scholarly journals Orthopaedic surgeons’ perceptions on COVID-19 related changes in practice: an international survey

2020 ◽  
Author(s):  
Nadhir Meraghni ◽  
Hichem Bouyoucef ◽  
Nacim soal ◽  
Redouane Si Larbi ◽  
Riad Benkaidali ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Orthopaedic Surgery ◽  
Online Survey ◽  
Current Practice ◽  
Elective Surgery ◽  
International Survey ◽  
Orthopaedic Surgeons ◽  
Outpatient Visits ◽  
Plan Management

Abstract Purpose The purpose of this study was to assess the orthopaedic surgeons’ perceptions on COVID-19 related changes in their practice.MethodsAn online survey was shared with orthopaedic surgeons practicing in different countries.ResultsThis study showed that orthopaedic surgery plan management was adapted to respond more effectively to the COVID-19 pandemic while maintaining the continuity of health care and ensuring protection of medical staff and patients. Among the introduced measures, elective surgery was postponed to free-up beds for suspected or COVID-19 positive patients requiring hospitalization. Additionally, the number of outpatient visits was considerably decreased and non-urgent visits were postponed to reduce the flow of patients in and out of hospitals and therefore minimize the risk of contamination. Interestingly, data revealed the willingness of orthopaedic surgeons to take care of COVID-19 positive patients and support their colleagues in intensive care units, if needed.ConclusionsThough, orthopaedic surgeons are not in the frontline, they have an important role to play to face the increasing pressure due to the COVID-19 pandemic. In addition to the changes imposed in their current practice, they have a role in providing support to other colleagues in the fight against this global crisis.

scholarly journals Impact of the COVID-19 pandemic on orthopedic surgical practice: international study

2020 ◽  
Author(s):  
Nadhir Meraghni ◽  
Hichem Bouyoucef ◽  
Riad Benkaidali ◽  
Amine Hamza
Keyword(s):  
Online Survey ◽  
Elective Surgery ◽  
International Study ◽  
Orthopedic Surgeons ◽  
Outpatient Visits ◽  
Health Practitioners ◽  
The Impact ◽  
Plan Management ◽  
E Mail ◽  
Different Parts

Abstract Purpose The purpose of this study was to assess the impact of the COVID-19 pandemic on the clinical practice in orthopedic units.Methods An online survey was sent by e-mail to orthopedic surgeons practicing in different parts of the world.Results This study showed that orthopedic surgery plan management was adapted to respond more effectively to the COVOD-19 pandemic while maintaining the continuity of health care and ensuring protection of medical staff and patients. Among the introduced measures, elective surgery was postponed to free-up beds for suspected or COVID-19 positive patients requiring hospitalization.Additionally, the number of outpatient visits was considerably decreased and non-urgent visits were postponed to reduce the flow of patients in and out of hospitals and therefore minimize the risk of contamination.Interestingly, data revealed the willingness of orthopedic surgeons to take care of COVID-19 positive patients and support their colleagues in intensive care units, if needed.Conclusions Though, orthopedic surgeons are not in the frontline, they have an important role to play to face the increasing pressure due to the Covid-19 pandemic. Based on these findings, publication of international orthopedic practice guidelines during the COVID-19 pandemic would be of great benefit to health practitioners in general and orthopedic surgeons in particular.

scholarly journals Impact of the COVID-19 pandemic on orthopedic surgical practice: international study

2020 ◽  
Author(s):  
Nadhir Meraghni ◽  
Hichem Bouyoucef ◽  
Riad Benkaidali ◽  
Amine Hamza
Keyword(s):  
Online Survey ◽  
Elective Surgery ◽  
International Study ◽  
Orthopedic Surgeons ◽  
Outpatient Visits ◽  
Health Practitioners ◽  
The Impact ◽  
Plan Management ◽  
E Mail ◽  
Different Parts

