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The impact of COVID-19 on surgical procedures in Japan: analysis of data from the National Clinical Database.
Ikeda, Norihiko; Yamamoto, Hiroyuki; Taketomi, Akinobu; Hibi, Taizo; Ono, Minoru; Niikura, Naoki; Sugitani, Iwao; Isozumi, Urara; Miyata, Hiroaki; Nagano, Hiroaki; Unno, Michiaki; Kitagawa, Yuko; Mori, Masaki.
  • Ikeda N; Committee for Novel Coronavirus Disease 2019 Outbreak of Japanese Surgical Society, Tokyo, Japan. ikeda@wd5.so-net.ne.jp.
  • Yamamoto H; Department of Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan. ikeda@wd5.so-net.ne.jp.
  • Taketomi A; Department of Healthcare Quality Assessment, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
  • Hibi T; Committee for Novel Coronavirus Disease 2019 Outbreak of Japanese Surgical Society, Tokyo, Japan.
  • Ono M; Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Kita-ku, Kita 15, Nishi 7, Sapporo, Hokkaido, 060-8638, Japan.
  • Niikura N; Committee for Novel Coronavirus Disease 2019 Outbreak of Japanese Surgical Society, Tokyo, Japan.
  • Sugitani I; Department of Pediatric Surgery and Transplantation, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan.
  • Isozumi U; Committee for Novel Coronavirus Disease 2019 Outbreak of Japanese Surgical Society, Tokyo, Japan.
  • Miyata H; Department of Cardiovascular Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
  • Nagano H; Department of Breast Surgery, Tokai University, School of Medicine, 143, Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.
  • Unno M; Department of Endocrine Surgery, Nippon Medical School Graduate School of Medicine, 1-1-5, Bunkyo-ku, Tokyo, 113-8603, Japan.
  • Kitagawa Y; Department of Healthcare Quality Assessment, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
  • Mori M; Department of Healthcare Quality Assessment, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Surg Today ; 52(1): 22-35, 2022 Jan.
Article in English | MEDLINE | ID: covidwho-1516860
ABSTRACT
BACKGROUND AND

PURPOSE:

The spread of COVID-19 has restricted the delivery of standard medical care to surgical patients dramatically. Surgical triage is performed by considering the type of disease, its severity, the urgency for surgery, and the condition of the patient, in addition to the scale of infectious outbreaks in the region. The purpose of this study was to evaluate the impact of the COVID-19 pandemic on the number of surgical procedures performed and whether the effects were more prominent during certain periods of widespread infection and in the affected regions.

METHODS:

We selected 20 of the most common procedures from each surgical field and compared the weekly numbers of each operation performed in 2020 with the respective numbers in 2018 and 2019, as recorded in the National Clinical Database (NCD). The surgical status during the COVID-19 pandemic as well as the relationship between surgical volume and the degree of regional infection were analyzed extensively.

RESULTS:

The rate of decline in surgery was at most 10-15%. Although the numbers of most oncological and cardiovascular procedures decreased in 2020, there was no significant change in the numbers of pancreaticoduodenectomy and aortic replacement procedures performed in the same period.

CONCLUSION:

The numbers of most surgical procedures decreased in 2020 as a result of the COVID-19 pandemic; however, the precise impact of surgical triage on decrease in detection of disease warrants further investigation.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Surgical Procedures, Operative / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Surg Today Year: 2022 Document Type: Article Affiliation country: S00595-021-02406-2

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Surgical Procedures, Operative / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Surg Today Year: 2022 Document Type: Article Affiliation country: S00595-021-02406-2