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Immediate and long-...
Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services
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- Søreide, K. (author)
- University of Bergen,Stavanger University Hospital
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- Hallet, J. (author)
- University of Toronto
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- Matthews, J. B. (author)
- University of Chicago
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- Schnitzbauer, A. A. (author)
- University Hospital Frankfurt
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- Line, P. D. (author)
- University of Oslo,Oslo university hospital
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- Lai, P. B.S. (author)
- Chinese University of Hong Kong
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- Otero, J. (author)
- Hospital Clinico San Carlos de Madrid
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- Callegaro, D. (author)
- Istituto Nazionale dei Tumori
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- Warner, S. G. (author)
- City of Hope National Medical Center
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- Baxter, N. N. (author)
- University of Melbourne
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- Teh, C. S.C. (author)
- National Kidney and Transplant Institute Philippines
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- Ng-Kamstra, J. (author)
- University of Calgary
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- Meara, J. G. (author)
- Boston Children's Hospital,Harvard Medical School
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- Hagander, L. (author)
- Lund University,Lunds universitet,Kirurgi och folkhälsa,Forskargrupper vid Lunds universitet,Barnkirurgi,Surgery and public health,Lund University Research Groups,Pediatric surgery,WHO Collaborating Centre for Surgery and Public Health,Skåne University Hospital
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- Lorenzon, L. (author)
- Policlinico Universitario Agostino Gemelli
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(creator_code:org_t)
- 2020-04-30
- 2020
- English 12 s.
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In: British Journal of Surgery. - : Oxford University Press (OUP). - 0007-1323 .- 1365-2168. ; 107:10, s. 1250-1261
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Abstract
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- Background: The ongoing pandemic is having a collateral health effect on delivery of surgical care to millions of patients. Very little is known about pandemic management and effects on other services, including delivery of surgery. Methods: This was a scoping review of all available literature pertaining to COVID-19 and surgery, using electronic databases, society websites, webinars and preprint repositories. Results: Several perioperative guidelines have been issued within a short time. Many suggestions are contradictory and based on anecdotal data at best. As regions with the highest volume of operations per capita are being hit, an unprecedented number of operations are being cancelled or deferred. No major stakeholder seems to have considered how a pandemic deprives patients with a surgical condition of resources, with patients disproportionally affected owing to the nature of treatment (use of anaesthesia, operating rooms, protective equipment, physical invasion and need for perioperative care). No recommendations exist regarding how to reopen surgical delivery. The postpandemic evaluation and future planning should involve surgical services as an essential part to maintain appropriate surgical care for the population during an outbreak. Surgical delivery, owing to its cross-cutting nature and synergistic effects on health systems at large, needs to be built into the WHO agenda for national health planning. Conclusion: Patients are being deprived of surgical access, with uncertain loss of function and risk of adverse prognosis as a collateral effect of the pandemic. Surgical services need a contingency plan for maintaining surgical care in an ongoing or postpandemic phase.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
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- By the author/editor
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Søreide, K.
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Hallet, J.
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Matthews, J. B.
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Schnitzbauer, A. ...
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Line, P. D.
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Lai, P. B.S.
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show more...
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Otero, J.
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Callegaro, D.
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Warner, S. G.
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Baxter, N. N.
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Teh, C. S.C.
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Ng-Kamstra, J.
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Meara, J. G.
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Hagander, L.
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Lorenzon, L.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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British Journal ...
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Lund University