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Barajas JN, Hornung AL, Kuzel T, Mallow GM, Park GJ, Rudisill SS, Louie PK, Harada GK, McCarthy MH, Germscheid N, Cheung JP, Neva MH, El-Sharkawi M, Valacco M, Sciubba DM, Chutkan NB, An HS, Samartzis D. The Impact of COVID-19 Pandemic on Spine Surgeons Worldwide: A One Year Prospective Comparative Study. Global Spine J 2024; 14:956-969. [PMID: 36176014 PMCID: PMC9527127 DOI: 10.1177/21925682221131540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
STUDY DESIGN Survey. OBJECTIVE In March of 2020, an original study by Louie et al investigated the impact of COVID-19 on 902 spine surgeons internationally. Since then, due to varying government responses and public health initiatives to the pandemic, individual countries and regions of the world have been affected differently. Therefore, this follow-up study aimed to assess how the COVID-19 impact on spine surgeons has changed 1 year later. METHODS A repeat, multi-dimensional, 90-item survey written in English was distributed to spine surgeons worldwide via email to the AO Spine membership who agreed to receive surveys. Questions were categorized into the following domains: demographics, COVID-19 observations, preparedness, personal impact, patient care, and future perceptions. RESULTS Basic respondent demographics, such as gender, age, home demographics, medical comorbidities, practice type, and years since training completion, were similar to those of the original 2020 survey. Significant differences between groups included reasons for COVID testing, opinions of media coverage, hospital unemployment, likelihood to be performing elective surgery, percentage of cases cancelled, percentage of personal income, sick leave, personal time allocation, stress coping mechanisms, and the belief that future guidelines were needed (P<.05). CONCLUSION Compared to baseline results collected at the beginning of the COVID-19 pandemic in 2020, significant differences in various domains related to COVID-19 perceptions, hospital preparedness, practice impact, personal impact, and future perceptions have developed. Follow-up assessment of spine surgeons has further indicated that telemedicine and virtual education are mainstays. Such findings may help to inform and manage expectations and responses to any future outbreaks.
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Affiliation(s)
- Juan N Barajas
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
- International Spine Research & Innovation Initiative (ISRII), Chicago, IL, USA
| | - Alexander L Hornung
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
- International Spine Research & Innovation Initiative (ISRII), Chicago, IL, USA
| | - Timothy Kuzel
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
- International Spine Research & Innovation Initiative (ISRII), Chicago, IL, USA
| | - Gary M Mallow
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
- International Spine Research & Innovation Initiative (ISRII), Chicago, IL, USA
| | - Grant J Park
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
- International Spine Research & Innovation Initiative (ISRII), Chicago, IL, USA
| | - Samuel S Rudisill
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
- International Spine Research & Innovation Initiative (ISRII), Chicago, IL, USA
| | - Philip K Louie
- Department of Neurosurgery, Neuroscience Institute, Virginia Mason Medical Center, Seattle, WA, USA
| | - Garrett K Harada
- Department of Radiation Oncology, University of California Irvine, Orange, CA, USA
| | | | | | - Jason Py Cheung
- Department of Orthopaedics & Traumatology, The University of Hong Kong, Hong Kong, SAR China
| | - Marko H Neva
- Department of Orthopaedic and Trauma Surgery, Tampere University Hospital, Tampere, Finland
| | - Mohammad El-Sharkawi
- Department of Orthopaedic and Trauma Surgery, Assiut University Medical School, Assiut, Egypt
| | - Marcelo Valacco
- Department of Orthopaedics, Churruca Hospital de Buenos Aires, Buenos Aires, Argentina
| | - Daniel M Sciubba
- Department of Neurosurgery, Donald and Barbara Zucker School of Medicine at Hofstra, Hempstead, NY, USA
| | - Norman B Chutkan
- Department of Orthopaedic Surgery, University of Arizona College of Medicine, Phoenix, AZ, USA
| | - Howard S An
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
- International Spine Research & Innovation Initiative (ISRII), Chicago, IL, USA
| | - Dino Samartzis
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
- International Spine Research & Innovation Initiative (ISRII), Chicago, IL, USA
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Kuo CC, Aguirre AO, Kassay A, Donnelly BM, Bakr H, Aly M, Ezzat AA, Soliman MA. A look at the global impact of COVID-19 pandemic on neurosurgical services and residency training. Sci Afr 2023; 19:e01504. [PMID: 36531434 PMCID: PMC9747235 DOI: 10.1016/j.sciaf.2022.e01504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 11/18/2022] [Accepted: 12/12/2022] [Indexed: 12/15/2022] Open
Abstract
