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Effect of COVID-19 pandemic on global Bariatric surgery PRActiceS – The COBRAS study - 12/07/21

Doi : 10.1016/j.orcp.2021.04.005 
Rishi Singhal a, b, , Abd A. Tahrani c, d, Nasser Sakran e, f, Miguel Herrera g, Vinod Menon h, Manish Khaitan i, Diego Foschi j, Jonathan Super k, Jorunn Sandvik l, m, Luigi Angrisani n, Nilton Kawahara o, Julio Teixeira p, Guilherme M. Campos q, Shanu Kothari r, Yitka Graham s, t, Christian Ludwig u, Kamal Mahawar v, w
a Department of Bariatric Surgery, Birmingham Heartlands Hospital, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK 
b Healthier Weight, UK 
c Metabolic Endocrinology and Obesity Medicine, Institute of Metabolism and Systems Research, University of Birmingham, UK 
d Diabetes and Weight Management, University Hospitals Birmingham NHS Foundation Trust, Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham, UK 
e Department of Surgery, Emek Medical Center, Afula, Israel 
f The Rappaport Faculty of Medicine, Technion, Haifa, Israel 
g Department of Surgery, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico 
h Department of Surgery, University Hospitals Coventry & Warwickshire NHS Trust, UK 
i Department of Bariatric Surgery, K D Hospital, Ahmedabad, India 
j Department of Surgery, Ospedale San Giuseppe, University of Milan, Milan, Italy 
k Department of Surgery, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London, UK 
l Department of Surgery, Møre and Romsdal Hospital Trust, Aalesund, Norway 
m Department of Surgery, St. Olav Hospital, Trondheim University Hospital, Trondheim, Norway 
n Department of Public Health, “Federico II” University of Naples, Naples, Italy 
o Department of General Surgery, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil 
p Lenox Hill Hospital, New York, USA 
q Division of Bariatric and Gastrointestinal Surgery, Department of Surgery, Virginia Commonwealth University, USA 
r Department of Surgery, Prisma Health, USA 
s Specialty Lead in Health Services Research, Faculty of Health Sciences and Wellbeing, Sunderland, UK 
t Department of Surgery, South Tyneside and Sunderland NHS Trust, Sunderland, UK 
u Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, UK 
v Department of Surgery, South Tyneside and Sunderland NHS Trust, Sunderland, UK 
w University of Sunderland, Sunderland, UK 

Corresponding author at: Department of Bariatric Surgery, Birmingham Heartlands Hospital, University Hospital Birmingham NHS Foundation Trust, Medical Director, Healthier Weight, Birmingham, UK.Department of Bariatric SurgeryBirmingham Heartlands HospitalUniversity Hospital Birmingham NHS Foundation Trust, Medical Director, Healthier WeightBirminghamUK

Highlights

Significant reduction in the volume of bariatric procedures globally.
High morbidity and mortality from bariatric procedures performed during the pandemic.
Disparity in the availability of Personal Protective Equipment globally.
Safeguards to allow for a safe resumption of bariatric surgery reported.

Le texte complet de cet article est disponible en PDF.

Abstract

Introduction

There is a paucity of data in scientific literature on the impact of Coronavirus Disease 2019 (COVID-19) pandemic on bariatric surgery. The aim of this study was to evaluate the impact of COVID-19 pandemic on Bariatric Surgery globally.

Methods

We conducted a global online survey of bariatric surgeons between 16/04/20 – 15/05/20. The survey was endorsed by five national bariatric surgery societies and circulated amongst their memberships. Authors also shared the link through their personal networks, email groups, and social media.

Results

703 respondents from 77 countries completed the survey. Respondents reported a drop in elective bariatric activity from a median (IQR) of 130 (60–250) procedures in 2019 to a median of 0 (0–2) between16/03/2020 and 15/04/2020 during the pandemic. The corresponding figures for emergency activity were 5 (2–10) and 0 (0–1) respectively. 441 (63%) respondents did not perform any bariatric procedures during this time period. Surgeons reported outcomes of 61 elective bariatric surgical procedures during the pandemic with 13 (21%) needing ventilation and 2 (3.3%) deaths. Of the 13 emergency bariatric procedures reported, 5 (38%) needed ventilation and 4 (31%) died. 90 (13%) surgeons reported having had to perform a bariatric surgical or endoscopic procedure without adequate Personal Protective Equipment.

Conclusions

COVID-19 pandemic led to a remarkable decline in global elective and emergency bariatric surgery activity at its beginning. Both elective and emergency procedures performed at this stage of the pandemic had considerable morbidity and mortality.

Le texte complet de cet article est disponible en PDF.

Keywords : Bariatric surgery, COVID-19, SARS CoV-2, Pandemic, Personal protective equipment, Survey, PPE


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© 2021  Asia Oceania Association for the Study of Obesity. Publié par Elsevier Masson SAS. Tous droits réservés.
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