Effects of the COVID-19 pandemic on endocrine operations in the United States

Manzella, Alexander; Kravchenko, Timothy; Kheng, Marin; Chao, Joshua; Laird, Amanda M.; Pitt, Henry A.; Beninato, Toni

doi:10.1016/j.amjsurg.2023.08.004

Cited by 10 publications

(2 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Burnout was a result. Compared with pre-pandemic levels, thyroid and parathyroid operations remain at a decreased level [33].…”

Section: Endocrinologymentioning

confidence: 99%

Burnout in Medical Specialists Redeployed to Emergency Care During the COVID-19 Pandemic

Nash

2024

Preprint

View full text Add to dashboard Cite

Burnout represents a concern for all healthcare providers, particularly those specializing in emergency medical care for whom burnout outcomes have been well-documented. What remains unknown is the effect of burnout on redeployed medical specialists during the COVID-19 pandemic from an appointment-centered practice to emergency care directed by public health considerations. This research aims to identify and assess the burnout responses of fourteen medical specialties noted in searched returns of the four most cited articles published since 2020 about non-emergency physicians regarding their burnout brought on by the unanticipated need for them to provide emergency care during the recent pandemic. The hypothesis is that medical specialists accustomed to planning for emergency possibilities in their appointment-centered practice would demonstrate the least burnout regarding COVID-19-related emergencies. Considering coping as a process based on Lazarus's research, comparing and ranking the COVID-19 emergency responses across the various normally appointment-centered medical specialties in their employed coping strategies determines the outcome. With the hypothesis supported, suggested interventions for future pandemics—when these specialists are, again, redeployed to emergency care directed by public health considerations—are those coping strategies identified as most effective in reducing burnout while maintaining the viability of the medical specialty and excellent patient care.

show abstract

“…Burnout was a result. Compared with pre-pandemic levels, thyroid and parathyroid operations remain at a decreased level [33].…”

Section: Endocrinologymentioning

confidence: 99%

Burnout in Medical Specialists Redeployed to Emergency Care During the COVID-19 Pandemic

Nash

2024

Preprint

View full text Add to dashboard Cite

show abstract

“…The COVID-19 pandemic disrupted endocrine operations in the United States; burnout was a result. Compared with pre-pandemic levels, thyroid and parathyroid operations remain at a decreased level [43].…”

Section: Endocrinologymentioning

confidence: 99%

Burnout in Medical Specialists Redeployed to Emergency Care during the COVID-19 Pandemic

Nash

2024

Emergency Care and Medicine

View full text Add to dashboard Cite

Burnout represents a concern for all healthcare providers, particularly emergency medical care specialists for whom burnout outcomes have been well documented. What remains unknown is the effect of burnout on redeployed medical specialists during the COVID-19 pandemic from an appointment-centered practice to emergency care directed by public health considerations. This research aims to identify and assess the burnout responses of fourteen medical specialties noted in the search returns of the four most cited articles published since 2020 about non-emergency physicians regarding their burnout, which was brought on by unanticipated emergency care delivery during the recent pandemic, using qualitative case study-like methodology. The hypothesis is that medical specialists accustomed to planning for emergency possibilities in their appointment-centered practice would demonstrate the least burnout regarding COVID-19-related emergencies. Considering coping as a process based on Lazarus’s research, comparing and ranking the COVID-19 emergency responses across the various normally appointment-centered medical specialties in their employed coping strategies determines the outcome. With the results supporting the hypothesis, suggested interventions for future pandemics—when these specialists are, again, redeployed to emergency care directed by public health considerations—are the coping strategies identified as the most effective in reducing burnout while maintaining the viability of the medical specialty and excellent patient care.

show abstract

From routine to rescue: Thyroidectomy for life‐threatening thyrotoxicosis

Song,

Akhund,

et al. 2024

World j. surg.

View full text Add to dashboard Cite

BackgroundThyroidectomies are routinely same‐day elective procedures. The aim of this study was to investigate outcomes in patients who underwent uncommon urgent thyroidectomy.MethodsWe retrospectively reviewed patients diagnosed with thyrotoxicosis at a quaternary medical center between 2011 and 2023. Included patients were admitted nonelectively with thyroidectomies performed during same hospital stay. Patient demographics, comorbidities, hospital course, and operative outcomes were analyzed.ResultsThirty patients met the inclusion criteria. The majority were female (60%) and Black (60%) with a mean age of 41 ± 14 years. At admission, 76.6% had undetectable thyrotropin levels (<0.01 µU/mL) and 26.7% were diagnosed with thyroid storm. Common presenting comorbidities included atrial fibrillation (53.3%), heart failure (40%), and liver failure (16.7%). Graves' disease was diagnosed in 83.3% of patients, while 13.3% had amiodarone‐induced thyrotoxicosis. Median hospital stay before surgery was 8 days (interquartile range: 4–16). Indications for surgery were adverse medication events (30%), inadequate therapeutic effect by medication (30%), and worsening heart failure (26.7%). Postoperatively, 6.7% required reoperation for neck hematoma, 13.3% experienced temporary hypoparathyroidism, and 6.7% had hoarseness. Following surgery, 50% of patients with atrial fibrillation experienced resolution and 50% with heart failure with reduced ejection fraction showed ultrasonic improvement. Within 30 days, 20% visited the emergency department, none due to thyroidectomy complications, and 13.3% were readmitted for comorbidities. One patient (3.3%) died from liver failure.ConclusionsPatients who require an urgent thyroidectomy often have life‐threatening comorbidities particularly cardiac disease. Performing thyroidectomy in these patients can potentially create clinical homeostasis for further management of their comorbidities.

show abstract

Effects of the COVID-19 pandemic on endocrine operations in the United States

Cited by 10 publications

References 24 publications

Burnout in Medical Specialists Redeployed to Emergency Care During the COVID-19 Pandemic

Burnout in Medical Specialists Redeployed to Emergency Care During the COVID-19 Pandemic

Burnout in Medical Specialists Redeployed to Emergency Care during the COVID-19 Pandemic

From routine to rescue: Thyroidectomy for life‐threatening thyrotoxicosis

Contact Info

Product

Resources

About