Background The COVID-19 pandemic has left an indelible effect on healthcare delivery and education system, including residency training. Particularly, neurosurgical departments worldwide had to adapt their operating model to the constantly changing pandemic landscape. This review aimed to quantify the reduction in neurosurgical operative volume and describe the impact of these trends on neurosurgical residency training. Methods We performed a comprehensive search of PubMed and EMBASE between December 2019 and October 2022 to identify studies comparing pre-pandemic and pandemic neurosurgical caseloads as well as articles detailing the impact of COVID-19 on neurosurgery residency training. Statistical analysis of quantitative data was presented as pooled odds ratio (OR) and 95% confidence intervals (CI). Results A total of 49 studies met the inclusion criteria, of which 12 (24.5%) were survey-based. The case volume of elective surgeries and non-elective procedures decreased by 70.4% (OR=0.296, 95%CI 0.210-0.418) and 68.2% (OR=0.318, 95%CI 0.193-0.525), respectively. A significant decrease was also observed in functional (OR=0.542, 95%CI 0.394-0.746), spine (OR=0.545, 95%CI 0.409-0.725), and skull base surgery (OR=0.545, 95%CI 0.409-0.725), whereas the caseloads for tumor (OR=1.029, 95%CI 0.838-1.263), trauma (OR=1.021, 95%CI 0.846-1.232), vascular (OR=1.001, 95%CI 0.870-1.152), and pediatric neurosurgery (OR=0.589, 95%CI 0.344-1.010) remained relatively the same between pre-pandemic and pandemic periods. The reduction in caseloads had caused concerns among residents and program directors in regard to the diminished clinical exposure, financial constraints, and mental well-being. Some positives highlighted were rapid adaptation to virtual educational platforms and increasing time for self-learning and research activities. Conclusion While COVID-19 has brought about significant disruptions in neurosurgical practice and training, this unprecedented challenge has opened the door for technological advances and collaboration that broaden the accessibility of resources and reduce the worldwide gap in neurosurgical education.
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Affiliation(s)
- Cathleen C. Kuo
- Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, NY, USA
| | - Alexander O. Aguirre
- Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, NY, USA
| | - Andrea Kassay
- Department of Neurosurgery, Western University, Windsor, Canada
| | - Brianna M. Donnelly
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hofstra University, Hempstead, NY, USA
| | | | - Mohamed Aly
- Department of Radiology, National Heart Institute, Giza, Egypt
| | - Ahmed A.M. Ezzat
- Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Mohamed A.R. Soliman
- Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt,Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, NY, USA,Corresponding author at: Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt
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David AB, Park CL, Awao S, Vega S, Zuckerman MS, White TF, Hanna D. Religiousness in the first year of COVID-19: A systematic review of empirical research. Curr Res Ecol Soc Psychol 2022; 4:100075. [PMID: 36447517 PMCID: PMC9694412 DOI: 10.1016/j.cresp.2022.100075] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 08/07/2022] [Accepted: 11/24/2022] [Indexed: 06/08/2023]
Abstract
The COVID-19 pandemic emerged suddenly in early 2020, posing a serious health threat and creating tremendous stress and distress across the world. Religion has been shown to play important and varied roles in previous disasters and health crises, but its roles in the pandemic have yet to be outlined. We aimed to summarize the research conducted on religion and COVID-19 in the first year of the pandemic with a systematic review of studies that specifically involved individual-level religiousness and COVID-19. Searches were conducted in PubMed, Scopus, CINAHL, and PsycINFO covering a one-year period from the first published mention of the novel coronavirus (Jan. 5, 2020) through January 4, 2021. We included articles about COVID-19 that were peer-reviewed and empirical, measured and reported results on religion on an individual level, and were available in English. Our search produced 137 empirical articles that met the inclusion criteria. In the course of sorting studies by their primary focus, eight categories of empirical findings emerged: general distress and wellbeing (53 articles), COVID-19-specific stress (24 articles), beliefs in science, conspiracies, and misinformation (15 articles), COVID-19 public health behaviors (12 articles), perceived risk of COVID-19 (10 articles), perceived growth or positive changes taking place during the pandemic (nine articles), health behaviors (three articles), and consumer behavior (three articles). Findings indicated that religiousness was associated with both unique benefits and challenges and played a significant role in the pandemic. Religiousness was associated with a broad range of outcomes across geographical regions and populations during the first year of COVID-19. It was a commonly reported coping mechanism with varying levels of favorable associations with mental health and COVID-19-related behaviors.
