scholarly journals The impact of COVID-19 on hand surgery: a French retrospective comparative study in COVID-19 and non-COVID-19 hand trauma centers

2021 ◽  
pp. 103118
Author(s):  
Inès Regas ◽  
Marine Pichonnat ◽  
Isabelle Pluvy ◽  
Laurent Obert ◽  
Philippe Bellemère ◽  
...  
Keyword(s):  
Comparative Study ◽  
Hand Surgery ◽  
Trauma Centers ◽  
Hand Trauma ◽  
Retrospective Comparative Study ◽  
The Impact

scholarly journals The Impact of Breast Clinic on the Mastectomy and Axillary Clearance Rates at a Tertiary Hospital in an Eastern Caribbean Nation: A Comparative Study

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Shariful Islam ◽  
Imran Aziz ◽  
Jitendra Shah ◽  
Jacob Oba ◽  
Patrick Harnarayan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Comparative Study ◽  
Clearance Rate ◽  
Tertiary Hospital ◽  
Breast Cancer Surgery ◽  
Breast Clinic ◽  
Oncoplastic Breast Surgery ◽  
Axillary Clearance ◽  
Retrospective Comparative Study ◽  
The Impact

Background. Breast cancer is the leading form of cancer in women in Trinidad and Tobago. Traditionally the practice of mastectomy or wide local excision with or without axillary clearance was applied to most of these patients. This is often associated with significant morbidity and a poor cosmetic outcome with both negatively impacting the patients quality of life. The aim of our study was to assess the mastectomy and axillary clearance rate before and after the introduction of a specialty breast clinic in September 2012. Design and Methods. This is a retrospective comparative study of all female patients who underwent breast cancer surgery at our tertiary hospital 3 years prior to and 3 years after starting of breast clinic (between January 2010 and December 2015). Patients were identified from the surgical log books of our hospital. There are 5 surgical units at our hospital and in one of those units the lead surgeon had a special interest in surgical oncoplastic breast surgery. That unit formed the breast clinic in August 2012. Results. There were 532 women (256 before breast clinic and 276 after breast clinic era) with histologically verified breast cancer operated on between January 2010 and December 2015. The overall mastectomy rate was reduced from 62% to 51% (0.7 to 0.4) and the axillary clearance rate from 66.79% versus 37.31% (0.6 to 0.4) after the introduction of the clinic with p values of 0.007 and 0.009, respectively. Conclusions. The introduction of breast clinic has significantly reduced the mastectomy and axillary clearance rate at our teaching hospital.

scholarly journals The impact of COVID-19 on orthopaedic trauma: A retrospective comparative study from a single university hospital in Italy

2021 ◽  
Vol 12 (4) ◽  
Author(s):  
Valerio Andreozzi ◽  
Fabio Marzilli ◽  
Mario Muselli ◽  
Leonardo Previ ◽  
Matteo Romano Cantagalli ◽  
...  
Keyword(s):  
Comparative Study ◽  
Demographic Data ◽  
University Hospital ◽  
Anatomical Location ◽  
Injury Type ◽  
Critical Issues ◽  
Mode Of Transportation ◽  
Retrospective Comparative Study ◽  
Middle Aged Adults ◽  
The Impact

The COVID-19 outbreak strongly affected Italy, putting a strain on the National healthcare system. Hospitals quickly reorganized the activity to cope with the emergency. This retrospective comparative study aimed to analyze the impact of the lockdown imposed in Italy during the COVID-19 outbreak on acute orthopedic trauma, in order to identify critical issues for improvement and future planning. We collected data on all the trauma admissions to a single University hospital DEA (Department of Emergency and Acceptance) in Rome during the COVID- 19 pandemic lockdown in Italy, comparing them with the corresponding period in 2019. We reported demographic data; the characteristics of the injury, including the anatomical location, fracture, sprain, dislocation, contusion, laceration, whether the injury site was exposed or closed, where the injury occurred, and polytrauma. We also recorded the waiting time in the emergency room and mode of transportation. The study sample was composed of 1199 patients, 636 (53.04%) males and 563 (46.96%) females. The overall number of admissions in 2019 (pre-COVID-19 period) was 995; then it was 204 during COVID-19 outbreak in 2020. The average age of the 2020 group was 51.9 ± 24.8 years, significantly higher than that of the 2019 group (41.4 ± 25.7) (p<0.0001). In particular, elderly patients (≥65 years) were the most commonly involved in the COVID-19 group, while in the pre- COVID-19 period they were middle-aged adults (15-44 years) (p<0.0001). The injury occurred at home in 65.7% of cases in the 2020 group, and in 32.3% of patients in the 2019 group. Concerning the injury type, in both groups, the most common injury was a fracture (45.1% in 2019; 62.7% in 2020) (p<0.0001). The most injured anatomical location during COVID-19 lockdown was the hand (14.2%), while in the pre-COVID- 19 group the most frequent injury type was polytrauma (22.8%). Despite the decrease of overall acute trauma referral rates during the COVID-19 outbreak in Italy, the incidence of fractures in elderly individuals remained stable, indicating that not all trauma presentations would necessarily decrease during such times.

scholarly journals Evaluation of Hospital Avoidance at Department of Hand Surgery in Tertiary Hospital after Infectious Disease Outbreaks

2021 ◽  
Author(s):  
Seung Hoo Lee ◽  
Hyun Dae Shin ◽  
Soo Min Cha ◽  
Eun Seok Choi
Keyword(s):  
Infectious Disease ◽  
Local Community ◽  
Disease Outbreaks ◽  
Hand Surgery ◽  
Tertiary Hospital ◽  
Disease Response ◽  
Outpatient Visits ◽  
Epidemic Period ◽  
Retrospective Comparative Study ◽  
The Impact

