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International Survey of Operative Practices for Otologists and Neurotologists During the COVID-19 Crisis.
Ridge, Sarah E; Chari, Divya A; Kozin, Elliott D; Remenschneider, Aaron K; Adunka, Oliver F; Aristegui, Miguel; Chang, Wai Tsz; Cheng, Yen-Fu; Chung, Jong Woo; Cohen, Michael S; Crowson, Matthew G; Golub, Justin S; Handzel, Ophir; Isaacson, Brandon; Iyer, Arunachalam; Kakehata, Seiji; Marchioni, Daniele; Nogueira, João Flávio; Patel, Nirmal; Quesnel, Alicia M; Rivas, Alejandro; Saeed, Shakeel R; Salzman, Richard; Santos, Felipe; Saxby, Alexander J; Tarabichi, Muaaz; Verhaert, Nicolas; Vincent, Robert; Wanna, George; Wolpert, Stephan; Lee, Daniel J.
  • Ridge SE; Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
  • Chari DA; Department of Otolaryngology - Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • Kozin ED; Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
  • Remenschneider AK; Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
  • Adunka OF; Department of Otolaryngology - Head and Neck Surgery, University of Massachusetts Medical Center, Worcester, Massachusetts.
  • Aristegui M; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
  • Chang WT; Department of Otorhinolaryngology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
  • Cheng YF; Department of Otorhinolaryngology, Head and Neck Surgery, The Chinese University of Hong Kong, Hong Kong.
  • Chung JW; Department of Medical Research, Taipei Veterans General Hospital.
  • Cohen MS; Department of Otolaryngology - Head and Neck Surgery, Taipei Veterans General Hospital.
  • Crowson MG; School of Medicine, National Yang-Ming University, Taipei, Taiwan.
  • Golub JS; Department of Otorhinolaryngology - Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • Handzel O; Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
  • Isaacson B; Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
  • Iyer A; Department of Otolaryngology - Head and Neck Surgery, Columbia University Vagelos College of Physicians and Surgeons, New York-Presbyterian/Columbia University Irving Medical Center, New York.
  • Kakehata S; Department of Otolaryngology/Head, Neck and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
  • Marchioni D; Department of Otolaryngology - Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Nogueira JF; Department of Otorhinolaryngology, University of Glasgow, University Hospital Monklands, Scotland, United Kingdom.
  • Patel N; Department of Otolaryngology - Head and Neck Surgery, Yamagata University Faculty of Medicine, Japan.
  • Quesnel AM; Department of Otorhinolaryngology - Head and Neck Surgery, University Hospital of Verona, Verona, Italy.
  • Rivas A; Sinus & Oto Centro-Hospital Geral de Fortaleza, Rua Dr. José Furtado, Fortaleza, Brazil.
  • Saeed SR; Royal North Shore Hospital, Division of Otolaryngology Head and Neck surgery, Discipline of Surgery, Sydney Medical School, University of Sydney.
  • Salzman R; Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine and Health Science, Macquarie University, Sydney, Australia.
  • Santos F; Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
  • Saxby AJ; Department of Otolaryngology - Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
  • Tarabichi M; Royal National Throat Nose and Ear Hospital, University College London Ear Institute, University College London, London, United Kingdom.
  • Verhaert N; Department of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Czech Republic.
  • Vincent R; Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
  • Wanna G; Royal Prince Alfred Hospital, University of Sydney, Sydney, Australia.
  • Wolpert S; Tarabichi Stammberger Ear and Sinus Institute, Dubai, United Arab Emirates.
  • Lee DJ; Department of Otolaryngology, Head and Neck Surgery, University Hospitals Leuven.
Otol Neurotol ; 42(8): 1275-1284, 2021 09 01.
Article in English | MEDLINE | ID: covidwho-1358514
ABSTRACT

OBJECTIVE:

To investigate the influence of the COVID-19 pandemic on operative practices of otology and neurotology providers internationally. STUDY

DESIGN:

Cross-sectional survey.

METHODS:

A 78-question survey was distributed to otologists and neurotologists between May 12, 2020 and June 8, 2020 to assess the impact of the pandemic on surgical practices. Sections within the survey delineated time periods prior to the crisis, onset of the crisis, during the crisis, postcrisis transition.

RESULTS:

Of 396 survey respondents, 284 participants from 38 countries met inclusion criteria.Respondents were 16.9% female and 82.4% male, with a most common age range of 40 to 49 years (36.3%). 69.8% of participants had been in practice for over 10 years and most respondents worked in an academic medical center (79.2%). The average operative weekly caseload was 5.3 (SD 3.9) per surgeon prior to the crisis, 0.7 (SD 1.2) during the COVID-19 crisis, and 3.5 (SD 3.3) for those who had begun a postcrisis transition at the time of survey administration (p < 0.001). 71.5% of providers did not perform an elective otologic or neurotologic operative procedure during the initial crisis period. 49.8% reported modifying their surgical technique due to the COVID-19 pandemic. Use of powered air-purifying respirators and filtering facepiece 2 or 3 (FFP2/FFP3) respirators were in minimal supply for 66.9% and 62.3% of respondents, respectively.

CONCLUSION:

The COVID-19 pandemic impacted the otology and neurotology community globally, resulting in significant changes in operative volume and case selection. Modification of surgical technique and shortages of personal protective equipment were frequently reported.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Observational study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: Otol Neurotol Journal subject: Neurology / Otolaryngology Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Observational study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: Otol Neurotol Journal subject: Neurology / Otolaryngology Year: 2021 Document Type: Article