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Affiliation(s)
- Adam B David
- Department of Psychological Sciences, University of Connecticut, 406 Babbidge Rd., Storrs, CT 06269, United States
| | - Crystal L Park
- Department of Psychological Sciences, University of Connecticut, 406 Babbidge Rd., Storrs, CT 06269, United States
| | - Sayaka Awao
- Department of Psychological Sciences, University of Connecticut, 406 Babbidge Rd., Storrs, CT 06269, United States
| | - Solmary Vega
- Department of Psychological Sciences, University of Connecticut, 406 Babbidge Rd., Storrs, CT 06269, United States
| | - Madison S Zuckerman
- Department of Psychological Sciences, University of Connecticut, 406 Babbidge Rd., Storrs, CT 06269, United States
| | - Tyler F White
- Department of Psychological Sciences, University of Connecticut, 406 Babbidge Rd., Storrs, CT 06269, United States
| | - David Hanna
- Department of Psychological Sciences, University of Connecticut, 406 Babbidge Rd., Storrs, CT 06269, United States
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Tanaka M, Kanayama M, Hashimoto T, Oha F, Shimamura Y, Tsujimoto T, Hasegawa Y, Nojiri H, Ishijima M. Trends of Spine Surgeries during the First COVID-19 Semi-Lockdown: Survey in a Non-Epidemic Region in Japan. Spine Surg Relat Res 2022; 6:109-114. [PMID: 35478977 PMCID: PMC8995125 DOI: 10.22603/ssrr.2021-0208] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 12/06/2021] [Indexed: 12/30/2022] Open
Abstract
Introduction Methods Results Conclusions
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Affiliation(s)
| | | | | | | | | | | | | | - Hidetoshi Nojiri
- Department of Orthopaedic Surgery, Juntendo University Graduate School of Medicine
| | - Muneaki Ishijima
- Department of Orthopaedic Surgery, Juntendo University Graduate School of Medicine
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Achour M, Souici D, Bensaid B, Binti Ahmad Zaki N, Alnahari AAA. Coping with Anxiety During the COVID-19 Pandemic: A Case Study of Academics in the Muslim World. J Relig Health 2021; 60:4579-4599. [PMID: 34514548 PMCID: PMC8435299 DOI: 10.1007/s10943-021-01422-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/31/2021] [Indexed: 05/03/2023]
Abstract
The COVID-19 pandemic has been a global phenomenon defined by uncertainty, fear and grief which has resulted in record high levels of stress and anxiety in the first half of 2020. It also led to an increased interest in the study of the role of belief, religion, and spirituality as responses to coping with and responding to the pandemic throughout different societal domains. This study explores the impact of anxiety and stress caused by the pandemic on Muslim academics' subjective well-being. It also explores correlations between coping and spirituality by assessing Muslim academics' coping strategies in overcoming stress and anxiety. To this end, this study sampled 480 Muslim academics ages 25-60 years residing in Muslim countries. The findings show a negative yet significant correlation between anxiety and well-being while also showing a positive and significant correlation between coping strategies and subjective well-being. The research also points to the role of coping strategies in reducing anxiety and stress, the resulting improvements in well-being for Muslim academics, and the mediating effect of coping strategies between anxiety, stress, and well-being for Muslim academics.
