Surgeons' fear of getting infected by COVID19: A global survey

An, Yongbo; Bellato, Vittoria; Konishi, Tsuyoshi; Pellino, Gianluca; Sensi, Bruno; Siragusa, Leandro; Franceschilli, Marzia; Sica, Giuseppe

doi:10.1002/bjs.11833

Cited by 20 publications

(16 citation statements)

References 6 publications

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“…Over the past months, the Italian Government has reduced the restrictions and access to hospitals as well as for outpatient care. Since then, up to 40% of non-traumatic abdominal emergencies have had unusual delayed treatment [5,6]. In our country, about 40% of surgeons reported an unusual delay in the presentation of non-traumatic abdominal emergencies.…”

Section: Introductionmentioning

confidence: 78%

Acute appendicitis in elderly during Covid-19 pandemic

Lisi

Campanelli

Mastrangeli

et al. 2021

Int J Colorectal Dis

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Purpose During the past months, the Italian Government has reduced the restrictions and access to hospitals. Since then, up to 40% of non-traumatic abdominal emergencies have had unusual delayed treatment. Given the rapidly evolving situation and the absence of evidence to support recommendations during the pandemic, it is useful to assess how the current situation is influencing the management of elderly with acute appendicitis. Methods Between February 2020 and December 2020, all patients older than 68 years old undergone appendectomy were included. Surgical approach, hospital stay, post-operative complications, radiology reports, and histologic examination were included in the retrospective analysis and compared with a same sample of the same period before the pandemic. Results Twenty-seven patients underwent appendectomy for acute appendicitis during the pandemic and 34 patients in the pre-outbreak period. Laparoscopic approach was completed in 51.8% of the cases, while conversion to laparotomy in 22.3% of patients and open procedure in the 25.9%, before the pandemic 73.6%, 14.7%, and 11.7%, respectively. During the pandemic, complicated appendicitis occurred in 59.3% of the cases (26.5% before the outbreak). One patient was treated for a pelvic abscess, while no minor complications were detected. No mortality rate was reported, with a mean hospital stay of 5.64 days during the outbreak and 4.21 days before the pandemic. Conclusion Our data highlighted a partial delay in diagnosis in the elderly group, and an increase in complicated appendicitis also demonstrated by the need for conversion to laparotomy.

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Section: Introductionmentioning

confidence: 78%

Acute appendicitis in elderly during Covid-19 pandemic

Lisi

Campanelli

Mastrangeli

et al. 2021

Int J Colorectal Dis

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“…Sixty-one studies reported on fear related to an infectious disease outbreak [ 29 – 31 , 35 – 37 , 43 , 46 , 53 , 55 , 61 , 64 , 72 , 74 , 78 – 83 , 85 – 87 , 94 , 95 , 99 , 100 , 107 – 109 , 115 , 117 , 119 , 123 , 128 , 131 , 132 , 134 , 142 , 146 , 147 , 155 – 173 ]. Most of the studies ( n = 52) reported physician’s fear of infecting themselves or their family.…”

Section: Resultsmentioning

confidence: 99%

Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

et al. 2021

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Background Prior to the COVID-19 pandemic, physicians experienced unprecedented levels of burnout. The uncertainty of the ongoing COVID-19 pandemic along with increased workload and difficult medical triage decisions may lead to a further decline in physician psychological health. Methods We searched Medline, EMBASE, and PsycINFO for primary research from database inception (Medline [1946], EMBASE [1974], PsycINFO [1806]) to November 17, 2020. Titles and abstracts were screened by one of three reviewers and full-text article screening and data abstraction were conducted independently, and in duplicate, by three reviewers. Results From 6223 unique citations, 480 articles were reviewed in full-text, with 193 studies (of 90,499 physicians) included in the final review. Studies reported on physician psychological symptoms and management during seven infectious disease outbreaks (severe acute respiratory syndrome [SARS], three strains of Influenza A virus [H1N1, H5N1, H7N9], Ebola, Middle East respiratory syndrome [MERS], and COVID-19) in 57 countries. Psychological symptoms of anxiety (14.3–92.3%), stress (11.9–93.7%), depression (17–80.5%), post-traumatic stress disorder (13.2–75.2%) and burnout (14.7–76%) were commonly reported among physicians, regardless of infectious disease outbreak or country. Younger, female (vs. male), single (vs. married), early career physicians, and those providing direct care to infected patients were associated with worse psychological symptoms. Interpretation Physicians should be aware that psychological symptoms of anxiety, depression, fear and distress are common, manifest differently and self-management strategies to improve psychological well-being exist. Health systems should implement short and long-term psychological supports for physicians caring for patients with COVID-19.

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“…Standardized essential measures, including the use of PPE, are necessary to control disease transmission and avoid unwanted complications 24 . A survey by An et al suggest that surgeon fears of getting infected were particularly associated with current PPE shortages 25 . Given the increasing burden on hospitals, health‐care workers' fears about having sufficient PPE are warranted.…”

Section: Discussionmentioning

confidence: 99%

Delivery of digestive surgery services during the COVID‐19 pandemic: Indonesian Society of Digestive Surgeons online survey

Nugroho

Arifin

Wibowo

et al. 2021

Asian J Endoscop Surgery

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Introduction During the coronavirus disease 2019 (COVID‐19) pandemic, digestive surgery potentially exposes both health‐care professionals and vulnerable patients to COVID‐19. A survey was conducted with aim to determine the digestive surgery services provided during the COVID‐19 pandemic, optimize safety for patients and clinicians, and safeguard health‐care services. Methods An online survey was conceived and circulated to members of the Indonesian Society of Digestive Surgeons. The survey was conducted in two phases, in April 2020 and July 2020, to evaluate changes in response to the COVID‐19 pandemic. Results Early in the pandemic (April 2020), the median number of major digestive surgeries performed monthly declined from 20 cases (range. 3‐100 cases) to 1 case (range. 0‐10 cases) (P < .001; Wilcoxon signed‐rank test). Most of the cases in April 2020 addressed emergency problems, but more definitive surgeries were performed during the later period of the survey. The importance of screening for COVID‐19 with polymerase chain reaction has increased over time, and a more comprehensive screening methodology incorporating real‐time polymerase chain reaction, chest CT, and rapid antibody test were evident in 31.37% of July 2020 responses. Conclusion Our survey has shown that surgeons adapted to the evolving pandemic and continue to do so only with appropriate safety assurances.

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Surgeons' fear of getting infected by COVID19: A global survey

Cited by 20 publications

References 6 publications

Acute appendicitis in elderly during Covid-19 pandemic

Acute appendicitis in elderly during Covid-19 pandemic

Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

Delivery of digestive surgery services during the COVID‐19 pandemic: Indonesian Society of Digestive Surgeons online survey

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