Impact of the COVID-19 pandemic on the practice of endocrine surgery - 08/04/22

Doi : 10.1016/j.amjsurg.2021.07.009

Toni Beninato ^a,^⁎ , Amanda M. Laird ^a , Claire E. Graves ^b , F. Thurston Drake ^c , Amal Alhefdhi ^d , James A. Lee ^e , Jennifer H. Kuo ^e , Elizabeth G. Grubbs ^f , Tracy S. Wang ^g , Janice L. Pasieka ^h , Carrie C. Lubitz ⁱ
^a Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, 195 Little Albany Street, New Brunswick, NJ, 08903, USA
^b University of California Davis, 4501 X Street, Suite 3010, Sacramento, CA, 95817, USA
^c Boston Medical Center, Boston University School of Medicine, 830 Harrison Avenue, Boston, MA, 02118, USA
^d King Faisal Specialist Hospital and Research Centre, Al Mathar Ash Shamali, Riyadh, 11564, Saudi Arabia
^e NewYork Presbyterian Hospital-Columbia University Medical Center, 161 Fort Washington Avenue, New York, NY, 10032, USA
^f University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA
^g Medical College of Wisconsin, 8800 West Doyne Avenue, Milwaukee, WI, 53226, USA
^h Cumming School of Medicine, University of Calgary, 1403 29^thStreet NW, Calgary, Alberta, T2N 2T9, Canada
ⁱ Harvard Medical School, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA

^∗Corresponding author. Rutgers Cancer Institute of New Jersey, 195 Little Albany Street CINJ 3040, New Brunswick, NJ, 08903, USA.Rutgers Cancer Institute of New Jersey195 Little Albany Street CINJ 3040New BrunswickNJ08903USA

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Abstract

Background

This study investigates the impact of the COVID-19 pandemic on endocrine surgeons.

Methods

A survey on the professional, educational, and clinical impact was sent to active and corresponding members of the American Association of Endocrine Surgeons (AAES) in September 2020. Chi-square and paired t-test were used for analysis.

Results

77 surgeons responded (14.8 %). All reported suspension of elective surgeries; 37.7 % were reassigned to other duties during this time. The median number of cases backlogged was 30 (IQR 15–50). Most surgeons reported decreased clinical volume (74.6 %). The use of virtual platforms for clinical and educational purposes increased from pre-COVID-19 levels (all p < 0.001). Use of in-office procedures (p < 0.001) and length of observation prior to discharge for thyroid surgery (p < 0.05) decreased.

Conclusion

The COVID-19 pandemic led to suspension of operations and decreased practice volume for endocrine surgeons. Surgeons increased use of virtual platforms, decreased in-office procedures, and decreased duration of observation for thyroid surgery in response.

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Highlights

•	The COVID-19 pandemic led to suspension of elective endocrine surgical procedures.
•	Most surgeons reported decreased clinical volume and compensation during this time.
•	Use of virtual platforms for all facets of care significantly increased.
•	Use of ultrasound, fine needle-aspiration, and laryngoscopy decreased.
•	There was decreased duration of observation for patients undergoing thyroidectomy.

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Keywords : COVID-19, Endocrine surgery, Thyroid surgery, Telemedicine, Survey, Compensation

Plan

Introduction

Material and methods

Results

Demographics, practice volume, and compensation

Conferences and resident teaching

Change in practice patterns

Discussion

Conclusions

Funding

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Vol 223 - N° 4

P. 670-675 - avril 2022 Retour au numéro

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Impact of the COVID-19 pandemic on the practice of endocrine surgery - 08/04/22

Abstract

Background

Methods

Results

Conclusion

Highlights

Plan

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