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Affiliation(s)
- Meguellati Achour
- Laboratory of Economic Studies On Industrial Zones in Light of the New Role of the University, Department of Management, Faculty of Economics, Business and Management Sciences, University of Mohamed, El Bachir El-Ibrahimi, Bordj-Bou Arreridj, El Anceur, Algeria
| | - Dahmane Souici
- Department of Psychology, Educational Sciences and Orthophony, Faculty of Human and Social Sciences, University of Batna 1, Batna, Algeria
| | | | - Nurulhuda Binti Ahmad Zaki
- Fiqh and Usul Department, Academy of Islamic Studies, University of Malaya, 50603 Kuala Lumpur, Malaysia
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Abstract
BACKGROUND During the COVID-19 pandemic, hospital staff have experienced a variety of mental health challenges. European research on anxiety and stress among hospital workers during the pandemic is limited. This study aimed to describe the anxiety levels of Finnish hospital workers during the COVID-19 pandemic. METHODS The multidimensional, cross-sectional survey was distributed to all hospital staff working at two Finnish specialized medical care centres in the spring of 2020 (n = 1,995). The Generalized Anxiety Disorder 7-item (GAD-7) scale was used to measure the workers' anxiety. RESULTS The total mean GAD-7 score was 4.88, indicating normal anxiety levels. However, 30% (n = 1,079) of the respondents had mild, 10% (n = 194) moderate and 5% (n = 88) severe anxiety. Key risk factors were young age, working in a university hospital, problems in cooperation between co-workers, difficulty concentrating at work, a health-threatening physical and psychological workload, and a fear of being infected at work. CONCLUSION Hospital staff experienced a variety of work-related stress and anxiety issues that should be visible to hospital administrators and policymakers alike. The anxiety is independent of whether the worker is directly involved in caring for or in any way coming into contact with COVID-19 patients. Key message Fifty-five percent of hospital staff have normal anxiety levels. The remaining workers may need targeted support interventions, and a smaller proportion (15%) are in danger of developing longer-term problems affecting their well-being. The anxiety experienced by hospital workers during the COVID-19 pandemic is more severe than that of the population on average. If the pandemic continues, the well-being of hospital staff may be widely threatened. Despite the different geographical locations and COVID-19 situations, hospital workers in Finland and China had similar anxiety levels. The anxiety is independent of whether staff are working in the front line of managing the COVID-19 pandemic or of the number of covid-19 patients admitted to the hospital. The hospital workers felt anxiety because they were facing a new situation which causes changes in their work and daily routine. Health care employers should engage in long-term follow-up as regards the personnel's recovery from the burden caused by the pandemic and from work in general. It is necessary to make easily attainable, flexibly delivered and cost-effective treatment interventions for anxiety available to hospital staff.
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Affiliation(s)
- Elina Mattila
- Administration Centre, Tampere University Hospital, Tampere, Finland
| | | | - Marko H. Neva
- Department of Orthopaedic and Trauma Surgery, Tampere University Hospital, Tampere, Finland
| | - Marja Kaunonen
- Administration Centre, Tampere University Hospital, Tampere, Finland
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Mika Helminen
- Tays Research Services, Tampere University Hospital, Tampere, Finland
- Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland
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Mohammadpour M, Zarifinezhad E, Ghanbarzadegan A, Naderimanesh K, Shaarbafchizadeh N, Bastani P. Main Factors Affecting the Readiness and Responsiveness of Healthcare Systems during Epidemic Crises: A Scoping Review on Cases of SARS, MERS, and COVID-19. Iran J Med Sci 2021; 46:81-92. [PMID: 33753952 PMCID: PMC7966936 DOI: 10.30476/ijms.2020.87608.1801] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Background: Given the significance of the preparedness and responsiveness of healthcare systems in relation to epidemics, this study aimed to determine their influencing factors during epidemic crises with a view to utilizing the findings in the battle against the coronavirus disease 2019 (COVID-19) outbreak. Methods: This scoping study was conducted in 2020 via the Arksey and O’Malley approach. A systematic search was conducted on five online databases from January 2000 to June 15, 2020. Initially, 1926 English articles were retrieved based on their abstracts. After the screening process, 60 articles were considered for the final analysis. Data were charted by applying Microsoft Office Excel 2013 and were synthesized via thematic analysis. Results: Five main factors have affected the responsiveness and preparedness of countries during the epidemics of severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), and COVID-19: community-related interventions, managerial interventions, socioeconomic factors, the readiness of hospitals and health centers, and environmental factors. These themes are associated with 38 related sub-themes. The thematic framework shows that interactions between these five determinantes can affect the preparedness and responsiveness of healthcare systems during pandemics/epidemics. Conclusion: According to the results, healthcare systems need to pay attention to their internal capacities, managerial interventions, and health centers to overcome the current pandemic. They should also consider such external factors as socioeconomic and environmental determinants that can affect their potential preparedness against pandemic/epidemic crises. Community-related interventions such as improvement of the community health literacy, teamwork, and social responsibility can enhance the readiness of healthcare systems against the COVID-19 outbreak.
