1–29. Available from: https://www.wofaps.org/report/wofaps-consensus-statement-role-of-the-pediatric-surgeon-in-covid19/
Saleem M, Talat N, Hashim I, Khan MJ, Iqbal A. COVID-19 Pandemic: Advisory and consensus statement for the provision of surgical services from The Association of Paediatric Surgeons of Pakistan (APSP). J Pediatr Adolesc Surg. [Internet]. 2020Jul.10 [cited 2020Aug.8];1(1). Available from: http://jpedas.org/ojs/index.php/jpedas/article/view/26.
Saleem M. Challenges to pediatric surgical practices during COVID-19 and their solutions. Pak Paed J. 2020;44(2):193–9.
Ademuyiwa AO, Bekele A, Berhea AB, Borgstein E, Capo-Chichi N, Derbew M, et al. COVID-19 preparedness within the surgical, obstetric, and anesthetic ecosystem in Sub-Saharan Africa. Ann Surg. 2020; 272:e9-e13. doi: 10.1097/SLA.0000000000003964.
Schull MJ, Stukel TA, Vermeulen MJ, Zwarenstein M, Alter DA, Manuel DG, et al. Effect of widespread restrictions on the use of hospital services during an outbreak of severe acute respiratory syndrome. CMAJ. 2007;176:1827–32.
Malhotra N, Joshi M, Datta R, Bajwa SJS, Mehdiratta L. Indian Society of Anaesthesiologists (ISA National) advisory and position statement regarding COVID-19. Indian J Anaesth. 2020; 64:259–63.
Usman S, Saleem M, Zahid A, Saleem A, Ather U, Ali M. Pediatric anesthesia advisory: What should we know as a pediatric anesthetist when a COVID-19 patient needs an operation? J Pediatr Adolesc Surg. 2020; Available from: https://doi.org/10.46831/jpas.v1i1.17.
Ali Y, Alradhawi M, Shubber N, Abbas AR. Personal protective equipment in the response to the SARS-CoV-2 outbreak - A letter to the editor on “World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19)” (Int J Surg 2020; 76:71–6). Int J Surg. [Internet]. 2020;78:66–7. Available from: https://doi.org/10.1016/j.ijsu.2020.04.051
Artur S. The second worldwide wave of interest in coronavirus since the COVID-19 outbreaks in South Korea, Italy and Iran: A Google Trends study. Brain, behavior, and immunity. 2020; 88:950-1. doi:10.1016/j.bbi.2020.04.042.
James HK, Pattison GTR. Disruption to surgical training during Covid-19 in the United States, United Kingdom, Canada, and Australasia: A rapid review of impact and mitigation efforts. J Surg Educ. [Internet]. 2020;1–7. Available from: https://doi.org/10.1016/j.jsurg.2020.06.020
Shafi AMA, Atieh AE, Harky A, Sheikh AM, Awad WI. Impact of COVID-19 on cardiac surgical training: Our experience in the United Kingdom. J Card Surg. 2020;1954–7.
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Copyright (c) 2020 M Kamran Azam, Muhammad Bilal Mirza, Usama Aziz, Warda Tahir, Nishant Singh, Asad Ameer, Muhammad Rehan, Kashif Nawaz, Nabila Talat
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