Spine Surgery and COVID-19: The Influence of Practice Type on Preparedness, Response, and Economic Impact.
Global Spine J
; 12(2): 249-262, 2022 Mar.
Article
in English
| MEDLINE | ID: covidwho-696926
ABSTRACT
STUDY DESIGN:
Cross-sectional observational cohort study.OBJECTIVE:
To investigate preparation, response, and economic impact of COVID-19 on private, public, academic, and privademic spine surgeons.METHODS:
AO Spine COVID-19 and Spine Surgeon Global Impact Survey includes domains on surgeon demographics, location of practice, type of practice, COVID-19 perceptions, institutional preparedness and response, personal and practice impact, and future perceptions. The survey was distributed by AO Spine via email to members (n = 3805). Univariate and multivariate analyses were performed to identify differences between practice settings.RESULTS:
A total of 902 surgeons completed the survey. In all, 45.4% of respondents worked in an academic setting, 22.9% in privademics, 16.1% in private practice, and 15.6% in public hospitals. Academic practice setting was independently associated with performing elective and emergent spine surgeries at the time of survey distribution. A majority of surgeons reported a >75% decrease in case volume. Private practice and privademic surgeons reported losing income at a higher rate compared with academic or public surgeons. Practice setting was associated with personal protective equipment availability and economic issues as a source of stress.CONCLUSIONS:
The current study indicates that practice setting affected both preparedness and response to COVID-19. Surgeons in private and privademic practices reported increased worry about the economic implications of the current crisis compared with surgeons in academic and public hospitals. COVID-19 decreased overall clinical productivity, revenue, and income. Government response to the current pandemic and preparation for future pandemics needs to be adaptable to surgeons in all practice settings.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Language:
English
Journal:
Global Spine J
Year:
2022
Document Type:
Article
Affiliation country:
2192568220949183
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