COVID 19–Depression and Neurosurgeons

Sharif, Salman; Amin, Faridah; Hafiz, Mehak; Benzel, Edward C.; Peev, Nikolay; Dahlan, Rully Hanafi; Enchev, Yavor; Pereira, Paulo; Vaishya, Sandeep

doi:10.1016/j.wneu.2020.06.007

Cited by 42 publications

(45 citation statements)

References 10 publications

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“…A recent survey involving 375 respondents from 52 countries found that 34% of the respondents felt tense, 32.5% were unhappy, 25% experienced insomnia, almost 20% had headaches, and 5% had suicidal ideation during the pandemic. 17 Of the respondents, 14% were found to have scores consistent with depression on Self-Reporting Questionnaire-20. Various factors identified by this study to be associated with higher risk of depression included those who did not receive guidance about self-protection, those who did not feel safe with provided PPE, and those whose families considered their workplace unsafe.…”

Section: Mental Healthmentioning

confidence: 98%

“… 10 However, there are some major differences in the developed and developing world (e.g., the Indian subcontinent): a large and dense population, limited resources, and already strained health infrastructure. 11 , 12 Recently, a few reports from the developing world 13 , 14 , 15 , 16 , 17 have described the perception of neurosurgeons about the pandemic and changes in neurosurgical practice in the pandemic but there have been none from the Indian subcontinent. Hence, there was a need to understand the effect of the COVID epidemic on neurosurgical practice in the Indian subcontinent.…”

Section: Introductionmentioning

confidence: 99%

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Adapting Neurosurgery Practice During the COVID-19 Pandemic in the Indian Subcontinent

et al. 2020

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Section: Mental Healthmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Adapting Neurosurgery Practice During the COVID-19 Pandemic in the Indian Subcontinent

et al. 2020

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“…Our results demonstrate that those who report less availability and/or use of wellness programs at their institution were more likely to demonstrate high depressive symptoms and burn out. This result is echoed in a survey of 375 neurosurgeons taking care of COVID-19 positive patients; Sharif et al found that the likelihood of depression was higher among providers who did not receive guidance about self-protection from their institution(55).…”

mentioning

confidence: 99%

COVID-19 Pandemic and the Lived Experience of Surgical Residents, Fellows, and Early-Career Surgeons in the American College of Surgeons

Coleman

Abdelsattar

Glocker

et al. 2021

Journal of the American College of Surgeons

113

124

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Although stress and anxiety during the COVID-19 pandemic is being investigated and dealt with in the general population, 11 in neurosurgeons, [12][13][14] and in some neurosurgical patients, 15,16 to the best of our knowledge there are no reports on anxiety in neurosurgical patients who require nonurgent surgical procedures. The aim of this study was to investigate anxiety in neurosurgical patients undergoing nonurgent surgical procedures in the post-lockdown phase of the COVID-19 pandemic.…”

mentioning

confidence: 99%

Anxiety in neurosurgical patients undergoing nonurgent surgery during the COVID-19 pandemic

Doglietto

Vezzoli

Biroli

et al. 2020

Neurosurgical Focus

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OBJECTIVEThe COVID-19 pandemic has forced many countries into lockdown and has led to the postponement of nonurgent neurosurgical procedures. Although stress has been investigated during this pandemic, there are no reports on anxiety in neurosurgical patients undergoing nonurgent surgical procedures.METHODSNeurosurgical patients admitted to hospitals in eastern Lombardy for nonurgent surgery after the lockdown prospectively completed a pre- and postoperative structured questionnaire. Recorded data included demographics, pathology, time on surgical waiting list, anxiety related to COVID-19, primary pathology and surgery, safety perception during hospital admission before and after surgery, and surgical outcomes. Anxiety was measured with the State-Trait Anxiety Inventory. Descriptive statistics were computed on the different variables and data were stratified according to pathology (oncological vs nononcological). Three different models were used to investigate which variables had the greatest impact on anxiety, oncological patients, and safety perception, respectively. Because the variables (Xs) were of a different nature (qualitative and quantitative), mostly asymmetrical, and related to outcome (Y) by nonlinear relationships, a machine learning approach composed of three steps (1, random forest growing; 2, relative variable importance measure; and 3, partial dependence plots) was chosen.RESULTSOne hundred twenty-three patients from 10 different hospitals were included in the study. None of the patients developed COVID-19 after surgery. State and trait anxiety were reported by 30.3% and 18.9% of patients, respectively. Higher values of state anxiety were documented in oncological compared to nononcological patients (46.7% vs 25%; p = 0.055). Anxiety was strongly associated with worry about primary pathology, surgery, disease worsening, and with stress during waiting time, as expected. Worry about positivity to SARS-CoV-2, however, was the strongest factor associated with anxiety, even though none of the patients were infected. Neuro-oncological disease was associated with state anxiety and with worry about surgery and COVID-19. Increased bed distance and availability of hand sanitizer were associated with a feeling of safety.CONCLUSIONSThese data underline the importance of psychological support, especially for neuro-oncological patients, during a pandemic.

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COVID 19–Depression and Neurosurgeons

Cited by 42 publications

References 10 publications

Adapting Neurosurgery Practice During the COVID-19 Pandemic in the Indian Subcontinent

Adapting Neurosurgery Practice During the COVID-19 Pandemic in the Indian Subcontinent

COVID-19 Pandemic and the Lived Experience of Surgical Residents, Fellows, and Early-Career Surgeons in the American College of Surgeons

Anxiety in neurosurgical patients undergoing nonurgent surgery during the COVID-19 pandemic

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