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Affiliation(s)
- Mohammadtaghi Mohammadpour
- Department of Health Care Management and Health Economics, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Effat Zarifinezhad
- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Arash Ghanbarzadegan
- Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
| | - Khodadad Naderimanesh
- Social Determinant of Health Research Centre, Yasuj University of Medical Sciences, Yasuj, Iran
| | - Nasrin Shaarbafchizadeh
- Health Management and Economics Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Peivand Bastani
- Health Human Resources Research Centre, School of Health Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
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Saad-Ilyas M, Zehra U, Khan UU, Mohammad I, Muhammad R, Aziz A. Orthopaedic Practices and Surgeries during COVID-19 in Pakistan - A Survey Based Study. Malays Orthop J 2021; 15:72-78. [PMID: 33880151 PMCID: PMC8043628 DOI: 10.5704/moj.2103.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Introduction: The study aimed to target the current practices of the orthopaedic community in outpatient (OPD), emergency (ER) and surgical services (OT) during COVID-19. Material and method: This study surveyed 303 orthopaedic surgeons from all over Pakistan. The survey had 30 questions targeting the setup of outpatient, emergency and operation services in orthopaedic departments of different hospitals in Pakistan. Result: A total of 302 surgeons were included from 53 cities all over Pakistan. Between 35-48% of the respondents reported lack of availability of standard operating procedures in OPD, ER and in OT. Majority of the respondents noted that their OPD and surgical practice had been affected to some degree and 69% of the surgeons were only doing trauma surgery. This trend was higher in younger consultants of less than 45 years of age (p<0.001). Almost two-third of the surgeons, mostly senior (p=0.03) were using surgical masks as the only protective measure during various practices of OPD, ER and OT, while most of the setups were not assessing patients even for signs and symptoms of COVID. Almost 89% of the orthopaedic community is facing definite to mild stress during this pandemic and this has significantly affected the senior surgeons (p=0.01). Conclusion: Our study highlighted that COVID-19 has resulted in marked changes to the practices of the majority of Pakistani orthopaedic surgeons. Despite a sharp upsurge in the number of cases and mortality due to COVID-19, guidelines were still lacking at most of the settings and a substantial percentage of the orthopaedic community were not following adequate safety measures while attending to patients.
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Affiliation(s)
- M Saad-Ilyas
- Department of Orthopaedics & Spine Surgery, Ghurki Trust Teaching Hospital, Lahore, Pakistan
| | - U Zehra
- Department of Anatomy, University of Health Sciences, Lahore, Pakistan
| | - U U Khan
- Department of Orthopaedic, Kabir Medical College, Peshawar, Pakistan
| | - I Mohammad
- Trauma Centre, Makhdoom Aali, Tehsil Dunyapur, Pakistan
| | - R Muhammad
- Department of Orthopaedics, Chandka Medical College, Larkana, Pakistan
| | - A Aziz
- Department of Orthopaedics & Spine Surgery, Ghurki Trust Teaching Hospital, Lahore, Pakistan
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Nolte MT, Harada GK, Louie PK, McCarthy MH, Sayari AJ, Mallow GM, Siyaji Z, Germscheid N, Cheung JPY, Neva MH, El‐Sharkawi M, Valacco M, Sciubba DM, Chutkan NB, An HS, Samartzis D. COVID-19: Current and future challenges in spine care and education - a worldwide study. JOR Spine 2020; 3:e1122. [PMID: 33392457 PMCID: PMC7770197 DOI: 10.1002/jsp2.1122] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Revised: 07/31/2020] [Accepted: 08/14/2020] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic has impacted spine care around the globe. Much uncertainty remains regarding the immediate and long-term future of spine care and education in this COVID-19 era. STUDY DESIGN Cross-sectional, international study of spine surgeons. METHODS A multi-dimensional survey was distributed to spine surgeons around the world. A total of 73 questions were asked regarding demographics, COVID-19 observations, personal impact, effect on education, adoption of telemedicine, and anticipated challenges moving forward. Multivariate analysis was performed to assess factors related to likelihood of future conference attendance, future online education, and changes in surgical indications. RESULTS A total of 902 spine surgeons from seven global regions completed the survey. Respondents reported a mean level of overall concern of 3.7 on a scale of one to five. 84.0% reported a decrease in clinical duties, and 67.0% reported a loss in personal income. The 82.5% reported being interested in continuing a high level of online education moving forward. Respondents who personally knew someone who tested positive for COVID-19 were more likely to be unwilling to attend a medical conference 1 year from now (OR: 0.61, 95% CI: [0.39, 0.95], P = .029). The 20.0% reported they plan to pursue an increased degree of nonoperative measures prior to surgery 1 year from now, and respondents with a spouse at home (OR: 3.55, 95% CI: [1.14, 11.08], P = .029) or who spend a large percentage of their time teaching (OR: 1.45, 95% CI: [1.02, 2.07], P = .040) were more likely to adopt this practice. CONCLUSIONS The COVID-19 pandemic has had an adverse effect on surgeon teaching, clinical volume, and personal income. In the future, surgeons with family and those personally affected by COVID-19 may be more willing to alter surgical indications and change education and conference plans. Anticipating these changes may help the spine community appropriately plan for future challenges.
