3 research outputs found
BJS commission on surgery and perioperative care post-COVID-19
- Author
- Abahuje E.
- Abbas A.
- Abd el Aziz Abd el Maksoud M.
- Abdelhady A.
- Abdelhamid S.
- Abdelkarem Ahmed Faraj H.
- Abdelqader B.
- Abdelrahman T.
- Abdou H.
- Abdullah A.
- Abedua Harrison M.
- Abem Owusu E.
- Aboalazayem A.
- Aboulhosn R.
- Abu Oda S.
- Abubakar A.
- Abutaka A.
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- Adegbola S.
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- Aguirre Salamanca E. J.
- Aguirre-Allende I.
- Ahari D.
- Ahmad Rauf F.
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- Ahmed Mohamed S.
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- Al Mukhtar O.
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- Al-Naggar H.
- Alagaratnam A. S.
- Alameer E.
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- Albirnawi H.
- Alderson D.
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- Publication venue
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- Publication date
- 01/01/2021
- Field of study
No full textBackground: Coronavirus disease 2019 (COVID-19) was declared a pandemic by the WHO on 11 March 2020 and global surgical practice was compromised. This Commission aimed to document and reflect on the changes seen in the surgical environment during the pandemic, by reviewing colleagues experiences and published evidence. Methods: In late 2020, BJS contacted colleagues across the global surgical community and asked them to describe how severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had affected their practice. In addition to this, the Commission undertook a literature review on the impact of COVID-19 on surgery and perioperative care. A thematic analysis was performed to identify the issues most frequently encountered by the correspondents, as well as the solutions and ideas suggested to address them. Results: BJS received communications for this Commission from leading clinicians and academics across a variety of surgical specialties in every inhabited continent. The responses from all over the world provided insights into multiple facets of surgical practice from a governmental level to individual clinical practice and training. Conclusion: The COVID-19 pandemic has uncovered a variety of problems in healthcare systems, including negative impacts on surgical practice. Global surgical multidisciplinary teams are working collaboratively to address research questions about the future of surgery in the post-COVID-19 era. The COVID-19 pandemic is severely damaging surgical training. The establishment of a multidisciplinary ethics committee should be encouraged at all surgical oncology centres. Innovative leadership and collaboration is vital in the post-COVID-19 era
BJS commission on surgery and perioperative care post-COVID-19
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- No. 10 Sá-Marta
- O. A. Castaneda Ramı´rez
- O. A. Minayeva
- O. Al Mukhtar
- O. Arez
- O. Burton
- O. Can Tatar
- O. Eldurssi
- O. Falade
- O. Jagiella-Lodise
- O. M. Pavan Kumar
- O. Medzhidov
- O. Mekinde
- O. Sandli
- O. Santes Jasso
- O. Solo´ rzano Pineda
- O. Wroe Wright
- P. -C. Yang
- P. A. Naess
- P. Akhmedov
- P. Armonis
- P. Boland
- P. Bostro¨ m
- P. Botelho de Alencar Ferreira Cruz
- P. C. Arteaga Asensio
- P. Chandrasinghe
- P. de Dieu Ngo
- P. Etienne
- P. Fruhling
- P. Giannakis
- P. Goffredo
- P. Gwodog
- P. Higgins
- P. Howard
- P. Ignatavicius
- P. Kumar Garg
- P. Lapolla
- P. Lynn
- P. Malkomes
- P. Martinez
- P. Marwaha
- P. Mhango
- P. Miller
- P. Mutambanengwe
- P. Mu¨ ller
- P. Myint
- P. Naidoo
- P. Patel
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- P. Petersson
- P. Plum
- P. Prasad
- P. Sucharitkul
- P. Sutton
- P. Tejedor
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- R. -J. Coelen
- R. A. R. Mora´ n
- R. A. Valdez Gonzalez
- R. Aboulhosn
