Sarac Benjamin A, Schoenbrunner Anna R, Wilson Stelios C, Chiu Ernest S, Janis Jeffrey E
The Ohio State University College of Medicine, Columbus, Ohio.
Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Plast Reconstr Surg Glob Open. 2020 Aug 3;8(8):e3119. doi: 10.1097/GOX.0000000000003119. eCollection 2020 Aug.
The coronavirus disease 2019 (COVID-19) pandemic led to a drastic decline in the number of elective surgeries performed in the United States. Many national societies and local governments provided recommendations for surgeons to initially suspend and progressively resume elective surgery. The authors used a survey to the American Council of Academic Plastic Surgeons (ACAPS) to assess the effect on plastic surgeons.
An electronic survey questionnaire was distributed to 532 members of ACAPS. Data on individual and plastic surgery practice demographics, COVID-19 prevention measures, and procedures or services that were being performed or delayed were collected and analyzed.
An estimated 161 members (30.2%) completed the survey. Changes in hospital policy were cited as the most common reason (89%) for determining which procedures were currently offered. Results vary by specialty. Notably, <10% of respondents who normally offered aesthetic procedures currently offered any procedures during the survey. Subspecialty-specific results and prevention measures when seeing clinic patients are further summarized and discussed.
Plastic surgeons have seen a drastic decrease in the variety of procedures and services they are allowed to offer during the COVID-19 pandemic. To help plan a return to normalcy, surgeons should create and implement plans to protect patients and staff from coronavirus transmission, assure financial solvency, and consider the effects of delayed surgeries on both the physical and mental health of their patients. In doing so, surgeons and their patients will be better prepared in the event of a resurgence of the virus.
2019年冠状病毒病(COVID-19)大流行导致美国择期手术数量急剧下降。许多国家学会和地方政府为外科医生提供了建议,最初暂停并逐步恢复择期手术。作者通过对美国学术整形外科医生理事会(ACAPS)进行调查,以评估对整形外科医生的影响。
向ACAPS的532名成员发放了电子调查问卷。收集并分析了有关个人和整形外科实践人口统计学、COVID-19预防措施以及正在进行或推迟的手术或服务的数据。
估计有161名成员(30.2%)完成了调查。医院政策的变化被认为是确定当前提供哪些手术的最常见原因(89%)。结果因专业而异。值得注意的是,在调查期间,通常提供美容手术的受访者中,目前提供任何手术的比例不到10%。进一步总结并讨论了在门诊看病时特定亚专业的结果和预防措施。
在COVID-19大流行期间,整形外科医生被允许提供的手术和服务种类大幅减少。为帮助规划恢复正常状态,外科医生应制定并实施计划,以保护患者和工作人员免受冠状病毒传播,确保财务偿付能力,并考虑延迟手术对患者身心健康的影响。这样做,外科医生及其患者在病毒再次出现时将有更好的准备。