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Coelho J, Micoulaud-Franchi JA, Philip P. Associations between Sleep Hygiene and Mental Complaints in a French Healthcare Worker Population during the COVID-19 Crisis: A Cross-Sectional Analysis to Personalize Sleep Health Interventions. Clocks Sleep 2024; 6:246-254. [PMID: 38804278 PMCID: PMC11130789 DOI: 10.3390/clockssleep6020017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 04/15/2024] [Accepted: 04/19/2024] [Indexed: 05/29/2024] Open
Abstract
Healthcare workers often have irregular work schedules and experience significant stress, which can lead to poor sleep quality and frequent mental health issues, especially in the context of the COVID-19 pandemic. In this cross-sectional study, we aimed to assess the prevalence of poor sleep hygiene and mental health complaints among healthcare workers and examine their associations. We investigated participants' typical sleep-wake patterns on workdays and free days as indicators of sleep hygiene. Sleep efficiency and social jetlag were calculated as the ratio of mean sleep duration to time spent in bed, while sleep rebound was defined as the difference in mean sleep duration between workdays and free days. Social jetlag was determined as the difference in mid-sleep timing between workdays and free days, with mid-sleep defined as the midpoint between bedtime and wake-up time. Insomnia severity was assessed using the Insomnia Severity Index (ISI), daytime sleepiness using the Epworth Sleepiness Scale (ESS), and symptoms of anxiety and depression using the Patient Health Questionnaire 4 (PHQ-4). Fatigue was measured using a single item inspired by the Maslach Burnout Inventory (MBI). A total of 1562 participants (80.5% women, mean age 40.0 years) were included in the study. The results revealed that 25.9% of participants slept less than 6 h, 24.3% had a sleep efficiency of less than 85%, 27.3% experienced a sleep rebound of more than 2 h, and 11.5% reported a social jetlag exceeding 2 h. Additionally, 33.9% of participants reported insomnia, 45.1% reported excessive daytime sleepiness, 13.1% reported fatigue, 16.5% reported symptoms of depression, and 35.7% reported symptoms of anxiety. After adjustment, mean sleep duration and sleep efficiency were associated with most mental health complaints. Sleep rebound and social jetlag were associated with significant insomnia but not with anxiety or depression symptoms. Our findings underscore the high prevalence of poor sleep hygiene and mental health complaints among healthcare workers, exacerbated by the COVID-19 crisis. We advocate for the promotion of sleep health through behavioral sleep strategies to safeguard the well-being of healthcare professionals.
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Affiliation(s)
- Julien Coelho
- SANPSY, UMR 6033, CNRS, University of Bordeaux, F-33000 Bordeaux, France; (J.-A.M.-F.); (P.P.)
- CHU Bordeaux, Service Universitaire de Médecine du Sommeil, F-33000 Bordeaux, France
| | - Jean-Arthur Micoulaud-Franchi
- SANPSY, UMR 6033, CNRS, University of Bordeaux, F-33000 Bordeaux, France; (J.-A.M.-F.); (P.P.)
- CHU Bordeaux, Service Universitaire de Médecine du Sommeil, F-33000 Bordeaux, France
| | - Pierre Philip
- SANPSY, UMR 6033, CNRS, University of Bordeaux, F-33000 Bordeaux, France; (J.-A.M.-F.); (P.P.)
- CHU Bordeaux, Service Universitaire de Médecine du Sommeil, F-33000 Bordeaux, France
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Paffenholz P, Platen M, Kostev K, Loosen SH, Bohlken J, Michalowsky B. Medical care services provision and stress experience in urologists during all waves of the COVID-19 pandemic in Germany. Front Med (Lausanne) 2024; 11:1320489. [PMID: 38405189 PMCID: PMC10893761 DOI: 10.3389/fmed.2024.1320489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 01/15/2024] [Indexed: 02/27/2024] Open
Abstract
Purpose Urologists' practices reported decreasing medical care provision and increasing stress experience in the first wave of the COVID-19 pandemic. However, long-term effects of the pandemic are unknown. Methods Medical record data of n = 127 urologists were used to assess changes in healthcare provision, comparing the pandemic with the pre-pandemic period. An online survey among n = 101 urologists was conducted to assess the physicians' perceptions of the identified healthcare provision and organizational changes and experiences of anxiety, stress, and support needs during the pandemic waves. Urologists consultations, specialists' referrals, hospital admissions, documented cancer diagnoses, urologists' perceptions of causes for these changes and experienced stress, anxiety and support needs. Results were demonstrated using descriptive statistics. Results Over the first two years of the pandemic, there was a slight decline in consultations (-0,94%), but more intensive reduction in hospital admissions (-13,6%) and identified cancer diagnoses (-6,2%). Although patients' behavior was seen as the main reason for the changes, 71 and 61% of consultations of high-risk patients or urgent surgeries were canceled. Telemedical approaches were implemented by 58% of urologists, and 88% stated that the reduced cancer detection rate would negatively affect patients' outcomes. Urologists reported higher anxiety, stress, and need for support during all waves of the pandemic than other disciplines, especially females. Conclusion The pandemic tremendously affects urologists' health care provision and stress experience, possibly causing long-term consequences for patients and physicians.
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Affiliation(s)
- Pia Paffenholz
- Department of Urology, Uro-Oncology, Robot Assisted and Reconstructive Urologic Surgery, University of Cologne Faculty of Medicine and University Hospital Cologne, Cologne, Germany
| | - Moritz Platen
- German Center for Neurodegenerative Diseases (DZNE) Site Rostock/Greifswald, Ellernholzstrasse 1-2, Greifswald, Germany
| | | | - Sven H Loosen
- Clinic for Gastroenterology, Hepatology and Infectious Diseases, University Hospital Düsseldorf, Medical Faculty of Heinrich Heine University Düsseldorf, Düsseldorf, Germany
| | - Jens Bohlken
- Occupational Medicine, and Public Health (ISAP) of the Medical Faculty at the University of LeipzigInstitute for Social Medicine, Leipzig, Germany
| | - Bernhard Michalowsky
- German Center for Neurodegenerative Diseases (DZNE) Site Rostock/Greifswald, Ellernholzstrasse 1-2, Greifswald, Germany
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Delafontaine A, Saiydoun G, Vallée M, Fabeck L, Sarhan FR, Rulleau T, Gautier S, Pinsault N. Impact of the Covid-19 pandemic and lockdowns on the education and mental health of physiotherapy students in France: a descriptive cross-sectional study with national online survey. J Rehabil Med 2024; 56:jrm18463. [PMID: 38197514 PMCID: PMC10795691 DOI: 10.2340/jrm.v56.18463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 12/07/2023] [Indexed: 01/11/2024] Open
Abstract
OBJECTIVE To determine the impact of the SARS-CoV-2 (COVID-19) pandemic and lockdowns on the mental health status, training, perceptions of the physiotherapy profession, and career plans of French physiotherapy students. DESIGN A descriptive cross-sectional study was conducted, representing the first and only survey of its kind, using a national online survey. SUBJECTS A total of 2678 French physiotherapy students participated in the study. METHODS Mental health status was assessed using the validated French versions of established depression, anxiety, and insomnia scales. RESULTS The survey revealed that female sex, age below 21 years, living alone, and having a psychiatric history or COVID-19 risk factors were associated with more severe symptoms of depression, anxiety, and insomnia in the surveyed students. In addition, stress, anxiety, and depression induced by the COVID-19 crisis were linked to apprehension about continuing practical training in physiotherapy. These factors also affected students' perceptions of the profession and the initially envisioned mode of practice, particularly among fifth-year students (odds ratio (OR) = 2.25, 95% confidence interval (95% CI) = (1.69, 2.99), p < 0.001). Notably, the pandemic significantly reduced the desire of these students to pursue a career as physiotherapists (adjusted OR (aOR) 1.41 (1.06, 1.86)). CONCLUSION French physiotherapy students, especially those in their fifth year, have experienced significant impacts from the COVID-19 pandemic, affecting their mental health, education, perceptions of the physiotherapy profession, and career plans.
