Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan; Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan; Department of Otolaryngology and Head and Neck Surgery, JR Tokyo general hospital, Tokyo, Japan.
Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan.
Auris Nasus Larynx. 2024 Jun;51(3):617-622. doi: 10.1016/j.anl.2024.03.002. Epub 2024 Apr 1.
Previous studies show that the COVID-19 pandemic affected the number of surgeries performed. However, data on the association between the COVID-19 pandemic and otolaryngologic surgeries according to subspecialties are lacking. This study was performed to evaluate the impact of the COVID-19 pandemic on various types of otolaryngologic surgeries.
We retrospectively identified patients who underwent otolaryngologic surgeries from April 2018 to February 2021 using a Japanese national inpatient database. We performed interrupted time-series analyses before and after April 2020 to evaluate the number of otolaryngologic surgeries performed. The Japanese government declared its first state of emergency during the COVID-19 pandemic in April 2020.
We obtained data on 348,351 otolaryngologic surgeries. Interrupted time-series analysis showed a significant decrease in the number of overall otolaryngologic surgeries in April 2020 (-3619 surgeries per month; 95% confidence interval, -5555 to -1683; p < 0.001). Removal of foreign bodies and head and neck cancer surgery were not affected by the COVID-19 pandemic. In the post-COVID-19 period, the number of otolaryngologic surgeries, except for ear and upper airway surgeries, increased significantly. The number of tracheostomies and peritonsillar abscess incisions did not significantly decrease during the COVID-19 pandemic.
The COVID-19 pandemic was associated with a decrease in the overall number of otolaryngologic surgeries, but the trend differed among subspecialties.
先前的研究表明，COVID-19 大流行影响了手术量。然而，根据亚专科，有关 COVID-19 大流行与耳鼻喉科手术之间关联的数据尚缺乏。本研究旨在评估 COVID-19 大流行对各种耳鼻喉科手术的影响。
我们使用日本全国住院患者数据库，回顾性地确定了 2018 年 4 月至 2021 年 2 月期间接受耳鼻喉科手术的患者。我们在 2020 年 4 月之前和之后进行了中断时间序列分析，以评估实施的耳鼻喉科手术数量。日本政府于 2020 年 4 月宣布 COVID-19 大流行期间的首次紧急状态。
我们获得了 348351 例耳鼻喉科手术的数据。中断时间序列分析显示，2020 年 4 月总体耳鼻喉科手术数量显著减少（每月减少 3619 例；95%置信区间，-5555 至-1683；p <0.001）。异物取出术和头颈部癌症手术不受 COVID-19 大流行的影响。在 COVID-19 后时期，除耳部和上呼吸道手术外，耳鼻喉科手术数量显著增加。COVID-19 大流行期间，气管切开术和扁桃体周围脓肿切开术的数量并未显著减少。
COVID-19 大流行与耳鼻喉科手术总数减少相关，但各亚专科的趋势不同。
