Evidence map›Paper›PMID 32565039›Full record

ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2020

Delivery of hepato-pancreato-biliary surgery during the COVID-19 pandemic: an European-African Hepato-Pancreato-Biliary Association (E-AHPBA) cross-sectional survey.

Anita Balakrishnan, Mickael Lesurtel, Ajith K Siriwardena, Stefan Heinrich, Alejandro Serrablo, Marc G H Besselink, Mert Erkan, Bodil Andersson, Wojciech G Polak, Andrea Laurenzi and 11 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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  5. The Pancreas in Coronavirus Disease 2019 Infection.Gastroenterology clinics of North America · 2023
    Review
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  7. Effect of the COVID-19 pandemic on bariatric surgery in North America: a retrospective analysis of 834,647 patients.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2022
    Article
  8. Chinese expert recommendations on management of hepatocellular carcinoma during COVID-19 pandemic: a nationwide multicenter survey.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2022
    Article
  9. Article
  10. Article
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  13. Article
  14. Review
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  17. Coronavirus disease 2019 and the pancreas.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2020
    Review
  18. Article
  19. 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

21 authors at 20 institutions in 13 countries.

Anita BalakrishnanDepartment of Surgery, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, CB2 0QQ, United Kingdom. Electronic address: ab2031@cam.ac.uk.
Mickael LesurtelDepartment of Digestive Surgery and Liver Transplantation, University Hospital Croix Rousse, Hospices Civils de Lyon, University of Lyon 1, 69317, Lyon, France.
Ajith K SiriwardenaDepartment of Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL, United Kingdom.
Stefan HeinrichDepartment of General, Visceral and Transplant Surgery, Universitätsmedizin Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.
Alejandro SerrabloDepartment of Surgery, Miguel Servet University Hospital, Paseo Isabel la Catolica, 50009, Zaragoza, Spain.
Marc G H BesselinkDepartment of Surgery, Amsterdam UMC, G4.146-1, Meibergdreef 9, 1105, Amsterdam, the Netherlands.
Mert ErkanDepartment of Surgery, Koc University School of Medicine and Research Center for Translational Medicine, Davutpasa Caddesi No:4, 34010, Instanbul, Turkey.
Bodil AnderssonDepartment of Clinical Sciences Lund, Surgery, Lund University and Skane University Hospital, 22100, Lund, Sweden.
Wojciech G PolakDepartment of Surgery, Erasmus MC University Medical Center, Dr. Molewaterplein 40, 3016 GD, Rotterdam, the Netherlands.
Andrea LaurenziDivision of General Surgery and Transplantation, S. Orsola-Malpighi Hospital, University of Bologna, via G Masserenti 9, 40138, Bologna, Italy.
Stefan W M Olde DaminkDepartment of Surgery, Maastricht University Medical Center and NUTRIM School of Nutrition and Translational Research in Metabolism, Maastrict University, 6200 MD, Maastricht, the Netherlands; Department of General Visceral and Transplantation Surgery, RWTH University Hospital Aachen, Aachen, Germany.
Frederik BerrevoetDepartment of General and HPB Surgery and Liver Transplantation, University Hospital Gent, Corneel Heymanslaan 10, 9000, Gent, Belgium.
Isabella FrigerioDepartment of General and Vascular Surgery, Pederzoli Hospital, Via Monte Baldo 24, 37019, Peschiera del Garda, Verona, Italy.
Jose M RamiaDepartment of Surgery, Hospital Universitario de Guadalajara, 19002, Guadalajara, Spain.
Thomas K GallagherDepartment of Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Susanne WarnerDepartment of Surgery, City of Hope Comprehensive Cancer Center, 1500 East Duarte Road, Duarte, CA, 91010, USA.
Shailesh V ShrikhandeDepartment of Gastrointestinal and HPB Surgery, Tata Memorial Centre, Ernest Borges Marg, Parel, Mumbai, 400012, India.
Rene AdamAPHP Hopital Universitaire Paul Brousse, Universite Paris-Saclay, F-94804, Villejuif, France.
Martin D SmithDepartment of Surgery, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Braamfontein, 2000, Johannesburg, South Africa.
Kevin C ConlonDepartment of Surgery, Trinity College Dublin, Ireland and St Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
E-AHPBA Scientific and Research Committee
Amsterdam University Medical Centers · NLCambridge University Hospitals NHS Foundation Trust · GBCasa di Cura Villa Garda · ITCity of Hope · USErasmus MC · NLGhent University Hospital · BEHospital Universitario de Guadalajara · ESHospital Universitario Miguel Servet · ESJohannes Gutenberg University Mainz · DEKoç University · TRLund University · SEMaastricht University Medical Centre · NLManchester Royal Infirmary · GBSt. Vincent's University Hospital · IETata Memorial Hospital · INTrinity College Dublin · IEUniversité Claude Bernard Lyon 1 · FRUniversité Paris-Saclay · FRUniversity of Bologna · ITUniversity of the Witwatersrand · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe extent of the COVID-19 pandemic and the resulting response has varied globally. The European and African Hepato-Pancreato-Biliary Association (E-AHPBA), the premier representative body for practicing HPB surgeons in Europe and Africa, conducted this survey to assess the impact of COVID-19 on HPB surgery.

methodsAn online survey was disseminated to all E-AHPBA members to assess the effects of the pandemic on unit capacity, management of HPB cancers, use of COVID-19 screening and other aspects of service delivery.

resultsOverall, 145 (25%) members responded. Most units, particularly in COVID-high countries (>100,000 cases) reported insufficient critical care capacity and reduced HPB operating sessions compared to COVID-low countries. Delayed access to cancer surgery necessitated alternatives including increased neoadjuvant chemotherapy for pancreatic cancer and colorectal liver metastases, and locoregional treatments for hepatocellular carcinoma. Other aspects of service delivery including COVID-19 screening and personal protective equipment varied between units and countries.

conclusionThis study demonstrates that the COVID-19 pandemic has had a profound adverse impact on the delivery of HPB cancer care across the continents of Europe and Africa. The findings illustrate the need for safe resumption of cancer surgery in a "new" normal world with screening of patients and staff for COVID-19.

Indexed as

BetacoronavirusAfricaBiliary Tract NeoplasmsCoronavirus InfectionsCOVID-19Cross-Sectional StudiesDelivery of Health CareDigestive System Surgical ProceduresEuropeFemaleHumansLiver NeoplasmsMalePancreatic NeoplasmsPandemicsPneumonia, Viral

Identifiers

PMID32565039
PMCPMC7284265
OpenAlexW3033350227

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.