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Affiliation(s)
- Arnaud Delafontaine
- Department of Orthopedic Surgery, University Free of Brussels, Brussels, Belgium; CIAMS, Univ. Paris-Sud., University Paris-Saclay, Orsay, France; Department of Research and International, ASSAS Rehabilitation School, Paris, France.
| | - Gabriel Saiydoun
- Department of Cardiac Surgery, Pitié Salpetrière University Hospital, Sorbonne University, APHP, Paris, France; Department of Cardiac Surgery, Henri Mondor University Hospital, AP-HP, Créteil, France; Mondor Biomédical Research Institute, IMRB, Inserm U955, Creteil Faculty of Health, Créteil Cedex, France
| | - Maxime Vallée
- Department of Urology, University Hospital of Poitiers, Poitiers, France; University of Poitiers, INSERM U1070, "Pharmacologie des Anti-Infectieux", UFR Médecine-Pharmacie, Pôle Biologie Santé, Bâtiment B36 TSA 51106, Poitiers, France
| | - Laurent Fabeck
- Department of Orthopedic Surgery, University Free of Brussels, Brussels, Belgium
| | - François-Régis Sarhan
- Physiotherapy School (IFMK), University Hospital Amiens - Picardie, Amiens, France; UR 7516 CHIMERE, University Picardie Jules Verne, Amiens, France
| | - Thomas Rulleau
- University of Nantes, University Hospital of Nantes, Nantes, France
| | - Sylvain Gautier
- University of Paris-Saclay, UVSQ, Univ. Paris-Sud, Inserm U1018 CESP, «centre de recherche en épidémiologie et santé des populations, Equipe Soins primaires et prévention», Villejuif, France; Department of Epidemiology and Public health, AP-HP, GHU Paris Saclay, Raymond Poincaré Hospital, Garches, France
| | - Nicolas Pinsault
- TIMC-IMAG UMR CNRS 5525, ThEMAS Team, University of Grenoble Alpes, Domaine de la Merci, La Tronche, France; French National Council of Physiotherapy (CNOMK), Paris, France
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Silva MAMD, Trettim JP. Economic and Professional Impact of The Covid-19 Pandemic and Prevalence of Depression and Anxiety on Shoulder and Elbow Surgeons in Brazil. Rev Bras Ortop 2023; 58:e727-e733. [PMID: 37908531 PMCID: PMC10615594 DOI: 10.1055/s-0043-1770972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2022] [Accepted: 10/27/2022] [Indexed: 11/02/2023] Open
Abstract
Objective To assess the economic and professional impact (including teaching and training) during the covid-19 pandemic, as well as the prevalence of major depressive episode and generalized anxiety disorder, on shoulder and elbow surgeons in Brazil. Methods Cross-sectional study carried out with surgeons who are members of the Brazilian Society of Shoulder and Elbow Surgery (SBCOC). Sampling was non-probabilistic for convenience. The information was obtained through a self-administered online questionnaire, through the SBCOC members' registered e-mails, using structured questions and the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) instruments to screening for major depressive episode and generalized anxiety disorder, respectively. Results 119 participants were evaluated. The commitment in teaching was affirmed by 87.7% of the surgeons, there was a reduction above 50% of the surgical volume for about 4 out of 10 surgeons and reduction of the income above 50% for about 17.3%, due to the fact that 55.5% of professionals did not have professional stability. The major depressive episode had a prevalence of 26.7% in the sample, and generalized anxiety disorder was presented by 20% of the surgeons. Conclusion The combination of the negative impact on professional and financial factorsmay have affected shoulder and elbow surgeons in Brazil, generating high rates of anxiety and depression.
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Affiliation(s)
- Marcos André Mendes da Silva
- Supervisor do Serviço de Residência Médica em Ortopedia-Traumatologia Hospital Universitário Miguel Riet Correa Júnior da Fundação Universidade Federal do Rio Grande, Rio Grande, RS, Brasil
- Aluno da Pós-Graduação em Mestrado Profissional em Saúde no Ciclo Vital do Centro de Ciências da Saúde da Universidade Católica de Pelotas, Pelotas, RS, Brasil
| | - Jéssica Puchalski Trettim
- Professora assistente do Mestrado Profissional em Saúde no Ciclo Vital do Centro de Ciências da Saúde da Universidade Católica de Pelotas, Pelotas, RS, Brasil
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[Orthopaedic and trauma surgery in the time of COVID-19 in France: A nationwide survey]. REVUE DE CHIRURGIE ORTHOPEDIQUE ET TRAUMATOLOGIQUE 2023; 109:6-13. [PMID: 36217426 PMCID: PMC9534383 DOI: 10.1016/j.rcot.2022.09.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Accepted: 02/22/2022] [Indexed: 02/08/2023]
Abstract
Introduction L’année 2020 a été marquée par la pandémie liée au COVID-19. L’ensemble du système de santé français s’est mobilisé. Il a été demandé aux services de chirurgie de déprogrammer toutes les interventions non urgentes. Nous nous sommes interrogés sur le retentissement de cette pandémie sur les chirurgiens orthopédistes français. L’objectif principal de cette enquête était d’évaluer l’impact du COVID-19 sur les activités de chirurgie orthopédique urgentes et non urgentes. Les objectifs secondaires étaient : de rapporter la façon dont les chirurgiens orthopédistes s’étaient mobilisés et réorganisés et d’évaluer les conséquences physiques et psychologiques sur leur état de santé. Hypothèse L’épidémie de COVID-19 a entrainé la suspension de toute l’activité chirurgicale orthopédique non urgente et des modifications dans la prise en charge des chirurgies urgentes et de la traumatologie. Matériel et méthodes Une étude épidémiologique descriptive a été menée en France. Un questionnaire de 40 questions a été envoyé à l’ensemble des chirurgiens orthopédistes français (seniors et internes) via les listes de diffusion de la Société Française de Chirurgie Orthopédique et Traumatologique (SoFCOT), de la Société Française d’Orthopédie Pédiatrique (SoFOP) et du Collège des Jeunes Orthopédistes (CJO) Résultats Sur une période d’un mois, 1098 chirurgiens, 852 chirurgiens seniors et 246 internes, ont répondu au questionnaire. L’arrêt complet de toutes les interventions non urgentes a été effectif dans 80 % des cas. Les interventions urgentes et semi-urgentes ont été maintenues. Trois cent vingt-six chirurgiens (30 %) ont modifié leur prise en charge de la traumatologie, parmi eux 55 % provenaient des régions les plus touchées par la pandémie. 60 % des chirurgiens n’ont pas bénéficié de formation pour en prendre en charge les patients COVID + et 40 % ont pris en charge ce type de patients. Parmi les orthopédistes interrogés, 28 % ont été redéployés dans des services de médecine. La téléconsultation a été utilisée par 41 % des chirurgiens. Vingt-six (2 %) chirurgiens ont été testés positifs au COVID et 54 % présentaient au moins un signe de souffrance psychologique. Conclusion Les chirurgiens orthopédistes français se sont réorganisés et ont modifié leurs pratiques rapidement et efficacement pour faire face à la crise sanitaire. Des progrès restent toutefois à faire au regard de la formation des orthopédistes pour prendre en charge des patients COVID + ainsi que pour démocratiser l’usage de la télémédecine. Niveau de preuve IV.