- R. Aftab
- R. Aguilera
- R. Al-Habsi
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- R. Aljubure
- R. Alshammari
- R. Amoah
- R. Arachchige Adithi Himika Randeni
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- R. Barnett
- R. Blanco
- R. Boden
- R. Booth
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- Vol. 108
- W. Cambridge
- W. Doherty
- W. Dossou
- W. Ebrahim
- W. English
- W. Ghareeb
- W. J. Wong
- W. Mugla
- W. Nardi
- W. Raby-Smith
- W. Rea
- W. Stupalkowska
- W. Tummers
- W. Xia
- W. Xu
- W. Yang
- W. Zahra
- W. Zegers
- W. ~ Mushiwokufa
- X. Ponte de Sousa
- X. Va´ squez Ojeda
- Y. Akula
- Y. Alimova
- Y. An
- Y. Farid
- Y. Huang
- Y. Jang
- Y. Jiayan
- Y. Kanemitsu
- Y. Medkova
- Y. Singh
- Y. Takamizawa
- Y. Voronovskyi
- Y. W. Smart
- Y. Y. Wang
- Y. Yue
- Z. Ahmed-Bakhsh
- Z. Alqaidoom
- Z. Bentounsi
- Z. Bilgili
- Z. H. Sam
- Z. Jessop
- Z. Li
- Z. MinHua Zheng
- Z. Nowinka
- Z. Varga
- Z. Xu
- Z. Younis Ringshawl
- Z. Zhagniyev
- ~ M. Jose´ Pizarro
- Ł. Masior
- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2021
- Field of study
Get PDFCoronavirus disease 2019 (COVID-19) was declared a pandemic by the WHO on 11 March 2020 and global surgical practice was compromised. This Commission aimed to document and reflect on the changes seen in the surgical environment during the pandemic, by reviewing colleagues' experiences and published evidence
Recommended from our members
Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study an international prospective cohort study
- Author
- Ababneh Hazim
- Abad-Motos Ane
- Abbas Ferial Mohamed Ali
- Abbo Olivier
- Abbott Tom
- Abbott Tom
- Abdelkabir Mohammed
- Abdelkhalek Mohamed
- Abdoun Meriem
- Abdur-Rahman Lukman
- Abdur-Rahman Lukman
- Abebe Metasebia
- Aboazamazem Hajir
- Abou Chaar Mohamad K.
- Abou Chaar Mohamad K.
- Abouelnagah Galal
- Abozied Hesham
- Abu Salhiyeh Ala A.
- Abu-Ismail Luai
- Abu-Mehsen Marah
- Abuawad Carla
- Abukhalaf Sadi A.
- Abuleil Amro
- Ackermann Travis
- Acquah Daniel Kwesi
- Adam Mohammed Elmujtba Adam Essa
- Adamina Michel
- Adamina Michel
- Ademuyiwa Adesoji
- Adesanya Opeoluwa
- Adisa Adewale
- Adisa Adewale
- Afolabi Akinwale
- Agarwal Arnav
- Agarwal Gaurav
- Agarwal Ketan
- Agastra Ervis
- Agastra Ervis
- Agbadebo Mouhamed
- Agbonrofo Peter
- Aguilera-Arevalo Maria-Lorena
- Aguilera-Arevalo Maria-Lorena
- Ahmad Amer
- Ahmad Siddique
- Ahmadi Navid
- Ahmed Waheed-Ul-Rahman
- Aigner Felix
- Aiken Taylor
- Akhavizadegan Hamed
- Akhbari Melika
- Akililu Yemisirach Bizuneh
- Akinmade Akinola
- Al Ameer Ahmed
- Al Ameer Ahmed
- Al Amri Abdulrahman
- Al Balushi Zainab
- Al Islam Ben Jouira Rayet
- Al Maadany Faraj
- Al-Manaseer Balqees Mahmoud
- Al-Naggar Hamza
- Al-Naggar Hamza
- Al-Raimi Ibrahim
- Al-Sabbagh Yusra
- Al-Shehari Mohammed
- Aladawi Omar
- Alajalen Amer
- Alalawi Yousef
- AlAmeer Ehab
- Alameer Ehab
- Alansari Arowa Hassan Abdulrahman
- Alawami Mohammed
- Alawneh Yazan
- Alayan Mohammed
- Albared Sara Maa
- Albertsmeier Markus
- Albertsmeier Markus
- Alderazi Amer
- Aldlyami Ehab
- Aldressi Wafa
- Alecci Anna
- Alexander Philip
- AlFakhri Abdullah
- Alharthi Mohammed
- Alhassoun Turki
- Alhefdhi Amal
- Alkadeeki Ghadah
- Alkaseek Akram
- Alkhatib Ahmad
- Allemand Carola
- Almabayev Ydyrys
- Almeida-Reis Rui
- Almiqlash Bushray
- Almoguera Jorge
- Almugaddami Ayman
- Almulhim Abddulrahman Saleh
- Alnachoukati Omar
- Alnahr Hareth
- Alonso Jesús Aarón Martínez
- Alonso Manuel Diez
- Alonso Nestor Fabian Pedraza
- Alqudah Majdi Ali
- Alrayes Bourhan
- Alsaadi Hayder
- Alsaadi Hayder
- Alser Osaid
- Alshaar Muhammad
- Alshahrani Mushabab
- Alshareef Khayriyah
- Alshehri Ameen
- Alshryda Sattar
- Alshryda Sattar
- Alsibai Sareyah
- Alsunna Zaid
- Altaf Humera Naz
- Althumairi Azah
- Althumairi Azah
- Althumairi Azah
- Alvarado Carlos Eduardo Otiniano
- Alyami Mohammad
- Alzahrani Abdulrahman
- Alzaidi Turki M.
