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2019年冠状病毒病大流行对全球脊柱外科医生的影响:一项为期一年的前瞻性比较研究。

The Impact of COVID-19 Pandemic on Spine Surgeons Worldwide: A One Year Prospective Comparative Study.

作者信息

Barajas Juan N, Hornung Alexander L, Kuzel Timothy, Mallow Gary M, Park Grant J, Rudisill Samuel S, Louie Philip K, Harada Garrett K, McCarthy Michael H, Germscheid Niccole, Cheung Jason Py, Neva Marko H, El-Sharkawi Mohammad, Valacco Marcelo, Sciubba Daniel M, Chutkan Norman B, An Howard S, Samartzis Dino

机构信息

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.

International Spine Research & Innovation Initiative (ISRII), Chicago, IL, USA.

出版信息

Global Spine J. 2024 Apr;14(3):956-969. doi: 10.1177/21925682221131540. Epub 2022 Sep 29.

DOI:10.1177/21925682221131540
PMID:36176014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9527127/
Abstract

STUDY DESIGN

Survey.

OBJECTIVE

In March of 2020, an original study by Louie et al investigated the impact of COVID-19 on 902 spine surgeons internationally. Since then, due to varying government responses and public health initiatives to the pandemic, individual countries and regions of the world have been affected differently. Therefore, this follow-up study aimed to assess how the COVID-19 impact on spine surgeons has changed 1 year later.

METHODS

A repeat, multi-dimensional, 90-item survey written in English was distributed to spine surgeons worldwide via email to the AO Spine membership who agreed to receive surveys. Questions were categorized into the following domains: demographics, COVID-19 observations, preparedness, personal impact, patient care, and future perceptions.

RESULTS

Basic respondent demographics, such as gender, age, home demographics, medical comorbidities, practice type, and years since training completion, were similar to those of the original 2020 survey. Significant differences between groups included reasons for COVID testing, opinions of media coverage, hospital unemployment, likelihood to be performing elective surgery, percentage of cases cancelled, percentage of personal income, sick leave, personal time allocation, stress coping mechanisms, and the belief that future guidelines were needed (P<.05).

CONCLUSION

Compared to baseline results collected at the beginning of the COVID-19 pandemic in 2020, significant differences in various domains related to COVID-19 perceptions, hospital preparedness, practice impact, personal impact, and future perceptions have developed. Follow-up assessment of spine surgeons has further indicated that telemedicine and virtual education are mainstays. Such findings may help to inform and manage expectations and responses to any future outbreaks.

摘要

研究设计

调查。

目的

2020年3月,路易等人开展的一项原创研究调查了新冠病毒病对全球902名脊柱外科医生的影响。自那时以来,由于各国政府对疫情的应对措施和公共卫生举措各不相同,世界各国和各地区受到的影响也有所不同。因此,这项后续研究旨在评估新冠病毒病对脊柱外科医生的影响在1年后有何变化。

方法

通过电子邮件向同意接收调查的AO脊柱会员(全球脊柱外科医生)分发一份用英语编写的包含90个条目的重复多维调查问卷。问题分为以下几个领域:人口统计学、新冠病毒病观察、准备情况、个人影响、患者护理和未来看法。

结果

基本的受访者人口统计学特征,如性别、年龄、家庭人口统计学特征、合并症、执业类型以及完成培训后的年限,与2020年的原始调查相似。各群体之间的显著差异包括新冠病毒检测的原因、对媒体报道的看法、医院失业情况、进行择期手术的可能性、取消病例的百分比、个人收入百分比、病假、个人时间分配、压力应对机制以及认为需要未来指南的信念(P<0.05)。

结论

与2020年新冠病毒病大流行开始时收集的基线结果相比,在与新冠病毒病认知、医院准备情况、执业影响、个人影响和未来看法相关的各个领域出现了显著差异。对脊柱外科医生的后续评估进一步表明,远程医疗和虚拟教育是主要手段。这些发现可能有助于了解并管理对未来任何疫情爆发的期望和应对措施。

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