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Huang LL, Chung HC, Huang LL, Cheng SY, Lin CH, Yeh TF. Mental Health of Healthcare Workers during COVID-19 Pandemic in Taiwan: The First Wave Outbreak Occurred 1 Year Later Than in Other Countries. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2623. [PMID: 36767988 PMCID: PMC9914955 DOI: 10.3390/ijerph20032623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 01/30/2023] [Accepted: 01/30/2023] [Indexed: 06/18/2023]
Abstract
We probed the psychological influence exerted on traumatic stress endured by healthcare workers (HCWs) and the coping behaviors adopted during the first wave of COVID-19 in Taiwan, which occurred one year later than in other countries. Clinical HCWs from two branches of a hospital network in Taichung, Taiwan, were recruited for this cross-sectional study. The participants were administered a questionnaire on sociodemographic and work-related characteristics, perceived influence exerted by COVID-19, coping behaviors in relation to COVID-19, and Impact of Event Scale-Revised scores. We obtained 769 valid questionnaires. A chi-square test, generalized linear modeling, and multivariate stepwise regression analyses were performed. Although the first wave of COVID-19 occurred one year later in Taiwan than in other countries, the traumatic stress experienced by Taiwanese HCWs was noted to be comparable to that of those in other countries. Factors for increased traumatic stress included caring for more patients with COVID-19, fair or poor self-rated mental health, higher perceived influence of COVID-19, vulnerable household income, and more negative coping behaviors. Positive coping behaviors such as exposure reduction and protection measures decreased traumatic stress. Accordingly, managers should strengthen protective measures, enhance COVID-19-related training, and provide psychological support and counseling for high-risk employees.
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Affiliation(s)
- Lee-Ling Huang
- Department of Nursing, Cheng Ching General Hospital, Taichung 400620, Taiwan
| | - Hsin-Cheng Chung
- Administration Center, Cheng Ching General Hospital, Taichung 400620, Taiwan
| | - Li-Ling Huang
- Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung 406053, Taiwan
| | - Shu-Yuan Cheng
- Department of Nursing, Cheng Ching General Hospital, Taichung 400620, Taiwan
| | - Chuan-Hsiung Lin
- Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung 406053, Taiwan
| | - Te-Feng Yeh
- Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung 406053, Taiwan
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Orthopaedic and trauma surgery in the time of COVID-19 in France: A nationwide survey. Orthop Traumatol Surg Res 2023; 109:103423. [PMID: 36182089 PMCID: PMC9516869 DOI: 10.1016/j.otsr.2022.103423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Revised: 12/05/2021] [Accepted: 02/22/2022] [Indexed: 02/07/2023]
Abstract
INTRODUCTION The year 2020 was marked by the COVID-19 pandemic. The entire French health system was mobilized. Surgical services were asked to reschedule all elective procedures. We wondered about the impact of this pandemic on French orthopaedic surgeons. The main objective of this survey was to assess the impact of COVID-19 on emergency and non-emergency orthopaedic surgical activities. The secondary objectives were: to report how orthopaedic surgeons had mobilized and reorganized, and to assess the physical and psychological consequences on their state of health. HYPOTHESIS The COVID-19 epidemic has led to the suspension of all elective orthopaedic surgeries and has also led to changes in the management of urgent surgeries and traumatology. MATERIAL AND METHODS This descriptive epidemiological study was conducted in France. A 40-question survey was sent to all French orthopaedic surgeons (senior surgeons and residents) via the mailing lists of the French Society of Orthopaedic and Traumatological Surgery (SoFCOT), the French Society of Pediatric Orthopaedics (SoFOP) and the College of Young Orthopedists (CJO). RESULTS Over a period of one month, 1098 surgeons; 852 senior surgeons and 246 residents, answered the questionnaire. The complete cessation of all elective interventions was effective in 80% of cases. Urgent and semi-urgent interventions were maintained. Three hundred and twenty-six surgeons (30%) modified their trauma management, among them 55% came from the regions most affected by the pandemic. Sixty percent of surgeons did not receive training to take care of COVID+ patients and 40% took care of these patients. Among the orthopaedic surgeons surveyed, 28% were redeployed to medical services. Teleconsultation was used by 41% of surgeons. Twenty-six (2%) surgeons tested positive for COVID-19 and 54% showed at least one sign of psychological suffering. CONCLUSION French orthopaedic surgeons reorganized and changed their practices quickly and efficiently to deal with the pandemic. However, progress remains to be seen with training of orthopaedic surgeons in the care of COVID+patients, as well as to democratize the use of telemedicine. LEVEL OF EVIDENCE IV.
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Lechien JR, Chebib E, Zelenik K, Maniaci A, Molteni G, Maza-Solano JM, Hans S. Impact of mobilization of residents in otolaryngology-head-neck surgery in COVID-19 units on mental health status. Eur Arch Otorhinolaryngol 2023; 280:907-911. [PMID: 36006516 PMCID: PMC9406264 DOI: 10.1007/s00405-022-07617-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Accepted: 08/14/2022] [Indexed: 01/21/2023]
Abstract
BACKGROUND To investigate mental health, sleep, and addiction features of young otolaryngologists (YO) according to the mobilization in COVID-19 units at the end of the third European wave of infections. METHODS A cross-sectional survey was sent to 220 YO of 6 European University hospitals. The following outcomes were evaluated: postgraduate year; age; management of COVID-19 patients; workload; nights on call; stress; Beck depression inventory; Insomnia severity index; sleep and mental health status evolutions throughout pandemic; consumption of alcohol, tobacco, and drugs before and during pandemic. RESULTS A total of 128 YO completed the evaluations (58.2%). Twenty responders (15.6%) did not manage COVID-19 patients, while 65 (50.8%), 20 (15.6%), and 23 (18%) managed rarely, frequently or daily COVID-19 patients during the pandemic, respectively. The management of COVID-19 patients was associated with increases of workload (p = 0.023) and number of nights on-call (p < 0.001). At the end of the third wave, the depression rates were 34% (N = 31/68) and 57% (N = 34/60) in YO who worked less and more than 50 h weekly, respectively. Sleep disturbance concerned 39% (N = 26/66) and 55% (N = 27/60) of YO who worked less and more than 50 h weekly, respectively. Mobilized YO reported a significant increase of alcohol consumption compared with control group (p = 0.002). Tobacco and drugs consumptions did not evolve. The consumption of alcohol was positively correlated with the number of nights on-call (p = 0.036) and the total hours of work (p = 0.009). CONCLUSIONS Young otolaryngologists (YO) mobilized in COVID-19 units reported higher hours worked, nights on call, and alcohol consumption compared with others. Future large cohort-studies are needed to confirm our observations.