- Alzate Juan Pablo
- Alzerwi Nasser
- Amisi Nicolas
- Amnaina Mohamed
- Amor María Sol Crespi
- André Benoît
- Angeles Martina Aida
- Anwer Mariyah
- Anyanwu Lofty-John
- Aouabed Nesrine
- Aqeelah Ahmed
- Aqil Sabra
- Arancibia José Alfredo Calderón
- Arango Maria Clara Mendoza
- Arbane Gill
- Argus Leah
- Arias Claudia
- Arnalsteen Laurent
- Arnaud Alexis P.
- Arnaud Alexis P.
- Asif Muhammad
- Assefa Melatework
- Atnafu Bahru
- Aulerio Giuliana D.
- Aurora
- Awad Selmy
- Ayasra Faris
- Ayasra Faris
- Ayoub Abdu
- Ayub Bushra
- Ayub Khurram
- Azevedo José
- Azevedo José
- Azevedo Pedro
- Aziz Aliya
- Azzam Ahmed Y.
- Bacalbasa Nicolae
- Badareesh L.
- Badenes Rafael
- Badiani Sarit
- Baig Mariam
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- Baiocchi Glauco
- Baiocchi Glauco
- Baiocchi Glauco
- Bajaj Ankur
- Balanta-Melo Julián
- Balasubramanya Supriya
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- Baliarsing Lipika
- Ball Alasdair
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- Ban Vin Shen
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- Barros Aldo Vieira
- Basnayake Oshan
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- Basu Somprakas
- Bateman Antony
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- Bauset Juan Carlos Catalá
- Bayo Heura Llaquet
- Baía Catarina
- Behzadi Abdollah
- Bekele Kebebe
- Bele Uros
- Bele Uros
- Bellver Pedro Palazon
- Ben Amer Anass
- Benallel Nassim
- Benson Ruth
- Berber Norberto
- Bergeat Damien
- Bergkvist David Julià
- Bernal-Sprekelsen Juan Carlos
- Berndtson Allison
- Bertrand Marta
- Bescós Coro
- Bezabih Yoseph Solomon
- Bhanderi Shivam
- Bhangu Aneel
- Bhangu Aneel
- Bhat Dhananjaya
- Bhatti Abu Bakar Hafeez
- Bhende Vishal
- Bhutiani Neal
- Bianco Agustín
- Biccard Bruce
- Blanco-Colino Ruth
- Blanco-Colino Ruth
- Blanco-Colino Ruth
- Blasco Laura Sánchez
- Boccalatte Luis
- Boccalatte Luis
- Boccalatte Luis
- Boira Mar Achalandabaso
- Boisson Matthieu
- Bolatbekova Raikhan
- Bolger Jarlath
- Bollano Enton
- Bonci Eduard-Alexandru
- Bonci Eduard-Alexandru
- Borda-Luque Giuliano
- Boretto Jorge G.
- Borges Filipe Castro
- Bork Ulrich
- Borowski David W.
- Botero Marcela Velez
- Bouaoud Souad
- Bouche Pierre-Alban
- Bouchenak Kamel
- Boucher Sophie
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- Löffler Markus W.
- Lucchini Sergio Martin
- Lucchini Sergio Martin
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- Mashhour Mohamed
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- Mayer Horacio F.
- Mayol Julio
- Mazingi Dennis
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- Mclean Kenneth A.
- Mclean Kenneth A.
- McNestry Catherine
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- Olivos Maricarmen
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- Perez Rivera Carlos J.
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- Rice Henry E.
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- Rida Ahmed Hossam Eldin Fouad
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- Simoes Joana Ff
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- Stavrou Gregor A.
- Steinkamp Pieter
- Steinkamp Pieter
- Stephens Matthew
- Stevens Sean
- Stewart Grant D.
- Stewart Grant D.
- Stijns Jasper
- Stoleriu Mircea Gabriel
- Suarez Marcelo Moreno
- Subbian Anbukkani
- Suliaman Taha
- Sultan Rizwan
- Sultana Asma
- Sumadi Adnan
- Sund Malin
- Surendran Arthika
- Suroy Atul
- Szakmany Tamas
- Sánchez Alberto Cabañero
- Sánchez Iran Irani Durán
- Sánchez-Cabús Santiago
- Tabiri Stephen
- Taboada María Victoria
- Tachella Sofia
- Tadesse Anteneh
- Talat Nabila
- Talib Ahmar Iftikhar
- Talwar Rishi
- Tamoos Khalil
- Tampaki Ekaterini Christina
- Tan Lorwai
- Tariq Aiman
- Tariq Muhammad
- Tarrado Xavier
- Taylor Elliott H.
