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英国 COVID-19 期间的减重手术：英国肥胖与代谢外科学会（BOMSS）调查。

Bariatric surgery during COVID-19 in the UK: a British Obesity and Metabolic Surgery Society (BOMSS) survey.

机构信息

Imperial College Healthcare NHS Trust, London, UK.

Mansoura University Hospital, Mansoura, Egypt.

出版信息

Surg Endosc. 2022 Jan;36(1):533-543. doi: 10.1007/s00464-021-08314-3. Epub 2021 Feb 19.

DOI:10.1007/s00464-021-08314-3
PMID:33606115
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7894239/
Abstract

BACKGROUND

After the declaration of COVID-19 as a pandemic last March 2020, several adjustments in surgical services were implemented. Plans are now being formulated for restarting bariatric surgery. The aim of this survey is to capture the practice during the pandemic and the readiness to restart to provide a framework to deal with the backlog of bariatric cases.

METHOD

A survey was delivered to consultant surgeon members of the British Obesity and Metabolic Surgery Society and non-bariatric surgery consultant members of the Association of Upper GI Surgeons.

RESULTS

The survey elicited a response rate of 40% (n = 66) among bariatric surgeons and 15.5% (n = 34) between non-bariatric surgeons. The average question response rate was 93% (88-100%). Most of the elective bariatric surgeries and clinics were cancelled early after declaration of the pandemic. Remote technologies for patient education evolved and were used heavily during the pandemic. The average cancelled elective bariatric surgery operations per week was 9. Nearly a quarter of responders reported performing emergency bariatric surgery during the pandemic. Most of the bariatric surgeons reported being ready to restart the service within 1-2 months. Responders recommended using private sector beds to increase NHS capacity and using the link between obesity and poor COVID-19 outcomes to push for prioritisation of bariatric patients.

CONCLUSION

This survey is an attempt to understand the impact of COVID-19 on UK bariatric service and the preparedness to restart. It expressed the bariatric surgery consultants' view of prioritisation of bariatric patients on clinical basis rather than the first-come-first-served basis.

摘要

背景

自 2020 年 3 月宣布 COVID-19 为大流行以来，对手术服务进行了多项调整。目前正在制定重启减肥手术的计划。本调查旨在了解疫情期间的实践情况以及重启的准备情况，为处理减肥手术积压病例提供框架。

方法

向英国肥胖和代谢外科学会的顾问外科医生成员和联合胃肠外科协会的非减肥手术顾问成员发送了一份调查。

结果

减肥外科医生的回应率为 40%（n=66），非减肥外科医生的回应率为 15.5%（n=34）。平均问题回应率为 93%（88-100%）。宣布大流行后，大多数择期减肥手术和诊所都被取消。远程患者教育技术得到了发展，并在疫情期间得到了广泛应用。平均每周取消的择期减肥手术操作次数为 9 次。近四分之一的应答者报告在疫情期间进行了紧急减肥手术。大多数减肥外科医生报告说他们准备在 1-2 个月内重新启动服务。应答者建议利用私营部门床位来增加 NHS 容量，并利用肥胖与 COVID-19 不良结果之间的联系，推动减肥患者的优先排序。

结论

本调查旨在了解 COVID-19 对英国减肥服务的影响以及重启的准备情况。它表达了减肥外科医生基于临床而不是先来先服务的原则来优先考虑减肥患者的观点。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd67/7894239/ab687ccc26f9/464_2021_8314_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd67/7894239/b7edb992abb6/464_2021_8314_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd67/7894239/0109738cd4ae/464_2021_8314_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd67/7894239/bd14516a8889/464_2021_8314_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd67/7894239/b863b7c0ec88/464_2021_8314_Fig13_HTML.jpg

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