ArticleWorld neurosurgery2020
Tracking the Volume of Neurosurgical Care During the Coronavirus Disease 2019 Pandemic.
Article in World neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Epidemiological Pattern of Traumatic Brain Injury in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.World neurosurgery · 2022Pooled it
- A comparison of referral and treatment patterns at child development institutes during the corona closures and pre-corona periods.Frontiers in public health · 2025Article
- Telemedicine in orthopaedics during the COVID-19 pandemic: a comparative landscape.International orthopaedics · 2024Article
- The impact of COVID-19 pandemic on global neurosurgery collaborations.World neurosurgery: X · 2024Article
- A look at the global impact of COVID-19 pandemic on neurosurgical services and residency training.Scientific African · 2023Article
- Trends in Emergency Department Visits and Surgeries due to Traumatic Brain Injury During the COVID-19 Pandemic in Finland.SN comprehensive clinical medicine · 2023Article
- Neurosurgery Subspecialty Practice During a Pandemic: A Multicenter Analysis of Operative Practice in 7 U.S. Neurosurgery Departments During Coronavirus Disease 2019.World neurosurgery · 2022Article
- Current trends and outcomes of non-elective neurosurgical care in Central Europe during the second year of the COVID-19 pandemic.Scientific reports · 2022Article
- Article
- Non-COVID surgical load of operation theatre during COVID-19 pandemic in Armed Forces tertiary care centres: "Snapshot of two timelines".Medical journal, Armed Forces India · 2022Article
- Impacts of the COVID-19 Pandemic on the Healthcare Provision and Lived Experiences of Patients with Hydrocephalus.Journal of patient experience · 2022Article
- The Role of Telemedicine in Surgical Specialties During the COVID-19 Pandemic: A Scoping Review.World journal of surgery · 2022Article
- Anatomical Engineering and 3D Printing for Surgery and Medical Devices: International Review and Future Exponential Innovations.BioMed research international · 2022Review
- Neurosurgical Care during the COVID-19 Pandemic in Central Germany: A Retrospective Single Center Study of the Second Wave.International journal of environmental research and public health · 2021Article
- Neurosurgical Outcomes, Protocols, and Resource Management During Lockdown: Early Institutional Experience from One of the World's Largest COVID 19 Hotspots.World neurosurgery · 2021Article
- Telemedicine and current clinical practice trends in the COVID-19 pandemic.Best practice & research. Clinical anaesthesiology · 2021Review
- A Tale of Two Cities: Residents' Operative Experience in the United Kingdom and Germany During the Coronavirus Disease 2019 Pandemic.World neurosurgery · 2021Observational
- Article
- Predictors of Telemedicine Utilization in a Pediatric Neurosurgical Population During the COVID-19 Pandemic.World neurosurgery · 2021Article
- United States Medicolegal Progress and Innovation in Telemedicine in the Age of COVID-19: A Primer for Neurosurgeons.Neurosurgery · 2021Article
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Authors and funding
8 authors.
Funding
Abstract
objectiveIn the present study, we quantified the effect of the coronavirus disease 2019 (COVID-19) on the volume of adult and pediatric neurosurgical procedures, inpatient consultations, and clinic visits at an academic medical center.
methodsNeurosurgical procedures, inpatient consultations, and outpatient appointments at Vanderbilt University Medical Center were identified from March 23, 2020 through May 8, 2020 (during COVID-19) and March 25, 2019 through May 10, 2019 (before COVID-19). The neurosurgical volume was compared between the 2 periods.
resultsA 40% reduction in weekly procedural volume was demonstrated during COVID-19 (median before, 75; interquartile range [IQR], 72-80; median during, 45; IQR, 43-47; P < 0.001). A 42% reduction occurred in weekly adult procedures (median before, 62; IQR, 54-70; median during, 36; IQR, 34-39; P < 0.001), and a 31% reduction occurred in weekly pediatric procedures (median before, 13; IQR, 12-14; median during, 9; IQR, 8-10; P = 0.004). Among adult procedures, the most significant decreases were seen for spine (P < 0.001) and endovascular (P < 0.001) procedures and cranioplasty (P < 0.001). A significant change was not found in the adult open vascular (P = 0.291), functional (P = 0.263), cranial tumor (P = 0.143), or hydrocephalus (P = 0.173) procedural volume. Weekly inpatient consultations to neurosurgery decreased by 24% (median before, 99; IQR, 94-114; median during, 75; IQR, 68-84; P = 0.008) for adults. Weekly in-person adult and pediatric outpatient clinic visits witnessed a 91% decrease (median before, 329; IQR, 326-374; median during, 29; IQR, 26-39; P < 0.001). In contrast, weekly telehealth encounters increased from a median of 0 (IQR, 0-0) before to a median of 151 (IQR, 126-156) during COVID-19 (P < 0.001).
conclusionsSignificant reductions occurred in neurosurgical operations, clinic visits, and inpatient consultations during COVID-19. Telehealth was increasingly used for assessments. The long-term effects of the reduced neurosurgical volume and increased telehealth usage on patient outcomes should be explored.
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