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Affiliation(s)
- Michael T. Nolte
- Department of Orthopaedic SurgeryRush University Medical CenterChicagoIllinoisUSA
- The International Spine Research and Innovation InitiativeRUSH University Medical CenterChicagoUSA
| | - Garrett K. Harada
- Department of Orthopaedic SurgeryRush University Medical CenterChicagoIllinoisUSA
- The International Spine Research and Innovation InitiativeRUSH University Medical CenterChicagoUSA
| | - Philip K. Louie
- Department of Orthopaedic SurgeryHospital for Special SurgeryNew YorkNew YorkUSA
| | - Michael H. McCarthy
- Department of Orthopaedic SurgeryHospital for Special SurgeryNew YorkNew YorkUSA
| | - Arash J. Sayari
- Department of Orthopaedic SurgeryRush University Medical CenterChicagoIllinoisUSA
- The International Spine Research and Innovation InitiativeRUSH University Medical CenterChicagoUSA
| | - G. Michael Mallow
- Department of Orthopaedic SurgeryRush University Medical CenterChicagoIllinoisUSA
- The International Spine Research and Innovation InitiativeRUSH University Medical CenterChicagoUSA
| | - Zakariah Siyaji
- Department of Orthopaedic SurgeryRush University Medical CenterChicagoIllinoisUSA
- The International Spine Research and Innovation InitiativeRUSH University Medical CenterChicagoUSA
| | | | - Jason PY Cheung
- Department of Orthopaedics and TraumatologyThe University of Hong KongHong Kong
| | - Marko H. Neva
- Department of Orthopaedic and Trauma SurgeryTampere University HospitalTampereFinland
| | - Mohammad El‐Sharkawi
- Department of Orthopaedic and Trauma SurgeryAssiut University Medical SchoolAssiutEgypt
| | - Marcelo Valacco
- Department of OrthopaedicsChurruca Hospital de Buenos AiresBuenos AiresArgentina
| | - Daniel M. Sciubba
- Department of NeurosurgeryJohn Hopkins UniversityBaltimoreMarylandUSA
| | - Norman B. Chutkan
- Department of Orthopaedic SurgeryUniversity of Arizona College of MedicinePhoenixArizonaUSA
| | - Howard S. An
- Department of Orthopaedic SurgeryRush University Medical CenterChicagoIllinoisUSA
- The International Spine Research and Innovation InitiativeRUSH University Medical CenterChicagoUSA
| | - Dino Samartzis
- Department of Orthopaedic SurgeryRush University Medical CenterChicagoIllinoisUSA
- The International Spine Research and Innovation InitiativeRUSH University Medical CenterChicagoUSA
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Trumello C, Bramanti SM, Ballarotto G, Candelori C, Cerniglia L, Cimino S, Crudele M, Lombardi L, Pignataro S, Viceconti ML, Babore A. Psychological Adjustment of Healthcare Workers in Italy during the COVID-19 Pandemic: Differences in Stress, Anxiety, Depression, Burnout, Secondary Trauma, and Compassion Satisfaction between Frontline and Non-Frontline Professionals. Int J Environ Res Public Health 2020; 17:E8358. [PMID: 33198084 PMCID: PMC7696387 DOI: 10.3390/ijerph17228358] [Citation(s) in RCA: 161] [Impact Index Per Article: 40.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 11/03/2020] [Accepted: 11/09/2020] [Indexed: 12/11/2022]
Abstract