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Affiliation(s)
- Jerome R. Lechien
- Department of Otolaryngology, Elsan Hospital, Paris, France ,Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Avenue du Champ de mars, 6, 7000 Mons, Belgium ,Department of Otolaryngology-Head Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, Brussels, Belgium ,Department of Otolaryngology-Head Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France ,COVID-19 Task Force of Young Otolaryngologists of International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France
| | - Emilien Chebib
- Department of Otolaryngology-Head Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France ,COVID-19 Task Force of Young Otolaryngologists of International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France
| | - Karol Zelenik
- COVID-19 Task Force of Young Otolaryngologists of International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France ,Department of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine, University Hospital of Ostrava, Ostrava, Czech Republic
| | - Antonino Maniaci
- COVID-19 Task Force of Young Otolaryngologists of International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France ,Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT Section, ENT Department of University of Catania, Catania, Italy ,Department of Biomedical and Biotechnological Sciences (BIOMETEC), University of Catania, Catania, Italy
| | - Gabriele Molteni
- COVID-19 Task Force of Young Otolaryngologists of International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France ,Division of Otolaryngology-Head and Neck Surgery, University Hospital of Verona, Verona, Italy
| | - Juan M. Maza-Solano
- COVID-19 Task Force of Young Otolaryngologists of International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France ,Department of Otolaryngology, Hospital Universitario Virgen Macarena, Seville, Spain
| | - Stéphane Hans
- COVID-19 Task Force of Young Otolaryngologists of International Federation of Otorhinolaryngological Societies (YO-IFOS), Paris, France
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Chebib E, Chiesa-Estomba CM, Radulesco T, Barillari MR, Mayo-Yáñez M, Hans S, Lechien JR. Assessment of Sleep Features, Mental Health Outcomes, and Alcohol and Tobacco Consumption in Residents and Fellows in Otolaryngology Before and During the COVID-19 Pandemic. JAMA Otolaryngol Head Neck Surg 2022; 148:719-723. [PMID: 35708711 PMCID: PMC9204616 DOI: 10.1001/jamaoto.2022.1210] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Importance The workload of many residents and fellows in otolaryngology-head and neck surgery has particularly increased during the COVID-19 pandemic; however, outcomes associated with mental health status and sleep remain unclear. Objective To assess the sleep, mental status, and alcohol and tobacco consumption habits of residents and fellows before the COVID-19 pandemic (before March 10, 2020) and during the pandemic period (after March 10, 2020). Design, Setting, and Participants This cohort study included residents and fellows of 6 university hospitals of European regions with a high prevalence of COVID-19 cases. Survey development, data collection, and analyses were performed from March 10, 2020, to June 30, 2021. Main Outcomes and Measures Residents and fellows were invited to respond to a survey assessing management of treatment in patients with COVID-19 and related work features; stress and mental health status (Beck Depression Inventory); sleep features (Insomnia Severity Index); and alcohol and tobacco consumption. Results Of 220 potential participants, 128 residents and fellows (58.2%) completed the evaluations. No demographic data on mean (SD) age and sex or gender were collected. The prepandemic mean (SD) score of the Beck Depression Inventory (3.1 [2.8]) significantly increased after the start of the pandemic (mean [SD] score, 4.2 [4.1]; difference, -1.1; 95% CI, -1.96 to -0.24; d = 0.31), and the prepandemic mean (SD) score of the Insomnia Severity Index (4.9 [4.1) significantly increased after the start of the pandemic (mean [SD] score, 6.0 [4.9]; difference, 1.1; 95% CI, 0.00-2.2; d = 0.25). Insomnia concerned 46% of participants (51 of 112), and depression concerned 47% of participants (55 of 116) during the pandemic. The mean (SD) prepandemic alcohol consumption (1.7 [2.3] IU per week) significantly increased after the start of the pandemic (mean [SD], 2.9 [4.0] IU per week; difference, 1.2; 95% CI, 0.40-2.00; d = 0.37). Residents and fellows who were mobilized in COVID-19 units reported significant increases of workload (r = 0.2; 95% CI, 0.1-0.3), stress level (r = 0.2; 95% CI, 0.1-0.3), and alcohol consumption (for 5-10 IU per week: mean [SD] prepandemic, 11 [8] IU per week vs postpandemic, 20 [16] IU per week; d = 0.37) and a worsening of sleep status (for moderate insomnia: mean [SD] prepandemic Insomnia Severity Index, 4 [3] vs postpandemic, 15 [12]; d = 0.25). There was a significant association between alcohol consumption and the Beck Depression Inventory score (r = 0.4; 95% CI, 0.2-0.6). The mean (SD) consumption of tobacco decreased from 2.1 (1.3) to 0.9 (1.5) (difference, -1.20; 95% CI, -1.50 to -0.85; d = 0.85). Conclusions and Relevance Results of this cohort study suggest that the workload of residents and fellows increased during the pandemic, which may be associated with a worsening of mental health and sleep status and an increase of alcohol consumption.
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Affiliation(s)
- Emilien Chebib
- Department of Otolaryngology, Robert Debré Hospital, Paris, France,Department of Otolaryngology–Head & Neck Surgery, Foch Hospital, School of Medicine, Unité de Formation de Recherche Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France
| | - Carlos M. Chiesa-Estomba
- Department of Otorhinolaryngology and Head and Neck Surgery, Donostia University Hospital, Spain
| | - Thomas Radulesco
- Department of Otolaryngology–Head & Neck Surgery, La Conception University Hospital, Aix Marseille University, Marseille, France
| | - Maria R. Barillari
- Division of Phoniatrics and Audiology, Department of Mental and Physical Health and Preventive Medicine, L. Vanvitelli University, Naples, Italy,Division of Otolaryngology–Head and Neck Surgery, University Hospital of Verona, Verona, Italy
| | - Miguel Mayo-Yáñez
- Department of Otolaryngology–Head and Neck Surgery, Hospital Complex of A Coruña (CHUAC), Galicia, Spain
| | - Stéphane Hans
- Department of Otolaryngology–Head & Neck Surgery, Foch Hospital, School of Medicine, Unité de Formation de Recherche Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France
| | - Jérôme R. Lechien
- Department of Otolaryngology–Head & Neck Surgery, Foch Hospital, School of Medicine, Unité de Formation de Recherche Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France,Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium,Department of Otolaryngology, Elsan Hospital, Paris, France,Department of Otorhinolaryngology and Head and Neck Surgery, CHU Saint-Pierre, Brussels, Belgium
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10
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Ruszkay N, Tucker J, Choi KY. Otolaryngology in the face of A pandemic. OPERATIVE TECHNIQUES IN OTOLARYNGOLOGY--HEAD AND NECK SURGERY 2022; 33:74-83. [PMID: 35502270 PMCID: PMC9045873 DOI: 10.1016/j.otot.2022.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Although infrequent, pandemics are serious public health concerns with unpredictable courses. The COVID-19 pandemic began over 2 years ago and is far from over. This pandemic has spread rapidly throughout the world and led to several million deaths, making it commonly compared to the deadly Spanish influenza pandemic. Policy and safety measures are constantly being adapted to reduce transmission rates. The pandemic places stress on all healthcare workers, but especially otolaryngology providers due to their direct contact with airway connected cavities. This puts them at high risk for infection and has impacted inpatient and outpatient otolaryngology care, as well as education, research, and mental health.