Abstract Purpose The purpose of this study was to assess the impact of the COVID-19 pandemic on the clinical practice in orthopedic units.Methods An online survey was sent by e-mail to orthopedic surgeons practicing in different parts of the world.Results This study showed that orthopedic surgery plan management was adapted to respond more effectively to the COVOD-19 pandemic while maintaining the continuity of health care and ensuring protection of medical staff and patients. Among the introduced measures, elective surgery was postponed to free-up beds for suspected or COVID-19 positive patients requiring hospitalization. Additionally, the number of outpatient visits was considerably decreased and non-urgent visits were postponed to reduce the flow of patients in and out of hospitals and therefore minimize the risk of contamination. Interestingly, data revealed the willingness of orthopedic surgeons to take care of COVID-19 positive patients and support their colleagues in intensive care units, if needed.Conclusions Though, orthopedic surgeons are not in the frontline, they have an important role to play to face the increasing pressure due to the Covid-19 pandemic. Based on these findings, publication of international orthopedic practice guidelines during the COVID-19 pandemic would be of great benefit to health practitioners in general and orthopedic surgeons in particular.

scholarly journals Current Methods For Development Of Rapid Reviews About Diagnostic Tests: An International Survey

2020 ◽  
Author(s):  
Ingrid Arevalo-Rodriguez ◽  
Karen R. Steingart ◽  
Andrea C. Tricco ◽  
Barbara Nussbaumer-Streit ◽  
David Kaunelis ◽  
...  
Keyword(s):  
Diagnostic Test ◽  
Diagnostic Tests ◽  
Online Survey ◽  
Current Practice ◽  
Evidence Synthesis ◽  
International Survey ◽  
Rapid Reviews ◽  
Starting Point ◽  
Efficient Alternative ◽  
Inform Decision Making

Abstract BACKGROUND Rapid reviews (RRs) have emerged as an efficient alternative to time-consuming systematic reviews—they can help meet the demand for accelerated evidence synthesis to inform decision-making in healthcare. The synthesis of diagnostic evidence has important methodological challenges. Here, we performed an international survey to identify the current practice of producing RRs for diagnostic tests.METHODS We developed and administered an online survey inviting institutions that perform RRs of diagnostic tests from all over the world.RESULTS All participants (N = 25) reported the implementation of one or more methods to define the scope of the RR; however, only one strategy (defining a structured question) was used by ≥ 90% of participants. All participants used at least one methodological shortcut including the use of a previous review as a starting point (92%) and the use of limits on the search (96%). Parallelization and automation of review tasks were not extensively used (48% and 20%, respectively).CONCLUSION Our survey indicates a greater use of shortcuts and limits for conducting diagnostic test RRs versus the results of a recent scoping review analyzing published RRs. Several shortcuts are used without knowing how their implementation affects the results of the evidence synthesis in the setting of diagnostic test reviews. Thus, a structured evaluation of the challenges and implications of the adoption of these RR methods is warranted.

scholarly journals Current practice in the management of new-onset atrial fibrillation in critically ill patients: a UK-wide survey

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3716 ◽  
Author(s):  
Chung Shen Chean ◽  
Daniel McAuley ◽  
Anthony Gordon ◽  
Ingeborg Dorothea Welters
Keyword(s):  
Atrial Fibrillation ◽  
Intensive Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Online Survey ◽  
Current Practice ◽  
Risk Scores ◽  
Online Questionnaire ◽  
Onset Atrial Fibrillation ◽  
New Onset

