COVID-19 and Spine Surgery: A Review and Evolving Recommendations

Jain, Nickul S.; Alluri, Ram K.; Schopler, Steven S.; Hah, Raymond J.; Wang, Jeffrey C.

doi:10.1177/2192568220923655

Cited by 32 publications

(68 citation statements)

References 24 publications

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“…To that end, orthopedic and spine providers rapidly introduced and expanded telemedicine programs through previously underutilized digital communication platforms. [3][4][5][6][7][8][9][10] Prior to the COVID-19 pandemic, in-person visits were the standard in the United States for orthopedic care. However, in-person clinical visits can be impractical for patients who struggle with mobility or live in remote areas.…”

Section: Introductionmentioning

confidence: 99%

Spine Patient Satisfaction With Telemedicine During the COVID-19 Pandemic: A Cross-Sectional Study

Satin

Shenoy

Sheha

et al. 2020

Global Spine Journal

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Study Design: Original research, cross-sectional study. Objectives: Evaluate patient satisfaction with spine care delivered via telemedicine. Identify patient- and visit-based factors associated with increased satisfaction and visit preference. Methods: Telemedicine visits with a spine surgeon at 2 practices in the United States between March and May 2020 were eligible for inclusion in the study. Patients were sent an electronic survey recording overall satisfaction, technical or clinical issues encountered, and preference for a telemedicine versus an in-person visit. Factors associated with poor satisfaction and preference of telemedicine over an in-person visit were identified using multivariate logistic regression. Results: A total of 772 responses were collected. Overall, 87.7% of patients were satisfied with their telemedicine visit and 45% indicated a preference for a telemedicine visit over an in-person visit if given the option. Patients with technical or clinical issues were significantly less likely to achieve 5 out of 5 satisfaction scores and were significantly more likely to prefer an in-person visit. Patients who live less than 5 miles from their surgeon’s office and patients older than 60 years were also significantly more likely to prefer in-person visits. Conclusions: Spine telemedicine visits during the COVID-19 pandemic were associated with high patient satisfaction. Additionally, 45% of respondents indicated a preference for telemedicine versus an in-patient visit in the future. In light of these findings, telemedicine for spine care may be a preferable option for a subset of patients into the future.

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Section: Introductionmentioning

confidence: 99%

Spine Patient Satisfaction With Telemedicine During the COVID-19 Pandemic: A Cross-Sectional Study

Satin

Shenoy

Sheha

et al. 2020

Global Spine Journal

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“…To the best of our knowledge there is no report of the effects of COVID-19 novel virus on socioeconomic profile of spine surgeons. Most of these reports were concerned with personal protection and updated guidelines for what is urgent or emergent during the pandemic lockdown [14,19,20].…”

Section: Discussionmentioning

confidence: 99%

Current effect of COVID-19 global pandemic on the professional and life profiles of the Egyptian spine surgeons

Khattab

Abou-Madawi

2020

SICOT-J

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Introduction: During the recent decade, many outbreaks of infectious diseases have been reported at increasing scales and frequency. The novel COVID-19 is the most recent lethal virus and has been declared to be a pandemic disease on March 11th, 2020. It has spread from China to most of the countries around the world causing a great burden on individuals and communities. The socioeconomic and professional profiles have been affected seriously by this pandemic. The aim of this study was to assess the short-term effects of COVID-19 on the socioeconomic profile of spinal surgeons in Egypt. Methods: We conducted a cross-sectional online survey study to address the effect of COVID-19 global pandemic on spine surgeons in Egypt, discussing the short-term socioeconomic effect of COVID-19 global pandemic on the professional and social profiles of the Egyptian spine surgeons. A SurveyMonkey® questionnaire was sent to 190 spine surgeons registered in the Egyptian spine association database. Results: Ninety male surgeons responded to our four-day survey. The responders included the following: 4 residents, 16 fellows, and 70 consultants working in different Egyptian hospitals. The partial country lockdown was associated with drop in monthly income and in number of both elective and emergency operations. Most surgeons either stopped surgery or limited the number of either elective or emergency surgeries as well as outpatient clinics. Most of them were not in the COVID-19 team or did not receive any training, working under immense physical and psychological stress of being exposed to transmission of infection. Discussion: COVID-19 global pandemic negatively affected spine surgeons in Egypt socioeconomically. The Health Authority and the community have to work jointly to help the health care professionals in overcoming this crisis.

