Justin van der Tas1, Thomas Dodson2, Daniel Buchbinder3, Stefano Fusetti4, Michael Grant5, Yiu Yan Leung6, Erich Roethlisberger7, Gregorio Sánchez Aniceto8, Alexander Schramm9, Edward Bradley Strong10, Eppo Wolvius1. 1. Department of Oral and Maxillofacial Surgery, Erasmus MC, Rotterdam, the Netherlands. 2. Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Washington, Seattle, WA, USA. 3. Department of Otolaryngology, Head and Neck Surgery, Mount Sinai Beth Israel, New York, NY, USA. 4. Maxillofacial Surgery Unit, Department of Neuroscience, University of Padova Medical School, Padova, Italy. 5. Department of Plastic, Reconstructive and Maxillofacial Surgery, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, and Johns Hopkins University School of Medicine, Baltimore, MD, USA. 6. Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong. 7. AO CMF, Davos, Switzerland. 8. Department of Maxillofacial Surgery, University Hospital 12 de Octubre, Madrid, Spain. 9. Department of Oral and Plastic Maxillofacial Surgery, University and Military Hospital Ulm, Ulm, Germany. 10. Department of Otolaryngology, University of California, Davis, Sacramento, CA, USA.
Abstract
STUDY DESIGN: The COrona VIrus Disease-19 (COVID-19) pandemic has disrupted craniomaxillofacial (CMF) surgeons practice worldwide. We implemented a cross-sectional study and enrolled a sample of CMF surgeons who completed a survey. OBJECTIVE: To measure the impact that COVID-19 has had on CMF surgeons by (1) identifying variations that may exist by geographic region and specialty and (2) measuring access to adequate personal protective equipment (PPE) and identify factors associated with limited access to adequate PPE. METHODS: Primary outcome variable was availability of adequate PPE for health-care workers (HCWs) in the front line and surgeons. Descriptive and analytic statistics were computed. Level of statistical significance was set at P < .05. Binary logistic regression models were created to identify variables associated with PPE status (adequate or inadequate). RESULTS: Most of the respondents felt that hospitals did not provide adequate PPE to the HCWs (57.3%) with significant regional differences (P = .04). Most adequate PPE was available to surgeons in North America with the least offered in Africa. Differences in PPE adequacy per region (P < .001) and per country (P < .001) were significant. In Africa and South America, regions reporting previous virus outbreaks, the differences in access to adequate PPE evaporated compared to Europe (P = .18 and P = .15, respectively). CONCLUSION: The impact of COVID-19 among CMF surgeons is global and adversely affects both clinical practice and personal lives of CMF surgeons. Future surveys should capture what the mid- and long-term impact of the COVID-19 crisis will look like.
STUDY DESIGN: The COrona VIrus Disease-19 (COVID-19) pandemic has disrupted craniomaxillofacial (CMF) surgeons practice worldwide. We implemented a cross-sectional study and enrolled a sample of CMF surgeons who completed a survey. OBJECTIVE: To measure the impact that COVID-19 has had on CMF surgeons by (1) identifying variations that may exist by geographic region and specialty and (2) measuring access to adequate personal protective equipment (PPE) and identify factors associated with limited access to adequate PPE. METHODS: Primary outcome variable was availability of adequate PPE for health-care workers (HCWs) in the front line and surgeons. Descriptive and analytic statistics were computed. Level of statistical significance was set at P < .05. Binary logistic regression models were created to identify variables associated with PPE status (adequate or inadequate). RESULTS: Most of the respondents felt that hospitals did not provide adequate PPE to the HCWs (57.3%) with significant regional differences (P = .04). Most adequate PPE was available to surgeons in North America with the least offered in Africa. Differences in PPE adequacy per region (P < .001) and per country (P < .001) were significant. In Africa and South America, regions reporting previous virus outbreaks, the differences in access to adequate PPE evaporated compared to Europe (P = .18 and P = .15, respectively). CONCLUSION: The impact of COVID-19 among CMF surgeons is global and adversely affects both clinical practice and personal lives of CMF surgeons. Future surveys should capture what the mid- and long-term impact of the COVID-19 crisis will look like.
Authors: Russell M Viner; Simon J Russell; Helen Croker; Jessica Packer; Joseph Ward; Claire Stansfield; Oliver Mytton; Chris Bonell; Robert Booy Journal: Lancet Child Adolesc Health Date: 2020-04-06
Authors: Joel Hellewell; Sam Abbott; Amy Gimma; Nikos I Bosse; Christopher I Jarvis; Timothy W Russell; James D Munday; Adam J Kucharski; W John Edmunds; Sebastian Funk; Rosalind M Eggo Journal: Lancet Glob Health Date: 2020-02-28 Impact factor: 26.763