- Teague Rebecca
- Teasdale Ella
- Tefera Teshome
- Tejero-Pintor Francisco J.
- Tendeng Jacques
- Teo Nan Zun
- Teresa Gavaldà Pellicé M.
- Testelin Sylvie
- Thakar Sumit
- Thereska Dariel
- Thereska Dariel
- Thies Cristina Ojeda
- Thyavihally Yuvaraja
- Tirapegui Sebastian
- Todorovic Lazar
- Tojal André
- Tolani Musliu Adetola
- Toma Elena Adelina
- Tornini Alejandra
- Toro Carlos Andres Marulanda
- Torres Martha Luz
- Toscano Marta Jimenez
- Totty Joshua
- Townend Philip
- Traeger Luke
- Traverso Rogelio
- Tripathi Manjul
- Trout Isobel M.
- Trujillo Lina María
- Tsegaye Bereket
- Tsoulfas Georgios
- Tudela Kiara
- Turinawe Gaston
- Turner Paul
- Turrado-Rodriguez Victor
- Uffelmann Constanza
- Ugarte-Sierra Bakarne
- Usang Usang
- Vaccaro Carlos
- Vagni Roberto
- Vaishnav Dhaivat
- Valcarcel Cristina Rey
- Valdez Pedro
- Valerio Ana Clara
- Vallam Karthik Chandra
- Vallve-Bernal Marc
- van Ramshorst Gabrielle
- van Ramshorst Gabrielle
- Vargas Lara
- Varghese Chris
- Varghese Chris
- Varghese Chris
- Varghese Chris
- Vartanian Jose Guilherme
- Vaughan-Shaw Peter
- Vayoth Sudheer Othiyil
- Vaysburg Dennis
- Vaysse Charlotte
- Velasco Jorge Caño
- Velasquez Enrique Jose Ruiz
- Venkatappa Sunil Kumar
- Venn Mary L.
- Verhaeghe Romain
- Verhaeghe Romain
- Vidal Rafael Perez
- Vidya Raghavan
- Vijayakumar Vijayakumar M.
- Villanueva Julio
- Vimalakanthan Thanusan
- Vita Diana Crego
- Vivancos Patricia Caja
- Viveiros Octavio
- Vives Inmaculada
- Vives Josep Maria Muñoz
- Vo Uyen Giao
- von Pusch Silke
- Vrapi Enxhi
- Vázquez Irene Ortega
- Wafi Omar
- Wagner Arthur
- Waissbluth Sofia
- Waqar Shahzad Hussain
- Watson David
- Watson Eleanor
- Watters David
- Weeraddana Prabuth Dulanjan
- Wells Cameron
- Welter Stefan
- Wettstein Dániel
- Wickramasinghe Dakshitha
- Wickramasinghe Dakshitha
- Wiegering Armin
- Wijeysundera Duminda
- Williams Emmanuel
- Williams Omolara
- Williams Omolara
- Wilson Michael
- Wolf Sebastian
- Wolfer Susanne
- Wong Enoch
- Wright Deborah
- Wright Deborah
- Wright Naomi
- Wuraola Funmilola
- Wuraola Funmilola
- Xaviour Okedi Francis
- Xu William
- Yadev I.
- Yagoub Ghozlan
- Yaqoob Eesha
- Yaqoob Hassan Nawaz
- Yasin Seid Mohammed
- Yazbek Guilherme
- Yebes Alvaro
- Yeung Justin
- Yip Sebastian Shu
- Youssef Mina
- Zabaleta Jon
- Zahid Imdad Ahmad
- Zanoni Gerardo
- Zapardiel Ignacio
- Zapata Carlos Shiraishi
- Zarnescu Narcis Octavian
- Zarour Ahmad
- Zarour Ahmad
- Zarour Ahmad
- Zarratea Celeste Soledad
- Zegarra Sergio
- Zequi Stenio C.
- Zezular Damaris Idara Anabel
- Zhou Xuanyu
- Zhussupov Baurzhan
- Zijaj Lorena
- Zimmelman Natalie
- Zmora Oded
- Zmora Oded
- Zohra Belabbes Fatima
- Publication venue
- HAL CCSD
- Publication date
- 01/11/2021
- Field of study
No full textWe aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care
