Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study-Reference-Cited by-同舟云学术

Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study

Published:2021-03-03 Issue:2 Volume:73 Page:731-744
ISSN:2038-131X
Container-title:Updates in Surgery
language:en
Short-container-title:Updates Surg

Author:

Bracale Umberto,Podda Mauro,Castiglioni Simone,Peltrini Roberto,Sartori Alberto,Arezzo Alberto,Corcione Francesco,Agresta Ferdinando,Antonucci Adelmo,Zanframundo Claudia,Cavallo Fabio,Mazzarolo Giorgio,Agrusa Antonio,Di Buono Giuseppe,Aldrighetti Luca,Fiorentini Guido,Lucianetti Alessandro,Magnone Stefano,Alfieri Sergio,Rosa Fausto,Altomare Donato F.,Picciariello Arcangelo,Parisi Amilcare,Di Cintio Antonio,Amisano Marco Francesco,Cravero Francesca,Ammendola Michele,Ammerata Giorgio,Anastasi Alessandro,Canonico Giuseppe,Gattolin Andra,Travaglio Elisabetta,Sartori Andrea,De Palma Massimiliano,Angelini Pierluigi,Galante Francesco,Benevento Angelo,Rausei Stefano,Serao Angelo,Abbatini Francesca,Annecchiarico Mario,Varricchio Antonio,Annessi Valerio,Tumiati David,Annicchiarico Alfredo,Mirabella Antonello,Marino Marco V.,Spinelli Antonino,Braun Antonio,Santi Hong Tham,Romano Lucia,Antoniutti Michele,Armellino Mariano Fortunato,Argenio Giulio,Verzelli Augusto,Budassi Andrea,Baiocchi Gianluca,Alfano Marie Sophie,Balani Alessandro,Barone Marco,Baldazzi Gianandrea,Cassini Diletta,Canger Ruben Carlo Balzarotti,Zabbialini Gianpietro,Belli Andrea,Izzo Francesco,Bertolino Franco,Brunetti Marco,Bianco Francesco,Cappiello Antonio,Boccia Luigi,Boffi Bernardo,Perna Federico,Bonilauri Stefano,Frazzetta Giuseppe,Bordoni Pierpaolo,Fleres Francesco,Borghi Felice,Giraudo Giorgio,Bottino Vincenzo,Canfora Alfonso,Piccoli Fabrizio Briganti,Calligaris Luca,Nipote Bruno,Nasti Aniello Gennaro,Bufalari Andrea,Bettarini Francesca,Buononato Massimo,Greco Marco,Calò Pietro Giorgio,Medas Fabio,Cardamone Eugenia,Castaldo Pasquale,Carlini Massimo,Spoletini Domenico,De Nisco Carlo,Pulighe Fabio,Feo Carlo V.,Fabbri Nicolò,Antropoli Carmine,Foroni Fabrizio,Carnazza Maurizio,Ragazzi Salvatore,Cassinotti Elisa,Boni Luigi,Catena Fausto,Giuffrida Mario,Perrone Gennaro,Ccotsoglou Christian,Granieri Stefano,Ceccarelli Graziano,Bugiantella Walter,Cedolini Carla,Seriau Luca,Cesari Maurizio,Contine Alessandro,Chiara Osvaldo,Cimbanassi Stefania,Cocozza Eugenio,Berselli Mattia,Fantini Corrado,Costi Renato,Casali Lorenzo,Morini Andrea,Crafa Francesco,Vanela Serafino,Currò Giuseppe,Orsini Vincenzo,Da Lio Corrado,Biral Mario,Danelli Piergiorgio,Guerci Claudio,Scala Dario,Marino Graziella,De Carlis Luciano,Lauterio Andrea,De Giorgi Donato,Sciannamea Gianluca,De Manzini Nicolo,Losurdo Pasquale,De Palma Maurizio,Sangiuliano Nicola,Degiuli Maurizio,Caterina Franco,Del Rio Paolo,Bonati Elena,Di Lernia Stefano,Ardizzone Marco Vittorio Rossi,Di Saverio Salomone,Franchi Caterina,Di Venere Beatrice,Miglio Rosanna,Cuccurullo Diego,Sagnelli Carlo,Docimo Ludovico,Tolone Salvatore,Longoni Mauro,Faillace Giuseppe,Rondelli Fabio,Pennella Francesca Pennetti,Colucci Vincenzo,Carfora Teresa,Muttillo Irnerio Angelo,Picardi Biagio,Stefano Rossi,Campagnacci Roberto,Maurizi Angela,Tricarico Fausto,Montagna Marco,Amedeo Elio,Scollica Michela C.,Lauro Enrico,Laterza Ernesto,Molinari Enrico,Berta G.,Bono Dario,Fabozzi Massimiliano,Romano Mafalda,Facci Enzo,Parini Dario,Farfaglia Roberto,Arizzi Valeria,Farsi Marco,Miranda Egidio,Fei Landino,Flavio Giordano,Pirozzi Felice,Sciuto Antonio,Ferrero Alessandro,Palisi Marco,Filauro Marco,Barberis Andrea,Azzinnaro Antonio,Fiscon Valentino,Vigna Silvia,D’ambra Michele,Pontecorvi Emanuele,Anania Gabriele,Bombardini Cristina,Galizia Gennaro,Auricchio Annamaria,Cardella Francesca,Genna