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Affiliation(s)
- Nicole Ruszkay
- Department of Otolaryngology - Head and Neck Surgery, Penn State Hershey Medical Center, Hershey, Pennsylvania
| | - Jacqueline Tucker
- College of Medicine, Pennsylvania State University, Hershey, Pennsylvania
| | - Karen Y Choi
- Department of Otolaryngology - Head and Neck Surgery, Penn State Hershey Medical Center, Hershey, Pennsylvania
- College of Medicine, Pennsylvania State University, Hershey, Pennsylvania
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11
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Goldman C, Pradere B, Mete M, Talso M, Bernardino R, Campi R, Marchalik D. A MULTINATIONAL STUDY OF THE IMPACT OF COVID-19 ON UROLOGIC SURGERY RESIDENCY AND WELLBEING. Urology 2022; 166:87-94. [PMID: 35461917 PMCID: PMC9023370 DOI: 10.1016/j.urology.2022.01.069] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2021] [Revised: 12/06/2021] [Accepted: 01/02/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To assess changes to the experiences and wellbeing of urology trainees in the United States(US) and European Union (EU) during the COVID-19 pandemic. METHODS A 72-item anonymous online survey was distributed September 2020 to urology residents of Italy, France, Portugal, and the US. The survey assessed burnout, professional fulfillment, loneliness, depression and anxiety as well as 38 COVID specific questions. RESULTS Two hundred twenty-three urology residents responded to the survey. Surgical exposure was the main educational concern for 81% of US and 48% of EU residents. E-learning was utilized by 100% of US and 57% of EU residents with two-thirds finding it equally or more useful than traditional didactics. No significant differences were seen comparing burnout, professional fulfillment, depression, anxiety, or loneliness among US or EU residents, 73% of US and 71% of EU residents reported good to excellent quality of life during the pandemic. In the US and EU, significantly less time was spent in the hospital, clinic, and operating room (p<0.001) and residents spent more time using telehealth and working from home during the pandemic and on research projects, didactic lectures, non-medical hobbies and reading. The majority of residents reported benefit from more schedule flexibility, improved work life balance, and increased time for family, hobbies, education, and research. CONCLUSIONS The COVID-19 pandemic has resulted in significant restructuring of residents' educational experience around the globe. Preservation of beneficial changes such as reduction of work hours and online learning should be pursued within this pandemic and beyond it.
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Affiliation(s)
- Charlotte Goldman
- MedStar Georgetown University Hospital, Department of Urology, 3800 Reservoir Rd NW, Washington, DC, 20007
| | - Benjamin Pradere
- Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria
| | - Mihriye Mete
- MedStar Health, Office of Physician Wellbeing, 10980 Grantchester Way, Columbia, MD, 21044; MedStar Health Research Institute, Depart of Behavioral Health Research; Georgetown University Medical Center, Department of Psychiatry
| | - Michele Talso
- Department of Urology ASST Fatebenefratelli-Sacco Luigi Sacco University Hospital, Milan, Italy
| | - Rui Bernardino
- Central Lisbon University Hospital Centre, Urology Department, Lisbon
| | - Riccardo Campi
- Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital, University of Florence, Florence, Italy; Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Daniel Marchalik
- MedStar Georgetown University Hospital, Department of Urology, 3800 Reservoir Rd NW, Washington, DC, 20007; MedStar Health, Office of Physician Wellbeing, 10980 Grantchester Way, Columbia, MD, 21044.
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12
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Alawad HS, Amin HS, Alfaris EA, Ahmed AM, Alosaimi FD, BaHammam AS. Anxiety and depression symptoms among medical residents in KSA during the COVID-19 pandemic. J Taibah Univ Med Sci 2022; 17:192-202. [PMID: 35153646 PMCID: PMC8816958 DOI: 10.1016/j.jtumed.2022.01.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 12/19/2021] [Accepted: 01/21/2022] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVES Medical residents' direct contact with patients with COVID-19 places them at high risk of psychological disturbance. This study aimed to estimate the prevalence of depression and anxiety symptoms, and their relationship with the COVID-19 pandemic among medical residents in KSA. METHODS A cross-sectional study was conducted between January and March of 2021. The Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7) were used to screen for depressive disorders and generalized anxiety disorder, respectively. RESULTS A total of 533 medical residents participated in the study; 52% were men, and 58% were single. Most residents had direct contact with one or more patients with COVID-19. The prevalence of depression and anxiety symptoms was 65.8% and 58.3%, respectively. The study revealed that gender was a risk factor for diagnosis with COVID-19 among residents: male residents were diagnosed with COVID-19 to a greater extent than female residents. In addition, being a nonsmoker rather than a smoker was associated with a higher risk of COVID-19 diagnosis. A multivariate regression analysis revealed that gender (female) and residency level (R5) were independently associated with anxiety symptoms. Similarly, the independent correlates of depression symptoms were gender (female) and specialty (family medicine). CONCLUSION A high prevalence of depression and anxiety symptoms was found among medical residents trained in KSA. The rates were significantly higher among female than male residents.
