Manzella Alexander, Kravchenko Timothy, Kheng Marin, Chao Joshua, Laird Amanda M, Pitt Henry A, Beninato Toni
Rutgers Robert Wood Johnson Medical School, Department of General Surgery, New Brunswick, NJ, USA; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Am J Surg. 2024 Feb;228:22-29. doi: 10.1016/j.amjsurg.2023.08.004. Epub 2023 Aug 19.
The COVID-19 pandemic disrupted the United States (US) healthcare system. Endocrine operations are predominantly elective and were likely affected. Therefore, our aim was to determine the effect of the pandemic on endocrine operations.
The Vizient Clinical Data Base® was examined for cases from 1/2019-12/2022 using ICD10 and CPT codes for thyroid, parathyroid, and adrenal operations. Control chart analysis identified trends in operative volume. Negative binomial regression was utilized to analyze demographic trends.
Monthly volumes for all operations from 515 hospitals decreased at the beginning of 2020, except for operations for adrenal malignancy. Inpatient operations (Thyroid -17.1%, Parathyroid -20.9%, p < 0.001 for both) experienced more significant and longer lasting disruptions than outpatient operations (Thyroid -2.6%, p = 0.883, Parathyroid -9.1%, p = 0.098).
The COVID-19 pandemic disrupted endocrine operations across the US. While all adrenal operations and outpatient thyroid and parathyroid operations have returned to pre-pandemic levels, inpatient operations for thyroid and parathyroid remain decreased.
新冠疫情扰乱了美国医疗系统。内分泌手术主要为择期手术,很可能受到了影响。因此,我们的目的是确定疫情对内分泌手术的影响。
利用甲状腺、甲状旁腺和肾上腺手术的国际疾病分类第十版(ICD10)和现行程序编码(CPT),对Vizient临床数据库®中2019年1月至2022年12月的病例进行审查。控制图分析确定了手术量的趋势。采用负二项回归分析人口统计学趋势。
2020年初,515家医院所有手术的月手术量均下降,但肾上腺恶性肿瘤手术除外。住院手术(甲状腺手术下降17.1%,甲状旁腺手术下降20.9%,两者p均<0.001)比门诊手术(甲状腺手术下降2.6%,p = 0.883,甲状旁腺手术下降9.1%,p = 0.098)经历了更显著、持续时间更长的中断。
新冠疫情扰乱了美国各地的内分泌手术。虽然所有肾上腺手术以及门诊甲状腺和甲状旁腺手术已恢复到疫情前水平,但甲状腺和甲状旁腺的住院手术量仍有所下降。