Michele,Gentilli Sergio,Herald Nikaj,Castagnoli Giampaolo,Bartoli Alberto,Gianotti Luca,Garancini Mattia,Bellanova Giovanni,Palazzo Paola,De Palma Giovanni,Milone Marco,Ferrari Giovanni,Magistro Carmelo,Giuliani Antonio,Di Natale Giuseppe,Brisinda Giuseppe,Cavallaro Giuseppe,Sammarco Giuseppe,Gallo Gaetano,Goletti Orlando,Macchini Daniele,Greco Vincenzo,Amoroso Vincenzo,Guercioni Gianluca,Benedetti Michele,Guzzo Guglielmo,Pata Francesco,Scandroglio Ildo,Roscio Francesco,Jovine Elio,Lombardi Raffaele,La Rocca Francesco,Di Capua Francesca,Lanci Carmine,Leli Renzo,Borasi Andrea,Lepiane Pasquale,Balla Andrea,Liberatore Edoardo,Morelli Luca,Di Franco Gregorio,Lucchi Andrea,Vittori Laura,Bonavina Luigi,Asti Emanuele,Maggioni Dario,Martino Gerosa,Manca Giuseppe,Delvecchio Antonella,Tedesco Manfredo,Gambardella Denise,Marafioti Salvatore,De Marco Maria Luisa,Guicciardi Marco Azzola,Motta Massimo,Calgaro Marco,Adamo Vincenzo,Guerrieri Mario,Coletta Pietro,Ortenzi Monica,Martines Gennaro,Lantone Giuliano,Martinotti Mario,Fassardi Giuseppe,Castriconi Maurizio,Squillante Simone,De Luca Maurizio,Pavanello Maurizio,Di Marco Carlo,Ronconi Maurizio,Casiraghi Silvia,Mazzaferro Vincenzo,Battiston Carlo,Perrotta Michele,Ripa Carmine,Giancarlo Micheletto,Panizzo Valerio,Millo Paolo,Contul Riccardo Brachet,Ferraro Valentina,Molino Carlo,Crolla Enrico,Moretto Gianluigi,Bacchion Matilde,Morino Mario,Allaix Marco Ettore,Motterlini Enrico,Petracca Michele,Muratore Andrea,Musella Mario,Vitiello Antonio,Nardo Bruno,Crocco Veronica,Navarra Giuseppe,Lazzara Salvatore,Navarra Giuseppe Giovanni,Cuoghi Manuela,Olmi Stefano,Oldani Alberto,Uccelli Matteo,Opocher Enrico,Giovenzana Marco,De Paolis Paolo,Santarelli Mauro,Delrio Paolo,Carbone Fabio,Bianchi Paolo Pietro Giampaolo,Formisano ,Capelli Patrizio,Baldini Edoardo,Festa Patrizio,Mottola Arianna,Perrotta Michele,Merola Giovanni,Perrotta Nicola,Celiento Marta,Personnettaz Eraldo,Muzio Stefania,Petitti Tommaso,Melchiorre Antonietta,Piccoli Micaela,Pecchini Francesca,Frontali Alice,Danelli Piergiorgio,Maffioli Anna,Maida Pietro,Tammaro Pasquale,Pignata Giusto,Andreuccetti Jacopo,Pilone Vincenzo,Renzulli Michele,Pintaldi Salvatore,Ceretti Andrea Pisani,Mariani Nicolò Maria,Pisanu Adolfo,Polastri Roberto,Maiello Fabio,Porcu Alberto,Perra Teresa,Mucilli Felice,Barone Mirko,Troisi Roberto,Montalti Roberto,Scognamillo Fabrizio,Delogu Daniele,Galleano Raffaele,Malerba Michele,Salfi Raffaele,Pisano Marcello,Sechi Raffaele,Cillara Nicola,Ramuscello Salvatore,De Leo Eugenio,Restini Enrico,Tumolo Rocco,Cianci Pasquale,Capuzzolo Sabino,Rizzo Maurizio,Recordare Alfonso,Santoro Roberto,Amodio Pietro Maria,Rocca Aldo,Cecere Giuseppe,Romito Raffaele,Portigliotti Luca,Rosati Riccardo,Elmore Ugo,Russello Domenico,Latteri Saverio,Costarella Salvatore Maria,Massa Salvatore,Capasso Lorenzo,Santangelo Michele,Sodo Maurizio,Sarro Giuliano,Rivolta Umberto,Scabini Stefano,Pertile Davide,Selvaggi Federico,Rossi Selene,Selvaggi Francesco,Pellino Gianluca,Sganga Gabriele,Fransvea Pietro,Testa Silvio,De Rosa Clemente,Siquini Walter,Tranà Cristian,Solej Mario,Bolzon Stefano,Guerra Enrico,Stella Marco,Ferrara Francesco,Stipa Francesco,Stringhi Enrico,Celotti Andrea,Taglietti Lucio,Del Giudice Roberto,Talarico Carlo Alessandro,Ruggiero Michele,Tirone Giuseppe,Romario Uberto Fumagalli,Petz Wanda,Caracino Valerio,Rossetti Valentina,Verza Luca Andrea,Cavallo Fabio,Vescovi Lorenzo,Marini Michele,Vettoretto Nereo,Botteri Emanuele,Vincenti Leonardo,Giannandrea Giusy,Viora Tiziana,Maganuco Lorenzo,Veronesi Paolo,Zani Bruno,Zanus Giacomo,Brizzolari Marco,Zanzi Federico,Guariniello Anna,Zappa Marco Antonio,Galfrascoli Elisa,Zonta Sandro,Oragano Luigi,Zuliani Walter,Chiari Damiano,