초록 전체 아래 내용으로 교체해주세요.Purpose: To compare the impact of hospital avoidance on the department of hand surgery at a tertiary hospital in Daejeon in the wake of the Middle East respiratory syndrome (MERS-CoV) and COVID-19 outbreaks.Methods: This is a retrospective comparative study of patients who were treated at the department of hand surgery in a tertiary hospital of a local community. We analyzed patients who were treated during the MERS-CoV and COVID-19 outbreaks. Controls included patients who were treated in the previous year during the same months. The number of outpatient visits and surgeries were compared to examine the difference from the previous year during the epidemic period of each infectious disease, and changes in demographic factors, the ratio of first and second visits, and the ratio of scheduled and emergent surgeries.Results: Under MERS-CoV, outpatient visits decreased by 9.7% and surgeries by 26.5% for three months. In June 2015, when MERS-CoV was widespread in Daejeon, the number of outpatients and surgeries dropped by 25.3% and 42.8%, respectively. During COVID-19, outpatient visits decreased by 4.3% and surgeries increased by 2.9%. However, when COVID-19 was most prevalent in Daejeon, the number of outpatients and surgeries increased by 36.6% and 31.1%, respectively.Conclusion: The impact of the COVID-19 outbreak in 2020 on the department of hand surgery at a tertiary hospital in Daejeon was limited, compared to the MERS-CoV epidemic in 2015, which can be attributed to improved infectious disease response capabilities.

scholarly journals The Impact of COVID-19 on Hand Trauma

Hand ◽  
2021 ◽  
pp. 155894472110289
Author(s):  
Serag Saleh ◽  
Harrison Faulkner ◽  
Kelsi Golledge ◽  
David J. Graham ◽  
Richard D. Lawson ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Health Care Systems ◽  
Length Of Hospital Stay ◽  
Hand Surgery ◽  
Hand Trauma ◽  
Royal North Shore Hospital ◽  
Vehicle Accidents ◽  
Care Systems ◽  
Patterns Of Injury ◽  
The Impact

Background The Coronavirus Disease 2019 (COVID-19) pandemic has had a dramatic impact on individual and societal behaviors, as well as on health care systems. It confers a unique opportunity to examine the relationship among disease, policies, and patterns of activity, as well as their impacts on surgical unit functionality. This study aims to compare the distribution and patterns of injury at a tertiary hand surgery trauma center before and during the COVID-19 pandemic. Methods A retrospective analysis of all patients presenting to the Royal North Shore Hospital hand surgery service in the 5-week period from March 16 to April 21 in 2019 and 2020 was undertaken, forming 2 cohorts for comparison. Demographic, injury, and operative data were collected and compared descriptively using comparative statistics. Results There were 114 primary operative presentations during the 5-week period in 2020, representing a 27.4% decrease from the 157 presentations during the equivalent period in 2019. There was an increase in the proportion of emergency presentations from 73.9% in 2019 to 85.1% in 2020 ( P = .03), with a corresponding decrease in elective presentations during 2020. The incidence of sporting injuries and motor vehicle accidents decreased in 2020, whereas falls and accidents involving knives and tools remained relatively constant. Operating times decreased in 2020, whereas the length of hospital stay remained constant. Conclusions The COVID-19 pandemic and consequent restrictions of activity have had substantial impacts on the patterns of hand trauma and its management. These insights have implications for staff and resource management during times of social disruption in the future.

scholarly journals Inconsistencies are common between non-Cochrane systematic reviews and their protocols registered in the International prospective register of systematic reviews (PROSPERO) but were seldom explained

2019 ◽  
Author(s):  
Kaiyan Hu ◽  
Ting Zhang ◽  
Weiyi Zhang ◽  
Qi Zhou ◽  
Joey S.W. Kwong ◽  
...  
Keyword(s):  
Systematic Review ◽  
Open Access ◽  
Comparative Study ◽  
Systematic Reviews ◽  
Reporting Quality ◽  
Fundamental Solutions ◽  
Cochrane Reviews ◽  
Retrospective Comparative Study ◽  
The Impact

Abstract Background: Protocols of systematic reviews allow for planning and documentation of review methods, and thus improve the transparency of reviews process. However, pre-registered a protocol is not enough, the author also need to follow it. PROSPERO is an open-access online facility for the registration of non-Cochrane systematic reviews. The purpose of our research is to determined what changed were made between non-Cochrane reviews and their protocols in PROSPERO and how likely these changes impacted the quality of systematic review. Method: In this retrospective comparative study we electronically searched for protocols and their corresponding systematic reviews in the PROSPERO platform that were “completed and published” from January to December, 2018. Two reviewers independently identified and classified changes between the protocols and systematic reviews then evaluated the impact (improve/reduce/unclear)of these change on the reporting/methodology quality of reviews. Frequency (n), percentage (%) were used to analyze the number of changes categorically in each review and the distribution of different impact caused by these changes. Results: We identified 39 pre-registered protocols and their reviews, all of which exhibited alterations. All changes to only one review are considered to improve the reporting/methodology quality, and remaining 97% of reviews (n=38) contain changes that are categorically considered to reduce the methodology/reporting quality or that have an unclear impact on reviews. Conclusions: Differences between the non-Cochrane reviews and their protocols recorded in PROSPERO are widespread, and there have been many changes having an unclear impact on the quality of reviews. Guiding the author to report and explain the differences between protocol and reviews or even requiring authors to so at the level of journal are two fundamental solutions to further improve the transparency of the non-Cochrane reviews.

Sign in / Sign up

Export Citation Format

Share Document