Evidence map›Paper›PMID 32407853›Full record

GuidelineThe Annals of thoracic surgery2020

Ramping Up Delivery of Cardiac Surgery During the COVID-19 Pandemic: A Guidance Statement From The Society of Thoracic Surgeons COVID-19 Task Force.

Daniel T Engelman, Sylvain Lother, Isaac George, Gorav Ailawadi, Pavan Atluri, Michael C Grant, Jonathan W Haft, Ansar Hassan, Jean-Francois Legare, Glenn Whitman and 2 more

Open access · greenAbstract readPractice Guideline
In one paragraph

Guideline in The Annals of thoracic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.4field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Cardiac Surgery Outcomes in an Epicenter of the COVID-19 Pandemic.Seminars in thoracic and cardiovascular surgery · 2022
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Commentary: "How to Slay the Aortic Dissection Beast in a COVID-19 World".Seminars in thoracic and cardiovascular surgery · 2021
    Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 2 countries.

Daniel T EngelmanHeart and Vascular Program, Baystate Health and University of Massachusetts Medical School-Baystate, Springfield, Massachusetts. Electronic address: daniel.engelman@baystatehealth.org.
Sylvain LotherSections of Critical Care and Infectious Diseases, Department of Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Isaac GeorgeDivision of Cardiothoracic Surgery, New York Presbyterian Hospital-Columbia University College of Physicians and Surgeons, New York Presbyterian Hospital, New York, New York.
Gorav AilawadiDepartment of Surgery, University of Virginia, Charlottesville, Virginia.
Pavan AtluriDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Michael C GrantDepartment of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Jonathan W HaftDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan.
Ansar HassanNew Brunswick Heart Centre, Saint John, New Brunswick, Canada.
Jean-Francois LegareNew Brunswick Heart Centre, Saint John, New Brunswick, Canada.
Glenn WhitmanDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Rakesh C AroraSection of Cardiac Surgery, Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada; Cardiac Sciences Program, St. Boniface Hospital, Winnipeg, Manitoba, Canada.
Society of Thoracic Surgeons COVID-19 Task Force and Workforce for Adult Cardiac and Vascular Surgery
Johns Hopkins Medicine · USUniversity of Manitoba · CABaystate Health · USColumbia University · USUniversity of Michigan–Ann Arbor · USUniversity of Pennsylvania · USUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has had a profound global impact. Its rapid transmissibility has transformed healthcare delivery and forced countries to adopt strict measures to contain its spread. The vast majority of the United States cardiac surgical programs have deferred all but truly emergent/urgent operative procedures in an effort to reduce the burden on the healthcare system and to mobilize resources to combat the pandemic surge. While the number of COVID-19 cases continue to increase worldwide, the incidence of new cases has begun to decline in many North American cities. This "flattening of the curve" has prompted interest in reopening the economy, relaxing public health restrictions, and resuming nonurgent healthcare delivery. The following document provides a template whereby adult cardiac surgical programs may begin to ramp-up the care delivery in a deliberate and graded fashion as the COVID-19 pandemic burden begins to ease. "Resuscitating" the timely delivery of care is guided by three principles: (1) Collaborate to permit increased case volumes, balancing the clinical needs of patients awaiting surgical procedures with the local resources available within each healthcare system. (2) Prioritize patients awaiting elective procedures while proactively engaging all stakeholders, focusing on those with high-risk anatomy, changing/symptomatic clinical status, and, once these variables have been addressed, prioritizing by waiting times. (3) Reevaluate local conditions continuously to assess for any increase in admissions due to a recrudescence of cases, to assure adequate resources to care for patients, and to monitor in-hospital infectious transmissions to both patients and healthcare workers.

Indexed as

Advisory CommitteesBetacoronavirusCardiac Surgical ProceduresCoronavirus InfectionsCOVID-19Delivery of Health CareHumansPandemicsPneumonia, ViralSARS-CoV-2SurgeonsThoracic Surgery

Identifiers

PMID32407853
PMCPMC7215160
OpenAlexW3024732497

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.