Emergency situations have been associated with negative psychological adjustment outcomes in healthcare professionals, although studies on the impact of the Coronavirus Disease 2019 (COVID-19) pandemic amongst Italian health workers are limited. The main aim of this study was to investigate the psychological adjustment of healthcare professionals during the peak of the COVID-19 pandemic, evaluating differences according to working or not with patients affected by COVID-19 and in areas with a more severe spread of this pandemic. Healthcare professionals' attitudes toward psychological support were analyzed. The levels of anxiety, depression, psychological stress, and professional quality of life (compassion satisfaction, burnout, and compassion fatigue) and attitudes toward psychological support were measured among 627 Italian healthcare workers (mean age = 40.55 years; SD = 11.49; range: 27-72). Significantly higher levels of stress, burnout, secondary trauma, anxiety, and depression were observed among professionals working with COVID-19 patients. Higher levels of stress and burnout and lower levels of compassion satisfaction were detected in professionals working in areas with higher rates of contagion. No interaction effects were found between working (or not) with patients affected by COVID-19 and working (or not) in areas with a more severe diffusion of this pandemic. Finally, in the group of professionals who worked with COVID-19 patients, the percentage of professionals who thought to ask for psychological support was twice that of the group that did not work with COVID-19 patients. The overall findings indicate that the mental health of frontline healthcare workers requires further consideration and that targeted prevention and intervention programs are necessary.
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Affiliation(s)
- Carmen Trumello
- Department of Psychological, Health and Territorial Sciences, University “G. d’Annunzio” of Chieti, via dei Vestini, 66100 Chieti, Italy; (C.T.); (S.M.B.); (C.C.); (M.C.); (L.L.); (S.P.); (M.L.V.)
| | - Sonia Monique Bramanti
- Department of Psychological, Health and Territorial Sciences, University “G. d’Annunzio” of Chieti, via dei Vestini, 66100 Chieti, Italy; (C.T.); (S.M.B.); (C.C.); (M.C.); (L.L.); (S.P.); (M.L.V.)
| | - Giulia Ballarotto
- Dipartimento di Psicologia Dinamica e Clinica, “Sapienza” Università di Roma, 00185 Roma, Italy; (G.B.); (S.C.)
| | - Carla Candelori
- Department of Psychological, Health and Territorial Sciences, University “G. d’Annunzio” of Chieti, via dei Vestini, 66100 Chieti, Italy; (C.T.); (S.M.B.); (C.C.); (M.C.); (L.L.); (S.P.); (M.L.V.)
| | - Luca Cerniglia
- Facoltà di Psicologia, Università Telematica Internazionale Uninettuno di Roma, 00186 Roma, Italy;
| | - Silvia Cimino
- Dipartimento di Psicologia Dinamica e Clinica, “Sapienza” Università di Roma, 00185 Roma, Italy; (G.B.); (S.C.)
| | - Monia Crudele
- Department of Psychological, Health and Territorial Sciences, University “G. d’Annunzio” of Chieti, via dei Vestini, 66100 Chieti, Italy; (C.T.); (S.M.B.); (C.C.); (M.C.); (L.L.); (S.P.); (M.L.V.)
| | - Lucia Lombardi
- Department of Psychological, Health and Territorial Sciences, University “G. d’Annunzio” of Chieti, via dei Vestini, 66100 Chieti, Italy; (C.T.); (S.M.B.); (C.C.); (M.C.); (L.L.); (S.P.); (M.L.V.)
| | - Silvia Pignataro
- Department of Psychological, Health and Territorial Sciences, University “G. d’Annunzio” of Chieti, via dei Vestini, 66100 Chieti, Italy; (C.T.); (S.M.B.); (C.C.); (M.C.); (L.L.); (S.P.); (M.L.V.)
| | - Maria Luisa Viceconti
- Department of Psychological, Health and Territorial Sciences, University “G. d’Annunzio” of Chieti, via dei Vestini, 66100 Chieti, Italy; (C.T.); (S.M.B.); (C.C.); (M.C.); (L.L.); (S.P.); (M.L.V.)
| | - Alessandra Babore
- Department of Psychological, Health and Territorial Sciences, University “G. d’Annunzio” of Chieti, via dei Vestini, 66100 Chieti, Italy; (C.T.); (S.M.B.); (C.C.); (M.C.); (L.L.); (S.P.); (M.L.V.)
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