Abstract

Abstract Background The spread of the SARS-CoV2 virus, which causes COVID-19 disease, profoundly impacted the surgical community. Recommendations have been published to manage patients needing surgery during the COVID-19 pandemic. This survey, under the aegis of the Italian Society of Endoscopic Surgery, aims to analyze how Italian surgeons have changed their practice during the pandemic. Methods The authors designed an online survey that was circulated for completion to the Italian departments of general surgery registered in the Italian Ministry of Health database in December 2020. Questions were divided into three sections: hospital organization, screening policies, and safety profile of the surgical operation. The investigation periods were divided into the Italian pandemic phases I (March–May 2020), II (June–September 2020), and III (October–December 2020). Results Of 447 invited departments, 226 answered the survey. Most hospitals were treating both COVID-19-positive and -negative patients. The reduction in effective beds dedicated to surgical activity was significant, affecting 59% of the responding units. 12.4% of the respondents in phase I, 2.6% in phase II, and 7.7% in phase III reported that their surgical unit had been closed. 51.4%, 23.5%, and 47.8% of the respondents had at least one colleague reassigned to non-surgical COVID-19 activities during the three phases. There has been a reduction in elective (> 200 procedures: 2.1%, 20.6% and 9.9% in the three phases, respectively) and emergency (< 20 procedures: 43.3%, 27.1%, 36.5% in the three phases, respectively) surgical activity. The use of laparoscopy also had a setback in phase I (25.8% performed less than 20% of elective procedures through laparoscopy). 60.6% of the respondents used a smoke evacuation device during laparoscopy in phase I, 61.6% in phase II, and 64.2% in phase III. Almost all responders (82.8% vs. 93.2% vs. 92.7%) in each analyzed period did not modify or reduce the use of high-energy devices. Conclusion This survey offers three faithful snapshots of how the surgical community has reacted to the COVID-19 pandemic during its three phases. The significant reduction in surgical activity indicates that better health policies and more evidence-based guidelines are needed to make up for lost time and surgery not performed during the pandemic.

Funder

Università degli Studi di Napoli Federico II

Publisher

Springer Science and Business Media LLC

Subject

Surgery

Link

https://link.springer.com/content/pdf/10.1007/s13304-021-01010-w.pdf

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