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“…The effect of COVID-19 on practice were measured using four questions with 5 possible answers, yielding a total score from 20 points. It was then categorized into minimal (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12), intermediate (13)(14)(15)(16), and huge (17)(18)(19)(20) effects, depending on the tertiles of the participants' responses. A pilot study was conducted on 40 participants, not included in the original study to assess the internal consistency of the questionnaire.…”

Section: Instrument Development and Validationmentioning

confidence: 99%

“…This resulted in an overwhelming burden on health care system, medical resources and staff. In addition, it created a global state of panic among populations, politicians, and health care providers [12].Spine surgeons, as other professional health care providers, were affected by the global pandemic and lockdowns [13,14]. Most of them were forced to shut down their outpatient clinics, cancel appointments and limit their surgery to urgent/emergent cases [13].…”

Section: Introductionmentioning

confidence: 99%

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The Short-Term Impact of COVID-19 Pandemic on Spine Surgeons: A cross sectional global study

Khattab

Kannan

Morsi

et al. 2020

Preprint

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Purpose: The outbreak of COVID-19 erupted in December 2019 in Wuhan-China. In a few weeks it progressed rapidly into a global pandemic which resulted in an overwhelming burden on health care systems, medical resources and staff.Spine surgeons as health care providers are no exception. In this study we try to highlight the impact of the crisis on spine surgeons in terms of knowledge, attitude, practice and socioeconomic BurdenMethods: This was global, multi-centric cross-sectional study on 781 spine surgeons that utilized an internet-based validated questionnaire to evaluate knowledge about COVID-19, availability of personal protective equipment (PEE), future perceptions, effect of this crisis on practice and psychological distress. Univariate and multivariate ordinal logistic regression analyses were used to evaluate the predictors for the degree of COVID-19 effect on practice. Results: Overall, 20.2%, 52%, and 27.8% of the participants were affected minimally, intermediately, and hugely by COVID-19, respectively. Older ages (β= 0.33, 95% CI 0.11 to 0.56), orthopedic spine surgeons (β=0.30, 95% CI 0.01 to 0.61) and those who work in the private sector (β=0.05, 95% CI 0.19 to 0.61) were the most affected by COVID-19. Those who work in university hospitals (β=-0.36, 95% CI 0.00 to -0.71) were affected the least. The availability of N95 masks (47%) and disposable eye protectors or face shields (39.4%) was significantly associated with lower psychological stress (p=0.01). Only (6.9%), (3.7%), and (5%) had mild, moderate and severe mental distress, respectively.Conclusion: While it is important to recognize the short-term impact of COVID-19 pandemic on the practice of spine surgery, predicting where we will be standing in 6-12 months remains difficult and unknown. The COVID-19 crisis will probably have an unexpected long-term impact on lives and economies.

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COVID-19 and Spine Surgery: A Review and Evolving Recommendations

Abstract: Coronavirus-19 (COVID-19) has disrupted the normal delivery of healthcare for spine surgeons across the world. In this review, we will provide an overview of COVID-19's clinical features, and discuss the optimization and treatment of spine pathology during the ongoing global pandemic.

Cited by 32 publications

References 24 publications

Spine Patient Satisfaction With Telemedicine During the COVID-19 Pandemic: A Cross-Sectional Study

Spine Patient Satisfaction With Telemedicine During the COVID-19 Pandemic: A Cross-Sectional Study

Current effect of COVID-19 global pandemic on the professional and life profiles of the Egyptian spine surgeons

The Short-Term Impact of COVID-19 Pandemic on Spine Surgeons: A cross sectional global study

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