N U Farrukh Hameed1, Yixin Ma1, Zili Zhen2, Shuai Wu1, Rui Feng1, Weiping Li3, Guodong Huang3, Jinsong Wu1, Zhongping Chen4. 1. Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, 201206, China. 2. Department of General Surgery, Jinshan Hospital, Fudan University, Shanghai, 201206, China. 3. Department of Neurosurgery, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518035, China. 4. Department of Neurosurgery, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518035, China. chenzhp@sysucc.org.cn.
Abstract
BACKGROUND: The Coronavirus disease 2019 (COVID-19) pandemic has extraordinarily impacted global healthcare. Neuro-oncological surgery units have peculiar features that make them highly relevant in the strategic reaction to the pandemic. In this Chinese Society of Neuro-Oncology (CSNO) initiated survey, we appraise the changes implemented in neuro-oncological surgery hospitals across different Asian countries and provide expert recommendations for responses at different stages of the pandemic. METHODS: We performed a 42-question survey of the early experience of neuro-oncological surgery practice in hospitals across different Asian countries on April 1, 2020, with responses closed on April 18, 2020. RESULTS: 144 hospitals completed the questionnaire. Most were in WHO post-peak phase of the pandemic and reported a median reduction in neuro-oncological surgery volume of 25-50%. Most (67.4%) resumed elective surgery in only COVID-19 negative patients;11.1% performed only emergency cases irrespective of COVID-19 status;2.1% suspended all surgical activity. Ninety-one (63.2%) relocated personnel from neurosurgery to other departments. Fifty-two (36.1%) hospitals suspended post-operative adjuvant therapy and 94 (65.2%) instituted different measures to administer post-operative adjuvant therapy. Majority (59.0%) of the hospitals suspended research activity. Most (70%) respondents anticipate that current neurosurgery restrictions will continue to remain for > 1 month. CONCLUSIONS: Majority of the respondents to our survey reported reduced neuro-oncological surgery activity, policy modification, personnel reallocation, and curtailment of educational/research activities in response to the COVID-19 pandemic. The persistent widespread interruption of surgical neuro-oncology in even post-peak phases of the pandemic raises serious concerns about the long-term impact of the pandemic on neuro-oncological patients and highlights the essence of timely measures for pandemic preparedness, patient triage, and workforce protection.
BACKGROUND: The Coronavirus disease 2019 (COVID-19) pandemic has extraordinarily impacted global healthcare. Neuro-oncological surgery units have peculiar features that make them highly relevant in the strategic reaction to the pandemic. In this Chinese Society of Neuro-Oncology (CSNO) initiated survey, we appraise the changes implemented in neuro-oncological surgery hospitals across different Asian countries and provide expert recommendations for responses at different stages of the pandemic. METHODS: We performed a 42-question survey of the early experience of neuro-oncological surgery practice in hospitals across different Asian countries on April 1, 2020, with responses closed on April 18, 2020. RESULTS: 144 hospitals completed the questionnaire. Most were in WHO post-peak phase of the pandemic and reported a median reduction in neuro-oncological surgery volume of 25-50%. Most (67.4%) resumed elective surgery in only COVID-19 negative patients;11.1% performed only emergency cases irrespective of COVID-19 status;2.1% suspended all surgical activity. Ninety-one (63.2%) relocated personnel from neurosurgery to other departments. Fifty-two (36.1%) hospitals suspended post-operative adjuvant therapy and 94 (65.2%) instituted different measures to administer post-operative adjuvant therapy. Majority (59.0%) of the hospitals suspended research activity. Most (70%) respondents anticipate that current neurosurgery restrictions will continue to remain for > 1 month. CONCLUSIONS: Majority of the respondents to our survey reported reduced neuro-oncological surgery activity, policy modification, personnel reallocation, and curtailment of educational/research activities in response to the COVID-19 pandemic. The persistent widespread interruption of surgical neuro-oncology in even post-peak phases of the pandemic raises serious concerns about the long-term impact of the pandemic on neuro-oncological patients and highlights the essence of timely measures for pandemic preparedness, patient triage, and workforce protection.
Authors: John F Burke; John K Yue; Laura B Ngwenya; Ethan A Winkler; Jason F Talbott; Jonathan Z Pan; Adam R Ferguson; Michael S Beattie; Jacqueline C Bresnahan; Jenny Haefeli; William D Whetstone; Catherine G Suen; Michael C Huang; Geoffrey T Manley; Phiroz E Tarapore; Sanjay S Dhall Journal: Neurosurgery Date: 2019-08-01 Impact factor: 4.654
Authors: Patrick M Flanigan; Arman Jahangiri; Ruby Kuang; Albert Truong; Sarah Choi; Alvin Chou; Jonathan W Rick; Susan M Chang; Annette M Molinaro; Michael W McDermott; Mitchel S Berger; Manish K Aghi Journal: Neurosurgery Date: 2017-11-01 Impact factor: 4.654
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Sarah Cornell; Suresh Pillai; Rachel Harford; Tabitha Rees; Helen Ivatt; Ajay Sundara Raman; Miriam Davey; Kelvin Lee; Russell Barber; Manish Chablani; Farooq Brohi; Vijay Jagannathan; Michele Clark; Sarah Purvis; Bill Wetherill; Ahilanandan Dushianthan; Rebecca Cusack; Kim de Courcy-Golder; Simon Smith; Susan Jackson; Ben Attwood; Penny Parsons; Valerie Page; Xiao Bei Zhao; Deepali Oza; Jonathan Rhodes; Tom Anderson; Sheila Morris; Charlotte Xia Le Tai; Amy Thomas; Alexandra Keen; Stephen Digby; Nicholas Cowley; Laura Wild; David Southern; Harsha Reddy; Andy Campbell; Claire Watkins; Sara Smuts; Omar Touma; Nicky Barnes; Peter Alexander; Tim Felton; Susan Ferguson; Katharine Sellers; Joanne Bradley-Potts; David Yates; Isobel Birkinshaw; Kay Kell; Nicola Marshall; Lisa Carr-Knott; Charlotte Summers Journal: JAMA Date: 2020-10-06 Impact factor: 56.272
Authors: Juan Silvestre G Pascual; Katrina Hannah D Ignacio; Michelle Regina L Castillo; Kathleen Joy O Khu Journal: World Neurosurg Date: 2021-12-11 Impact factor: 2.104