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Affiliation(s)
- Hossam S. Alawad
- King Saud University Chair for Medical Education Research and Development, Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, KSA
| | - Hussein S. Amin
- King Saud University Chair for Medical Education Research and Development, Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, KSA
| | - Eiad A. Alfaris
- King Saud University Chair for Medical Education Research and Development, Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, KSA
| | - Abdullah M. Ahmed
- King Saud University Chair for Medical Education Research and Development, Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, KSA
| | - Fahad D. Alosaimi
- Psychiatry Department, College of Medicine, King Saud University, Riyadh, KSA
| | - Ahmed S. BaHammam
- Department of Medicine, College of Medicine, University Sleep Disorders Centre, King Saud University, KSA
- The Strategic Technologies Program of the National Plan for Sciences and Technology and Innovation in the KSA, King Saud University, Riyadh, KSA
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13
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The global prevalence of depression and anxiety among doctors during the covid-19 pandemic: Systematic review and meta-analysis. J Affect Disord 2022; 298:431-441. [PMID: 34785264 PMCID: PMC8596335 DOI: 10.1016/j.jad.2021.11.026] [Citation(s) in RCA: 33] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 11/09/2021] [Accepted: 11/11/2021] [Indexed: 12/23/2022]
Abstract
BACKGROUND This review provides an estimate of the global prevalence of depression and anxiety symptoms among doctors, based on analysis of evidence from the first year of the COVID-19 pandemic. METHODS A systematic review was conducted to identify suitable studies. Final searches were conducted on 3rd March 2021. Papers were initially screened by title and abstract, based on pre-agreed inclusion criteria, followed by full-text review of eligible studies. Risk of bias was assessed using the Joanna Briggs Checklist for Prevalence Studies. Data from studies rated as low or medium risk of bias were pooled using a random-effects meta-analysis. Sensitivity and subgroup analyses were conducted to explore heterogeneity. RESULTS Fifty-five studies were included after full-text review. Of these, thirty studies were assessed as low or medium risk of bias and were included in primary analyses. These comprised twenty-six studies of depression (31,447 participants) and thirty studies of anxiety (33,281 participants). Pooled prevalence of depression and anxiety was 20.5% (95% CI 16.0%-25.3%) and 25.8% (95% CI 20.4%-31.5%) respectively. INTERPRETATION Evidence from the first year of the pandemic suggests that a significant proportion of doctors are experiencing high levels of symptoms of depression and anxiety, although not conclusively more so than pre-pandemic levels. Differences in study methodology and variation in job demands may account for some of the observed heterogeneity. LIMITATIONS Findings must be interpreted with caution due to the high heterogeneity and moderate risk of bias evident in the majority of included studies.
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14
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Bertrand L, Lejoyeux M, Geoffroy PA. Republication : Impact de la pandémie COVID-19 sur le sommeil du personnel soignant. MÉDECINE DU SOMMEIL 2021. [PMCID: PMC8552579 DOI: 10.1016/j.msom.2021.10.032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
La pandémie liée à la COVID-19 a altéré de manière significative et importante la qualité du sommeil du personnel soignant. Avec des différences selon le questionnaire utilisé, la spécialité du professionnel, et le pays étudié, environ la moitié des soignants ont développé des troubles du sommeil lors de cette crise sanitaire. Les troubles du sommeil étaient marqués principalement par des symptômes d’insomnie, une mauvaise qualité du sommeil, un temps total de sommeil réduit, et des cauchemars fréquents. Les altérations du sommeil affectaient à la fois les soignants de première et de seconde ligne au cours de la pandémie liée à la COVID. Les études évaluant le sommeil des soignants confirment l’importance de diffuser les recommandations publiées par les experts du sommeil.
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15
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The Impact of the COVID-19 Pandemic on Ophthalmology Residents: A Narrative Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111567. [PMID: 34770081 PMCID: PMC8583285 DOI: 10.3390/ijerph182111567] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 10/29/2021] [Accepted: 11/01/2021] [Indexed: 12/31/2022]
Abstract
The ongoing outbreak of the coronavirus disease 2019 (COVID-19) pandemic has drastically affected medical societies. We aim to provide an overview and summarize the information published so far concerning the impact of the COVID-19 pandemic on ophthalmology residency programs and the mental wellbeing of trainees, and to establish factors to help maintain successful residency training to ensure high-quality, specialist ophthalmic training. A literature search was conducted in October 2021 of the PubMed database for articles assessing the impact of the COVID-19 pandemic on the mental health of ophthalmology trainees and on ophthalmology residency programs. Cross-sectional survey studies, editorials, articles in scientific journals, letters to editors, and commentaries were considered; finally, 19 studies were included after excluding abstract-only publications and conference posters. The studies’ demographic details, participant characteristics, interventions, outcomes, and limitations were extracted. Our summarized information showed the alarmingly significant impact of the COVID-19 pandemic on ophthalmology trainees’ mental health and the associated considerable changes in ophthalmic training programs. Thus, in future, virtual training and surgical simulators should be permanently introduced, in addition to traditional teaching, to complete successful ophthalmology residency programs. Additionally, we emphasize the need for a widely facilitated and encouraged access to psychological support programs for healthcare workers, including ophthalmologists.
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16
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BJS commission on surgery and perioperative care post-COVID-19. Br J Surg 2021; 108:1162-1180. [PMID: 34624081 DOI: 10.1093/bjs/znab307] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 07/26/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) was declared a pandemic by the WHO on 11 March 2020 and global surgical practice was compromised. This Commission aimed to document and reflect on the changes seen in the surgical environment during the pandemic, by reviewing colleagues' experiences and published evidence. METHODS In late 2020, BJS contacted colleagues across the global surgical community and asked them to describe how severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had affected their practice. In addition to this, the Commission undertook a literature review on the impact of COVID-19 on surgery and perioperative care. A thematic analysis was performed to identify the issues most frequently encountered by the correspondents, as well as the solutions and ideas suggested to address them. RESULTS BJS received communications for this Commission from leading clinicians and academics across a variety of surgical specialties in every inhabited continent. The responses from all over the world provided insights into multiple facets of surgical practice from a governmental level to individual clinical practice and training. CONCLUSION The COVID-19 pandemic has uncovered a variety of problems in healthcare systems, including negative impacts on surgical practice. Global surgical multidisciplinary teams are working collaboratively to address research questions about the future of surgery in the post-COVID-19 era. The COVID-19 pandemic is severely damaging surgical training. The establishment of a multidisciplinary ethics committee should be encouraged at all surgical oncology centres. Innovative leadership and collaboration is vital in the post-COVID-19 era.
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MESH Headings
- Adult
- Biomedical Research/organization & administration
- COVID-19/diagnosis
- COVID-19/economics
- COVID-19/epidemiology
- COVID-19/prevention & control
- Education, Medical, Graduate/methods
- Education, Medical, Graduate/trends
- Female
- Global Health
- Health Resources/supply & distribution
- Health Services Accessibility/trends
- Humans
- Infection Control/economics
- Infection Control/methods
- Infection Control/standards
- International Cooperation
- Male
- Middle Aged
- Pandemics
- Perioperative Care/education
- Perioperative Care/methods
- Perioperative Care/standards
- Perioperative Care/trends
- Practice Patterns, Physicians'/standards
- Practice Patterns, Physicians'/trends
- Surgeons/education
- Surgeons/psychology
- Surgeons/trends
- Surgical Procedures, Operative/education
- Surgical Procedures, Operative/methods
- Surgical Procedures, Operative/standards
- Surgical Procedures, Operative/trends
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17
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Spartalis E, Plakopitis N, Theodori MA, Karagiannis SP, Athanasiadis DI, Spartalis M, Boutzios G, Paschou SA, Nikiteas N, Troupis T. Thyroid cancer surgery during the coronavirus disease 2019 pandemic: perioperative management and oncological and anatomical considerations. Future Oncol 2021; 17:4389-4395. [PMID: 34431326 PMCID: PMC8386469 DOI: 10.2217/fon-2021-0585] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has changed many aspects of our everyday lives and medical practice, including oncology treatment; thyroid cancer surgery is not an exception. The reported number of fine-needle aspirations performed during the first semester of 2020 was significantly reduced. Poorly differentiated, medullary and anaplastic thyroid tumors are considered important indications for immediate surgical intervention. By contrast, most well-differentiated carcinomas present slow growth, and thus surgery can be deferred for a short period of time during which patients are under active surveillance. Thyroid surgeries have decreased during the COVID-19 pandemic. Furthermore, prior to any intervention, negative COVID-19 status - with the use of a nasopharyngeal swab and reverse transcription PCR assay as the gold standard and chest CT scan as a complementary modality in some cases - must be confirmed to achieve a COVID-free pathway. Thorough preoperative assessment regarding both oncological and anatomical aspects should be performed to identify optimal timing for safe management.
