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Nationwide analysis of plastic and reconstructive procedural volume in the United States during the COVID-19 pandemic.
Mehrabian, Daniel; Liu, Ivan Z; Pakhchanian, Haig H; Tarawneh, Omar H; Raiker, Rahul; Boyd, Carter J.
  • Mehrabian D; Medical College of Georgia, Augusta University, 1120 15th St, Augusta, GA 30912, USA.
  • Liu IZ; Medical College of Georgia, Augusta University, 1120 15th St, Augusta, GA 30912, USA.
  • Pakhchanian HH; George Washington University School of Medicine and Health Sciences, 2300 I St NW, Washington, DC 20052, USA.
  • Tarawneh OH; New York Medical College, 40 Sunshine Cottage Rd, Valhalla, NY 10595, USA.
  • Raiker R; West Virginia University School of Medicine, 1 Medical Center Dr, Morgantown, WV 26506, USA.
  • Boyd CJ; Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, 222 East 41st Street, New York, NY 10017-6739, USA. Electronic address: carterjosephboyd@gmail.com.
J Plast Reconstr Aesthet Surg ; 75(4): 1483-1496, 2022 04.
Article in English | MEDLINE | ID: covidwho-1828010
ABSTRACT

INTRODUCTION:

This study aims to define the impact of the novel Coronavirus Disease 2019 (COVID-19) pandemic on the volume of common plastic and reconstructive procedures in the United States.

METHODS:

TrinetX is a national, federated database that was utilized in surveying plastic and reconstructive procedural volumes among 53 Healthcare organizations (HCO) between March 2018 and May 2021. This timeframe was divided into pre-pandemic (March 2018 to February 2020) and pandemic periods (March 2020 to May 2021). Each period was then sub-divided into four seasons of the year and the mean monthly procedural volume per HCO was compared. A student's t-tests comparing pre-pandemic and pandemic seasonal mean procedural volumes were used for statistical analysis.

RESULTS:

A total of 366,032 patient encounters among 53 HCO were included. The average seasonal volume per HCO of all procedures reduced from 872.11 procedures during pre-pandemic seasons to 827.36 during pandemic seasons. Spring 2020 vol declined for most procedures as 15 of 24 (63%) assessed procedure categories experienced statistically significant decreases. Spring 2021 experienced rebounds with 15 of 24 (63%) assessed procedures showing statistically significant increases.

CONCLUSION:

During the pandemic period, the average procedural volume per HCO of 14 procedure categories was significantly less than the pre-pandemic average procedural volume. Overall, an inverse relationship was observed between novel COVID-19 cases and plastic and reconstructive surgery procedure volumes in the United States.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Plastic Surgery Procedures / COVID-19 Type of study: Observational study Limits: Humans Country/Region as subject: North America Language: English Journal: J Plast Reconstr Aesthet Surg Year: 2022 Document Type: Article Affiliation country: J.bjps.2021.11.100

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Plastic Surgery Procedures / COVID-19 Type of study: Observational study Limits: Humans Country/Region as subject: North America Language: English Journal: J Plast Reconstr Aesthet Surg Year: 2022 Document Type: Article Affiliation country: J.bjps.2021.11.100