How future surgery will benefit from SARS-COV-2-related measures: a SPIGC survey conveying the perspective of Italian surgeons
- Autori: Siragusa, Leandro; Angelico, Roberta; Angrisani, Marco; Zampogna, Biagio; Materazzo, Marco; Sorge, Roberto; Giordano, Luca; Meniconi, Roberto; Coppola, Alessandro; Annarita Marino, Giorgio Giraudo, Sofia Esposito, Alessia Urbani, Matteo De Pastena, Rodolfo Mastrapasqua, Mattia Garancini, Alice Frontal, Giovanni Pascal, Jacopo Martellucc, Francesco Falb, Alessandro Boscarelli, Pietro Bertoglio, Eleonora Trecca, Luca Galassi, Vincenzo Vento, Ambra Chiappini, Alessandro Antonelli, Francesco Bennardo, Filippo Familiari, Giuseppe Giannaccare, Andrea Sisto Zappia, Giuseppe Giuliani, Francesca Falcone, Stefano Sebastiani, Mauro Montuori, Stefano Rossi, Andrea Sagnotta, Beatrice Giuliani, Giusy Carmen Imbriani, Stefano Restaino, Lorenzo Andreani, Fabrizio Di Maria, Antonio Simone Laganà, Livio Vitiello, Federico Berton, Edoardo Virgilio, Marco Palisi, Luca Portigliotti, Marco Calussi, Luigi Conti, Claudio Mauriello, Mirko Barone, Edoardo Saladino, Alessia Giaquinta, Domenico Zerb, Giuseppe Frazzetta, Giovanni Merola, Andrea Chierici, Roberto Bini, Leonardo Centonze, Riccardo De Carlis, Luca Ferrario, Alessandro Giani, Andrea Lauterio, Nicolò Tamini, Stefano Corti, Emanuele Botteri, Jacopo Andreuccetti, Rossella D'Alessio, Giovanni Cestaro, Guglielmo Clarizia, Alessandro Spolini, Alberto Salvatore Carboni, Enrico Benzoni, Giampaolo Galiffa, Bruno Perotti, Massimiliano Veroux, Valentina Randazzo, Domenico Topa, Chiara Pranteda, Massimiliano Veroux, Giorgia Contini, Chiara Iacusso, Valerio Voglino, Pietro Vita, Francesco Maria Carrano, Luca Ambrosio, Roberto Cammarata, Gabriella Teresa Capolupo, Damiano Caputo, Filippo Carannante, Chiara Cascone, Francesco Esperto, Tommaso Farolfi, Luca Frasca, Ida Francesca Gallo, Giulia Gibin, Giancarlo Giurazza, Luca Improta, Vincenzo La Vaccara, Paolo Luffarelli, Daniela Luvero, Giovanni Marangi, Gianluca Masciana, Alessandro Mazzola, Erica Mazzotta, Chiara Isabella Miligi, Nunzio Montelione, Antonio Nenna, Paolo Orsaria, Rocco Papalia, Giuseppe Francesco Papalia, Francesco Rosario Parisi, Francesco Prata, Rosa Salzillo, Simone Santini, Francesco Sofo, Andrea Zampoli, Cinzia Tanda, Gaia Altieri, Francesco Ardito, Francesco Belia, Valentina Bianchi, Alberto Biondi, Giuseppe Brisinda, Marco Chiappetta, Gianluca Ciolli, Alessandro Ciolli, Federica Ferracci, Lorenzo Ferri, Valeria Fico, Claudio Fiorillo, Pietro Fransvea, Federica Galiandro, Francesco Giovinazzo, Antonio La Greca, Francesco Litta, Caterina Mele, Donato Paolo Pafundi, Elena Panettieri, Valerio Papa, Romeo Patini, Romeo Patini, Gerardo Perrotta, Caterina Puccioni, Pietro Santocchi, Giulia Armatura, Stefano Olmi, Gianmaria Casoni Pattacini, Stefano Salgarello, Mario Trompetto, Cristina Bombardini, Roberto La Rocca, Giuseppe Celentano, Andrea Micalef, Antonio Mazzella, Alberto Settembrini, Cesare Zoia, Luca Degrate, Giovanbattista Musumeci, Carmen Angela Maria Palopoli, Giulia Montori, Elena Bonati, Vincenza Paola Dinuzzi, Francesco Velluti, Andrea Balla, Davide Edoardo Bonasia, Diego Coletta, Giammauro Berardi, Marco Colasanti, Stefano Ferretti, Camilla Gasparoli, Germano Mariano, Stefano Avenia, Pasquale Cianci, Luca Cestino, Federico Festa, Federico Fazio, Francesca Ascari, Matteo Desio, Gabriela Aracelly Arroyo Murillo, Marco Cereda, Raffaele Galleano, Giulia David, Antonio Pansini, Carlo Gazia, Giulia Atzori, Lorenzo Ferro Desideri, Simone Famularo, Jacopo Galvanin, Veronica Maria Giudici, Giuseppe Mangiameli, Simona Mei, Flavio Milana, Andrea Pansa, Matteo Sacchi, Alberto Testori, Gabriele Di Carlo, Marco Paratore, Umberto Perrone, Aldo Vagge, Jacopo Viganò, Beatrice Torre, Mauro Alessandro Scotti, Gabriele Carbone, Raffaele Cerchione, Paola De Nardi, Lorenzo Gozzini, Luca Ottaviani, Carlotta Senni, Ottavio Piccin, Luca Pio, Francesco Colombo, Riccardo Avantifiori, Valeria Baldassarri, Roberto Caronna, Pierfranco Maria Cicerchia, Diletta Corallino, Daniele Crocetti, Gaetano Gallo, France
- Anno di pubblicazione: 2023
- Tipologia: Articolo in rivista
- OA Link: http://hdl.handle.net/10447/605033
Abstract
COVID-19 negatively affected surgical activity, but the potential benefits resulting from adopted measures remain unclear. The aim of this study was to evaluate the change in surgical activity and potential benefit from COVID-19 measures in perspective of Italian surgeons on behalf of SPIGC. A nationwide online survey on surgical practice before, during, and after COVID-19 pandemic was conducted in March-April 2022 (NCT:05323851). Effects of COVID-19 hospital-related measures on surgical patients' management and personal professional development across surgical specialties were explored. Data on demographics, pre-operative/peri-operative/post-operative management, and professional development were collected. Outcomes were matched with the corresponding volume. Four hundred and seventy-three respondents were included in final analysis across 14 surgical specialties. Since SARS-CoV-2 pandemic, application of telematic consultations (4.1% vs. 21.6%; p < 0.0001) and diagnostic evaluations (16.4% vs. 42.2%; p < 0.0001) increased. Elective surgical activities significantly reduced and surgeons opted more frequently for conservative management with a possible indication for elective (26.3% vs. 35.7%; p < 0.0001) or urgent (20.4% vs. 38.5%; p < 0.0001) surgery. All new COVID-related measures are perceived to be maintained in the future. Surgeons' personal education online increased from 12.6% (pre-COVID) to 86.6% (post-COVID; p < 0.0001). Online educational activities are considered a beneficial effect from COVID pandemic (56.4%). COVID-19 had a great impact on surgical specialties, with significant reduction of operation volume. However, some forced changes turned out to be benefits. Isolation measures pushed the use of telemedicine and telemetric devices for outpatient practice and favored communication for educational purposes and surgeon-patient/family communication. From the Italian surgeons' perspective, COVID-related measures will continue to influence future surgical clinical practice.