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新冠疫情后何时恢复减重手术?:患者和外科医生调查结果。

When to resume bariatric surgery after COVID-19 pandemic?: results of patients' and surgeons' survey.

机构信息

2ndDepartment of General Surgery, Jagiellonian University Medical College, Jakubowskiego 2 st., 30-688, Krakow, Poland.

Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland.

出版信息

BMC Surg. 2021 Mar 15;21(1):131. doi: 10.1186/s12893-021-01145-y.

Abstract

BACKGROUND

Coronavirus Disease 2019 is affecting most countries around the world, including Poland. In response, all elective surgeries have been postponed. We asked patients and surgeons when they want bariatric surgery to resume after pandemic. The main aim of the study was to determine patients' and surgeons' expectations about when to resume bariatric surgery regarding COVID-19 pandemic state.

METHODS

The study was conducted in two groups: Group 1-bariatric patients; Group 2-bariatric surgeons. Two online surveys were distributed.

RESULTS

A total of 895 patients, 299 before, 596 after surgery and 32 surgeons took part in survey. All patients and surgeons declared willingness to resume bariatric surgeries after pandemic and responded that they should be resumed immediately the World Health Organization announces end of pandemic (42%). The majority of patients before surgery answered that bariatric procedures should be resumed immediately the number of daily incidents begins to decrease (53%). In the patient group, current body mass index (p < 0.001) and contact with COVID+/quarantined persons (p < 0.001) had impact on the response to resumption of bariatric procedures.

CONCLUSIONS

Patients opted to wait for bariatric surgery until the oncological queue has become shorter. Surgeons presented a readiness to resume both procedures in parallel.

摘要

背景

2019 年冠状病毒病正在影响世界上大多数国家,包括波兰。作为应对措施,所有择期手术都已被推迟。我们询问了患者和外科医生,他们希望大流行后何时能恢复减肥手术。本研究的主要目的是确定患者和外科医生对何时恢复减肥手术的期望,以应对 COVID-19 大流行状态。

方法

该研究分为两组:组 1-减肥患者;组 2-减肥外科医生。进行了两次在线调查。

结果

共有 895 名患者(299 名术前,596 名术后)和 32 名外科医生参与了调查。所有患者和外科医生都表示愿意在大流行后恢复减肥手术,并表示他们应该在世界卫生组织宣布大流行结束后立即恢复(42%)。大多数术前患者回答说,减肥手术应在每日病例数开始减少时立即恢复(53%)。在患者组中,当前体重指数(p<0.001)和与 COVID+/隔离人员的接触(p<0.001)对恢复减肥手术的反应有影响。

结论

患者选择等待减肥手术,直到癌症队列变得更短。外科医生表示愿意同时恢复这两种手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff7b/7962323/10f400081a62/12893_2021_1145_Fig1_HTML.jpg

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