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Affiliation(s)
- Eleftherios Spartalis
- Laboratory of Experimental Surgery & Surgical Research 'N S Christeas', Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece.,Department of Anatomy, Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece
| | - Nikolaos Plakopitis
- Laboratory of Experimental Surgery & Surgical Research 'N S Christeas', Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece
| | - Maria Anna Theodori
- Laboratory of Experimental Surgery & Surgical Research 'N S Christeas', Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece
| | - Sotirios P Karagiannis
- Laboratory of Experimental Surgery & Surgical Research 'N S Christeas', Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece
| | | | - Michael Spartalis
- Laboratory of Experimental Surgery & Surgical Research 'N S Christeas', Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece
| | - Georgios Boutzios
- Department of Pathophysiology, Endocrine Unit, Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece
| | - Stavroula A Paschou
- Department of Clinical Therapeutics, Alexandra Hospital, Medical School, National & Kapodistrian University of Athens, Athens, 11528, Greece
| | - Nikolaos Nikiteas
- Second Department of Propaedeutic Surgery, Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece
| | - Theodore Troupis
- Department of Anatomy, Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece
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18
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Khusid JA, Kashani M, Fink LE, Weinstein CS, Gupta M. The Impact of the COVID-19 Pandemic on Urology Residents: a Narrative Review. Curr Urol Rep 2021; 22:45. [PMID: 34427779 PMCID: PMC8382932 DOI: 10.1007/s11934-021-01063-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2021] [Indexed: 12/30/2022]
Abstract
PURPOSE OF REVIEW The COVID-19 pandemic brought unprecedented challenges for urology resident education. In this review, we discuss the pandemic's impact on urology trainees and their education. RECENT FINDINGS Urology trainees were often redeployed to frontline services in unfamiliar clinical settings. Residents often experienced increased levels of stress, anxiety, and depression. Many programs instituted virtual "check-ins" and formed liaisons with mental health services to foster cohesiveness. Urology trainees experienced the integration of telehealth into the clinical realm. Virtual surgery lectures and simulations were utilized to augment surgical education. Academic governing bodies upheld resident protections and provided dynamic guidance for training requirement throughout the pandemic. Medical students were unable to participate in traditional in-person away rotations and interviews, complicating the residency application process. The COVID-19 pandemic shook the healthcare system and ushered in seismic changes for urology trainees worldwide. Though the longstanding effects of the pandemic remain to be seen, urology residents have demonstrated tremendous resilience and bravery throughout this challenging period, and those qualities will undeniably withstand the test of time.
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Affiliation(s)
- Johnathan A. Khusid
- Department of Urology, Icahn School of Medicine At Mount Sinai, New York, NY USA
| | - Mahyar Kashani
- Department of Urology, SUNY Downstate Health Sciences University, Brooklyn, NY USA
| | - Lauren E. Fink
- Department of Urology, SUNY Downstate Health Sciences University, Brooklyn, NY USA
| | - Corey S. Weinstein
- Department of Urology, SUNY Downstate Health Sciences University, Brooklyn, NY USA
| | - Mantu Gupta
- Department of Urology, Icahn School of Medicine At Mount Sinai, New York, NY USA
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19
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Lucas D, Brient S, Eveillard BM, Gressier A, Le Grand T, Pougnet R, Dewitte JD, Loddé B. Health Impact and Psychosocial Perceptions among French Medical Residents during the SARS-CoV-2 Outbreak: A Cross-Sectional Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:8413. [PMID: 34444162 PMCID: PMC8394118 DOI: 10.3390/ijerph18168413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 08/05/2021] [Accepted: 08/06/2021] [Indexed: 12/04/2022]
Abstract
This study compared the impact on mental health and the psychosocial perceptions of medical residents and healthcare workers (HCWs) in a hospital after the first peak of the SARS-CoV2 outbreak in France. A validated version of the SATIN questionnaire with a modified scoring system was used to collect data on health and psychosocial factors. This questionnaire was sent to all workers at the hospital in July 2020 and was self-administered online. Using a multivariate multinomial regression model, the study included demographic variables such as age, gender, years at workplace and the relevant of covariate as HCW status. One thousand, four hundred and six questionnaires were available for analysis including 393 non-HCWs, 891 HCWs and 122 medical residents. Medical resident status is a risk factor for stress (OR 4.77 [2.48-9.18] p < 0.001), worse global health (OR 4 [1.7-9.6] p < 0.001) and mental health (OR 2.58 [1.3-5.1] p = 0.02), negative perception of work demand (OR 8.25 [3.5-19.6] p <0.001), work activity environment (OR 3.18 [1.5-6.7] p = 0.02) and organizational context (OR 4.9 [2.38-10.4] p <0.001). Action on collective support, protection equipment, organizational context and framework are important.
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Affiliation(s)
- David Lucas
- ORPHY Laboratory, University Brest, F-29200 Brest, France;
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France; (S.B.); (B.M.E.); (A.G.); (T.L.G.); (R.P.); (J.-D.D.)
- Laboratoire d’Etude et de Recherche en Sociologie (EA 3149), Université de Brest—Bretagne Occidentale, F-29200 Brest, France
| | - Sandrine Brient
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France; (S.B.); (B.M.E.); (A.G.); (T.L.G.); (R.P.); (J.-D.D.)
| | - Bisi Moriamo Eveillard
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France; (S.B.); (B.M.E.); (A.G.); (T.L.G.); (R.P.); (J.-D.D.)
| | - Annabelle Gressier
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France; (S.B.); (B.M.E.); (A.G.); (T.L.G.); (R.P.); (J.-D.D.)
| | - Tanguy Le Grand
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France; (S.B.); (B.M.E.); (A.G.); (T.L.G.); (R.P.); (J.-D.D.)
| | - Richard Pougnet
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France; (S.B.); (B.M.E.); (A.G.); (T.L.G.); (R.P.); (J.-D.D.)
- Laboratoire d’Etude et de Recherche en Sociologie (EA 3149), Université de Brest—Bretagne Occidentale, F-29200 Brest, France
| | - Jean-Dominique Dewitte
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France; (S.B.); (B.M.E.); (A.G.); (T.L.G.); (R.P.); (J.-D.D.)
