Department of Neurosurgery, Royal Victoria Infirmary, Newcastle-upon-Tyne, United Kingdom.
Department of Neurosurgery, University Hospital Münster, Münster, North Rhine-Westphalia, Germany.
World Neurosurg. 2021 Oct;154:e428-e436. doi: 10.1016/j.wneu.2021.07.053. Epub 2021 Jul 17.
The coronavirus disease 2019 (COVID-19) pandemic has had a detrimental effect on residents' operative training. Our aim was to identify the proportion of procedures performed by residents across 2 neurosurgical centers (1 in the United Kingdom and 1 in Germany) during the pandemic-affected months of March 2020-May 2020, inclusive, compared with March 2019-May 2019, inclusive.
All neurosurgical procedures performed at the United Kingdom and German institutions, between March 1, 2019 and May 31, 2019 (pre-COVID months) and March 1, 2020 and May 31, 2020 (COVID months), were extracted and operative notes evaluated. Statistical analysis was performed on SPSS version 22.
There was a statistically significant reduction in operative volume in the United Kingdom center from the pre-COVID months to the COVID months (χ(5) = 84.917; P < 0.001) but no significant difference in the operative volume in the German center (P = 0.61). A Mann-Whitney U test showed a statistically significant difference in the volume of residents operating in the COVID months compared with pre-COVID months in both United Kingdom and German centers (P < 0.001). The average number of procedures performed by residents in the United Kingdom center as the primary surgeon decreased from 82 to 72 per month (pre-COVID vs. COVID months), whereas German residents' operating volume increased from 68 to 89 per month (pre-COVID vs. COVID months).
The COVID-19 pandemic has significantly reduced the volume of operating by neurosurgical residents in the United Kingdom center, whereas residents in the German center performed more procedures compared with 2019. This finding may reflect variations in national practice on maintaining surgical activities and provision of critical care beds during the first wave of the pandemic.
2019 年冠状病毒病（COVID-19）大流行对住院医师的手术培训产生了不利影响。我们的目的是确定在受 COVID-19 影响的 2020 年 3 月至 5 月期间，与 2019 年 3 月至 5 月相比，英国和德国的 2 个神经外科中心（1 个在英国，1 个在德国）的住院医师完成的手术数量比例。
提取英国和德国机构在 2019 年 3 月 1 日至 2019 年 5 月 31 日（COVID 前几个月）和 2020 年 3 月 1 日至 2020 年 5 月 31 日（COVID 几个月）期间进行的所有神经外科手术，并对手术记录进行评估。使用 SPSS 版本 22 进行统计分析。
英国中心的手术量从 COVID 前几个月到 COVID 几个月有统计学显著减少（χ(5) = 84.917；P < 0.001），但德国中心的手术量没有显著差异（P = 0.61）。曼-惠特尼 U 检验显示，在英国和德国中心，COVID 几个月住院医师的手术量与 COVID 前几个月相比有统计学显著差异（P < 0.001）。英国中心住院医师作为主要外科医生完成的手术数量从每月 82 例减少到每月 72 例（COVID 前 vs. COVID 几个月），而德国住院医师的手术量从每月 68 例增加到每月 89 例（COVID 前 vs. COVID 几个月）。
COVID-19 大流行显著减少了英国中心神经外科住院医师的手术量，而德国中心的住院医师与 2019 年相比完成了更多的手术。这一发现可能反映了在大流行第一波期间，各国在维持手术活动和提供重症监护床位方面的做法存在差异。