Background New-onset atrial fibrillation (AF) is the most common arrhythmia in critically ill patients. Although evidence base and expert consensus opinion for management have been summarised in several international guidelines, no specific considerations for critically ill patients have been included. We aimed to establish current practice of management of critically ill patients with new-onset AF. Methods We designed a short user-friendly online questionnaire. All members of the Intensive Care Society were invited via email containing a link to the questionnaire, which comprised 21 questions. The online survey was conducted between November 2016 and December 2016. Results The response rate was 397/3152 (12.6%). The majority of respondents (81.1%) worked in mixed Intensive Care Units and were consultants (71.8%). Most respondents (39.5%) would start intervention on patients with fast new-onset AF and stable blood pressure at a heart rate between 120 and 139 beats/min. However, 34.8% of participants would treat all patients who developed new-onset fast AF. Amiodarone and beta-blockers (80.9% and 11.6% of answers) were the most commonly used anti-arrhythmics. A total of 63.8% of respondents do not regularly anti-coagulate critically ill patients with new-onset fast AF, while 30.8% anti-coagulate within 72 hours. A total of 68.0% of survey respondents do not routinely use stroke risk scores in critically ill patients with new-onset AF. A total of 85.4% of participants would consider taking part in a clinical trial investigating treatment of new-onset fast AF in the critically ill. Discussion Our results suggest a considerable disparity between contemporary practice of management of new-onset AF in critical illness and treatment recommendations for the general patient population suffering from AF, particularly with regard to anti-arrhythmics and anti-coagulation used. Amongst intensivists, there is a substantial interest in research for management of new-onset AF in critically ill patients.

scholarly journals #MeTooOrthopaedics: A protocol to determine the prevalence of gender-based and sexual harassment in the field of orthopaedic surgery

2018 ◽  
Author(s):  
Zoe Bond ◽  
Patricia Schneider ◽  
Kim Madden ◽  
Sheila Sprague ◽  
Paula McKay ◽  
...  
Keyword(s):  
Sexual Harassment ◽  
Orthopaedic Surgery ◽  
Online Survey ◽  
The United States ◽  
Gender Disparity ◽  
Sufficient Information ◽  
Survey Tool ◽  
Orthopaedic Surgeons ◽  
Gender Based ◽  
The Impact

Background. Research shows that gender-based and sexual harassment are prevalent within training and practicing medical establishments, with differences across specific specialties. Orthopaedic surgery remains a male-dominated field, with recent statistics reporting women representing only 5% and 12% of orthopaedic surgeons in the United States and Canada, respectively. This represents a significant gender discrepancy and, although there may be many reasons why this discrepancy exists, it is justified to explore whether gender-based and sexual harassment may contribute to this disparity. Objectives. This study aims to determine the prevalence of gender-based and sexual harassment in orthopaedic surgery, and to determine the impact of these experiences on female orthopaedic surgeons. It will also explore the association of such gender-based and sexual harassment experiences with certain demographic factors.Methods. We will conduct a cross-sectional survey of female orthopaedic surgeons, fellows and residents that are current members of a participating orthopaedic society. We have developed a unique questionnaire to gather information concerning gender-based and sexual harassment experiences of female orthopaedic surgeons, fellows and residents throughout their education and current practices. The questionnaire will be administered online using SurveyMonkey®, the online survey tool, to ensure anonymity. Reminder emails will be distributed up to two times after the survey is initially distributed to maximize the number of responses and, thus, validity and generalizability. Descriptive analyses and multivariable logistic regression analyses will be conducted to analyze the collected data.Conclusions. The results of this study are likely to bring to light a critical issue in orthopaedic surgery and will hopefully provide the impetus for orthopaedic departments and societies to develop and enforce policies that limit these destructive behaviors in the workplace. We hope the results will provide sufficient information to determine if these experiences are one of the factors leading to the pronounced gender disparity within this field.Ethics and Dissemination. An ethics application is currently under review with the Hamilton Integrated Research Ethics Board (HiREB) in Hamilton, ON, Canada. The results of this initiative will be disseminated through peer-reviewed publications and conference presentations.

scholarly journals Serious Impacts of Postponing Bariatric Surgery as a Result of the COVID-19 Pandemic: The Patient Perspective