- Laboratoire d’Etude et de Recherche en Sociologie (EA 3149), Université de Brest—Bretagne Occidentale, F-29200 Brest, France
| | - Brice Loddé
- ORPHY Laboratory, University Brest, F-29200 Brest, France;
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France; (S.B.); (B.M.E.); (A.G.); (T.L.G.); (R.P.); (J.-D.D.)
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20
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Impact de la pandémie COVID-19 sur le sommeil du personnel soignant. LA PRESSE MÉDICALE FORMATION 2021. [PMCID: PMC8223164 DOI: 10.1016/j.lpmfor.2021.06.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
La pandémie liée à la COVID-19 a altéré de manière significative et importante la qualité du sommeil du personnel soignant. Avec des différences selon le questionnaire utilisé, la spécialité du professionnel, et le pays étudié, environ la moitié des soignants ont développé des troubles du sommeil lors de cette crise sanitaire. Les troubles du sommeil étaient marqués principalement par des symptômes d’insomnie, une mauvaise qualité du sommeil, un temps total de sommeil réduit, et des cauchemars fréquents. Les altérations du sommeil affectaient à la fois les soignants de première et de seconde ligne au cours de la pandémie liée à la COVID. Les études évaluant le sommeil des soignants confirment l’importance de diffuser les recommandations publiées par les experts du sommeil.
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21
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Fiest KM, Parsons Leigh J, Krewulak KD, Plotnikoff KM, Kemp LG, Ng-Kamstra J, Stelfox HT. Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review. BMC Psychiatry 2021; 21:91. [PMID: 33568141 PMCID: PMC7875435 DOI: 10.1186/s12888-021-03090-9] [Citation(s) in RCA: 39] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Accepted: 02/02/2021] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Prior to the COVID-19 pandemic, physicians experienced unprecedented levels of burnout. The uncertainty of the ongoing COVID-19 pandemic along with increased workload and difficult medical triage decisions may lead to a further decline in physician psychological health. METHODS We searched Medline, EMBASE, and PsycINFO for primary research from database inception (Medline [1946], EMBASE [1974], PsycINFO [1806]) to November 17, 2020. Titles and abstracts were screened by one of three reviewers and full-text article screening and data abstraction were conducted independently, and in duplicate, by three reviewers. RESULTS From 6223 unique citations, 480 articles were reviewed in full-text, with 193 studies (of 90,499 physicians) included in the final review. Studies reported on physician psychological symptoms and management during seven infectious disease outbreaks (severe acute respiratory syndrome [SARS], three strains of Influenza A virus [H1N1, H5N1, H7N9], Ebola, Middle East respiratory syndrome [MERS], and COVID-19) in 57 countries. Psychological symptoms of anxiety (14.3-92.3%), stress (11.9-93.7%), depression (17-80.5%), post-traumatic stress disorder (13.2-75.2%) and burnout (14.7-76%) were commonly reported among physicians, regardless of infectious disease outbreak or country. Younger, female (vs. male), single (vs. married), early career physicians, and those providing direct care to infected patients were associated with worse psychological symptoms. INTERPRETATION Physicians should be aware that psychological symptoms of anxiety, depression, fear and distress are common, manifest differently and self-management strategies to improve psychological well-being exist. Health systems should implement short and long-term psychological supports for physicians caring for patients with COVID-19.
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Affiliation(s)
- Kirsten M Fiest
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada.
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada.
- O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, 3134 Hospital Drive NW, Calgary, Alberta, T2N4Z6, Canada.
| | - Jeanna Parsons Leigh
- O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, 3134 Hospital Drive NW, Calgary, Alberta, T2N4Z6, Canada
- School of Health Administration, Faculty of Health and Department of Critical Care Medicine, Faculty of Medicine, Dalhousie University, 5850 College Street, Halifax, Nova Scotia, B3H4R2, Canada
| | - Karla D Krewulak
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Kara M Plotnikoff
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Laryssa G Kemp
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Joshua Ng-Kamstra
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
| | - Henry T Stelfox
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3134 Hospital Drive NW, Calgary, T2N4Z6, Canada
- O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, 3134 Hospital Drive NW, Calgary, Alberta, T2N4Z6, Canada
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22
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Flateau C, Noël C, Bonnafoux A, Fuentes E, de Pontfarcy A, Diamantis S. Psychological impact of the SARS-CoV-2 outbreak on the staff of a French hospital. Infect Dis Now 2021; 51:187-193. [PMID: 33495766 PMCID: PMC7816966 DOI: 10.1016/j.idnow.2021.01.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Revised: 01/04/2021] [Accepted: 01/11/2021] [Indexed: 12/24/2022]
Abstract
Background The outbreak of SARS-CoV-2 has resulted in anxiety, depression and post-traumatic stress disorder (PTSD) among hospital staff. The factors associated with this psychological impact remain to be determined. Methods A cross-sectional study using an online questionnaire completed by the staff of a French hospital, two months after the SARS-CoV-2 outbreak. Results Among the 353 participants (of whom 67% were healthcare professionals), 32% had symptoms of anxiety, 16% of depression and 16% of PTSD. Eleven per cent had initiated or increased treatment with sleeping pills, and 6% with anxiolytics. In a multivariate analysis, factors independently associated with anxiety were: change of professional team, having a relative infected by SARS-CoV-2 and a new/increased treatment with sleeping pills or anxiolytics. The only factor associated with depression was the feeling of risk during professional practice. The factors associated with PTSD were: having a relative infected by SARS-CoV-2, the feeling of risk during professional practice, the increase in smoking and treatment with sleeping pills. The observance of transmission preventive measures (TPM) was not associated with the psychological impact of SARS-CoV-2. A personal history of SARS-CoV-2 infection and age < 36 years were associated with insufficient use of protective equipment. Age < 36 years, and being a healthcare professional were associated with the non-observance of social distancing. Conclusion The hospital staff displayed psychological consequences, resulting in the use of anxiolytics and sleeping pills. Belonging to a group with low-risk of severe disease was associated with lower observance of TPM.
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Affiliation(s)
- C Flateau
- Service des maladies infectieuses, Santépôle, groupe hospitalier Sud Île-de-France, 270, avenue Marc-Jacquet, 77000 Melun, France
| | - C Noël
- Équipe mobile opérationnelle d'hygiène, Santépôle, groupe hospitalier Sud Île-de-France, 270, avenue Marc-Jacquet, 77000 Melun, France
| | - A Bonnafoux
- Pôle médecine, Santépôle, groupe hospitalier Sud Île-de-France, 270, avenue Marc-Jacquet, 77000 Melun, France
| | - E Fuentes
- Pôle médecine, Santépôle, groupe hospitalier Sud Île-de-France, 270, avenue Marc-Jacquet, 77000 Melun, France
| | - A de Pontfarcy
- Service des maladies infectieuses, Santépôle, groupe hospitalier Sud Île-de-France, 270, avenue Marc-Jacquet, 77000 Melun, France
| | - S Diamantis
- Service des maladies infectieuses, Santépôle, groupe hospitalier Sud Île-de-France, 270, avenue Marc-Jacquet, 77000 Melun, France
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