Encuesta nacional sobre el tratamiento de la colelitiasis en España durante la fase inicial de la pandemia por COVID-19

Ielpo, Benedetto; Prieto, Mikel; Ortega, Irene; Rubio-Pérez, Inés; Juvany, Montse; Gómez‐Bravo, Miguel Ángel; Ramia, José Manuel

doi:10.1016/j.ciresp.2020.07.001

Cited by 16 publications

(9 citation statements)

References 24 publications

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“…This is similar to several surveys such as the Italian survey focused on minimally invasive HPB surgery that reported an 87% COVID-19 patient screening 12 , the European-African Hepato-Pancreato-Biliary Association survey of HPB surgery that informed that 35% of the participants did not perform any COVID-19 testing 5 and the global survey conducted by 7 international pancreatic associations and study groups on pancreatic surgery during the COV-ID-19 pandemic in which they described that 87% of the participants screened their patients for COV-ID-19 13 , and had a 75% agreement that COVID-19 preoperative testing/screening is recommended but not mandatory 13 . COVID-19 PCR (nasal swab) and chest CT was the most common testing strategy in our study, which is the most common test, performed either individually or in combination in different places 4,5,[12][13][14] in almost the same proportion (40%).…”

Section: Discussionmentioning

confidence: 74%

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La cirugía hepato-pancreato-biliar en México y America Latina durante la pandemia COVID-19 (2020): Resultados de una encuesta de la AMHPB

Martínez-Mier¹,

Melchor‐Ruan²,

Beristain-Hernández³

et al. 2022

CIRU

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Background:The Mexican Hepato-Pancreato-Biliary Association (AMHPB) conducted a survey, aiming to gather experience and opinions of HPB surgeons about HPB surgery in the 2020 COVID-19 pandemic year. Methods: An online survey was conducted (33 items: demographics, patient referral, COVID-19 screening and limitations, hospital occupancy and surgical practice) to AMHPB members and attendees of the previous meetings of the Society through a self-administered questionnaire. Answers were excluded if respondents were not from Latin America. Results: 88 participants answered (47.5 ± 10 years, 94% male and 65.9% Mexicans). About 8% worked in COVID-19 converted hospitals. About 1.1% did not perform pre-operative COVID-19 testing. Polymerase chain reaction (33%) was the most common COVID-19 pre-operative test. The number of patient referrals decreased 62.5%. About 29.5% had one patient who died from COVID-19 during preoperative surgical evaluation. About 64.7% answered that surgical case volume decreased. About 17% and 23% respondents considered that surgical morbidity and mortality increased, respectively. Hospital resources and COVID-19 infection were responsible for change in surgical outcomes. Lack of ICU beds (54%) was the most common cause of surgical cancellation. Conclusion: COVID-19 had a strong negative impact on HPB surgery in Mexico and Latin America in terms of patient reference, case volume and surgical outcomes.

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Section: Discussionmentioning

confidence: 74%

“…The impact of the virus in different health-care systems is of great interest in surgery, particularly on HPB surgery 4,5,[12][13][14] . Such a scenario necessitates a snapshot of the management of HPB surgery.…”

Section: Introductionmentioning

confidence: 99%

La cirugía hepato-pancreato-biliar en México y America Latina durante la pandemia COVID-19 (2020): Resultados de una encuesta de la AMHPB

Martínez-Mier¹,

Melchor‐Ruan²,

Beristain-Hernández³

et al. 2022

CIRU

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“…2 The effects internationally have been similar. 3 Multiple studies, including case reports 4,5 and retrospective reviews, [6][7][8] have quantified decreased rates of LC's between defined pre-pandemic and post-pandemic periods. Likewise, they have reported on operative complications and post-operative outcomes between these periods.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Cholecystectomy in the Time of Coronavirus: A Level-1 Trauma Center’s Experience

Cohen

Severance

Olafson

et al. 2022

The American Surgeon™

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Introduction Laparoscopic cholecystectomy (LC), one of the most common surgical procedures performed in the U.S., offers a window into the effects of the COVID-19 pandemic on routine surgical care. The purpose of our study was to analyze the effects of the COVID-19 pandemic at a Level-1 trauma center on the performance rate of non-elective LC over time. Methods A retrospective chart review from July 2019 to December 2020 identified all non-elective LC cases performed at a level-1 trauma center. Patients were categorized into 4 temporal phases along the course of the pandemic based on statewide incidence data on COVID-19: pre-pandemic, peak 1, recovery, and peak 2. We compared the phases based on demographic information and outcomes. Results In total, 176 patients were reviewed. The performance rate in cases/day varied as follows: pre-pandemic .61, 1st peak .34, recovery .44, and 2nd peak .53. The complication rate was highest in the 2nd peak (16%) ( P < .05). Compared to the pre-pandemic period, the intra-pandemic period had a higher incidence of complicated gallbladder disease ( P < .05). In the non-elderly subgroup, complicated gallbladder disease was significantly more prevalent in the intra-pandemic period compared to the pre-pandemic period (25% vs 10%, P < .05). Conclusions Our data suggests a learning curve throughout the course of the pandemic, reflecting a stepwise increase in the performance rate of LC. The higher incidence of complicated gallbladder disease in the intra-pandemic period may imply patient hesitancy to seek routine surgical care, especially among younger patients.

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“…No obstante, la carta se basa en una casuística pequeña donde el uso de la estadística tiene que ser sopesado, así como sus conclusiones. La experiencia presentada por el Hospital Universitario Reina Sofía de Murcia confirma la tendencia observada por la gran mayoría de los centros españoles de suspender durante la primera fase de pandemia la cirugía de la colecistectomía electiva, tal como hemos objetivado en nuestro artículo 2 . Como estamos viendo en las fases sucesivas de la pandemia, el efecto de esta estrategia ha aumentado de forma importante la lista de espera para el tratamiento quirúrgico de la colelitiasis.…”

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Encuesta nacional sobre el tratamiento de la colelitiasis en España durante la fase inicial de la pandemia por COVID-19

Abstract: Graphical abstract

Cited by 16 publications

References 24 publications

La cirugía hepato-pancreato-biliar en México y America Latina durante la pandemia COVID-19 (2020): Resultados de una encuesta de la AMHPB

La cirugía hepato-pancreato-biliar en México y America Latina durante la pandemia COVID-19 (2020): Resultados de una encuesta de la AMHPB

Laparoscopic Cholecystectomy in the Time of Coronavirus: A Level-1 Trauma Center’s Experience

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