2021 ◽  
Vol 8 ◽  
pp. 237437352110082
Author(s):  
Babur Ahmed ◽  
Mohammad Altarawni ◽  
Jodi Ellison ◽  
Bilal H Alkhaffaf
Keyword(s):  
Bariatric Surgery ◽  
Health Care ◽  
Weight Loss ◽  
Thematic Analysis ◽  
Patient Perspective ◽  
Online Survey ◽  
Qualitative Data ◽  
Elective Surgery ◽  
Physical Symptoms ◽  
Psychological Effects

Background: The global COVID-19 pandemic has resulted in the widespread suspension of bariatric surgical programs. Although this rapid adaption was initially necessary, the implications of delaying the most effective treatment for weight loss in a population at risk from this crisis are not well known. Moreover, as the health care trusts plan the reintroduction of elective services, it is vital to also consider the patient’s perspectives, to adequately weigh up the benefits and risks of this recommencement in the current climate. Objectives: We aimed to investigate the impacts that postponing bariatric surgery has had on patients, and their priorities when restarting elective surgery. Methods: An online survey of patients awaiting surgery was undertaken, examining the physical and psychological impacts of pandemic isolation policies and postponing surgery, and exploring patient preferences regarding surgery during the pandemic. Results: Of 71 patients, 67.6% gained a median of 4 kg (interquartile range: 2.6-6.4), and 74.6% had adverse psychological effects; 93.0% were keen to proceed with surgery. Thematic analysis of qualitative data revealed delays have worsened physical symptoms, increased anxiety, and delayed secondary life-altering treatments. Conclusion: From the patient’s perspective, postponing surgery has been deleterious and efforts to safely reintroduce bariatric programs should be promoted.

scholarly journals Olfactory Dysfunction in Frontline Health Care Professionals During COVID-19 Pandemic in Brazil

2021 ◽  
Vol 12 ◽  
Author(s):  
Mariana Ferreira Sbrana ◽  
Marco Aurélio Fornazieri ◽  
Alexandre Bruni-Cardoso ◽  
Vivian I. Avelino-Silva ◽  
Deborah Schechtman ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Online Survey ◽  
Olfactory Dysfunction ◽  
Outpatient Clinics ◽  
Emergency Rooms ◽  
Cross Sectional

Upper respiratory viral infections can decrease the sense of smell either by inflammatory restriction of nasal airflow that carries the odorant molecules or through interference in olfactory sensory neuron function. During the coronavirus disease 2019 (COVID-19) pandemic, triggered by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), worldwide reports of severe smell loss (anosmia/hyposmia) revealed a different type of olfactory dysfunction associated with respiratory virus infection. Since self-reported perception of smell is subjective and SARS-CoV-2 exposure is variable in the general population, we aimed to study a population that would be more homogeneously exposed to the virus. Here, we investigated the prevalence of olfactory loss in frontline health professionals diagnosed with COVID-19 in Brazil, one of the major epicenters of the disease. We also analyzed the rate of olfactory function recovery and the particular characteristics of olfactory deficit in this population. A widely disclosed cross-sectional online survey directed to health care workers was developed by a group of researchers to collect data concerning demographic information, general symptoms, otolaryngological symptoms, comorbidities, and COVID-19 test results. Of the 1,376 health professionals who completed the questionnaire, 795 (57.8%) were working directly with COVID-19 patients, either in intensive care units, emergency rooms, wards, outpatient clinics, or other areas. Five-hundred forty-one (39.3%) participants tested positive for SARS-CoV-2, and 509 (37%) were not tested. Prevalence of olfactory dysfunction in COVID-19-positive subjects was 83.9% (454 of 541) compared to 12.9% (42 of 326) of those who tested negative and to 14.9% (76 of 509) of those not tested. Olfactory dysfunction incidence was higher in those working in wards, emergency rooms, and intensive care units compared to professionals in outpatient clinics. In general, remission from olfactory symptoms was frequent by the time of responses. Taste disturbances were present in 74.1% of infected participants and were significantly associated with hyposmia. In conclusion, olfactory dysfunction is highly correlated with exposure to SARS-CoV-2 in health care professionals, and remission rates up to 2 weeks are high.

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