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Hey MT, Carroll M, Steel LB, Bryce-Alberti M, Hamzah R, Wittenberg RE, Ehsan A, Abdi H, Stewart L, Parikh R, Rauf R, Cellini J, Winslow K, Alty IG, McClain CD, Anderson GA. Surgical capacity is disaster preparedness: A scoping review of how surgery and anesthesiology departments responded to COVID-19. Am J Disaster Med 2024; 19:119-130. [PMID: 38698510 DOI: 10.5055/ajdm.0466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/05/2024]
Abstract
OBJECTIVE This study evaluated how surgical and anesthesiology departments adapted their resources in response to the coronavirus disease 2019 (COVID-19) pandemic. DESIGN This scoping review used the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews protocol, with Covidence as a screening tool. An initial search of PubMed, Embase, Web of Science, Global Index Medicus, and Cochrane Systematic Reviews returned 6,131 results in October 2021. After exclusion of duplicates and abstract screening, 415 articles were included. After full-text screening, 108 articles remained. RESULTS Most commonly, studies were retrospective in nature (47.22 percent), with data from a single institution (60.19 percent). Nearly all studies occurred in high-income countries (HICs), 78.70 percent, with no articles from low-income countries. The reported responses to the COVID-19 pandemic involving surgical departments were grouped into seven categories, with multiple responses reported in some articles for a total of 192 responses. The most frequently reported responses were changes to surgical department staffing (29.17 percent) and task-shifting or task-sharing of personnel (25.52 percent). CONCLUSION Our review reflects the mechanisms by which hospital surgical systems responded to the initial stress of the COVID-19 pandemic and reinforced the many changes to hospital policy that occurred in the pandemic. Healthcare systems with robust surgical systems were better able to cope with the initial stress of the COVID-19 pandemic. The well-resourced health systems of HICs reported rapid and dynamic changes by providers to assist in and ultimately improve the care of patients during the pandemic. Surgical system strengthening will allow health systems to be more resilient and prepared for the next disaster.
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Affiliation(s)
- Matthew T Hey
- Program in Global Surgery and Social Change, Harvard Medical School; Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts
| | - Madeleine Carroll
- Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts; Department of Surgery, Yale New Haven Hospital, New Haven, Connecticut
| | - Lili B Steel
- Division of Nutritional Sciences, Cornell University, Ithaca, New York
| | - Mayte Bryce-Alberti
- Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts
| | - Radzi Hamzah
- Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts
| | | | - Anam Ehsan
- Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts
| | - Hodan Abdi
- Program in Global Surgery and Social Change, Harvard Medical School; Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts
| | - Latoya Stewart
- Columbia University Vagelos College of Physicians and Surgeons, New York, New York
| | - Raina Parikh
- Department of General Surgery, University of Connecticut, Storrs, Connecticut
| | - Raisa Rauf
- Chobanian & Avedisian School of Medicine, Boston University, Boston, Massachusetts
| | | | - Kiana Winslow
- Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts
| | - Isaac G Alty
- Program in Global Surgery and Social Change, Harvard Medical School; Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts. ORCID: https://orcid.org/0000-0002-4867-1167
| | - Craig D McClain
- Program in Global Surgery and Social Change, Harvard Medical School; Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts
| | - Geoffrey A Anderson
- Program in Global Surgery and Social Change, Harvard Medical School; Division of Trauma, Burn, and Surgical Critical Care, Brigham and Woman's Hospital, Boston, Massachusetts
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Winslow K, Gerk A, Park K, Hyman G. Surgery's place in the UHC2030 Action Agenda. Lancet 2023; 402:1234. [PMID: 37741286 DOI: 10.1016/s0140-6736(23)01890-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Accepted: 09/05/2023] [Indexed: 09/25/2023]
Affiliation(s)
- Kiana Winslow
- Program in Global Surgery and Social Change, Harvard Medical School, Harvard University, Boston, MA 02115, USA
| | - Ayla Gerk
- Program in Global Surgery and Social Change, Harvard Medical School, Harvard University, Boston, MA 02115, USA
| | - Kee Park
- Program in Global Surgery and Social Change, Harvard Medical School, Harvard University, Boston, MA 02115, USA
| | - Gabriella Hyman
- Program in Global Surgery and Social Change, Harvard Medical School, Harvard University, Boston, MA 02115, USA; Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.
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Li M, Hill D, Vermesh M, Winslow K, Yang D, Surrey M. Pregnancies by PGD for translocation carriers using single interphase cell fish with chromosome-specific breakpoint spanning probes. Fertil Steril 2004. [DOI: 10.1016/j.fertnstert.2004.02.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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