Evidence map›Paper›PMID 32762354›Full record

ArticleGlobal spine journal2022

Spine Surgery and COVID-19: The Influence of Practice Type on Preparedness, Response, and Economic Impact.

Joseph A Weiner, Peter R Swiatek, Daniel J Johnson, Philip K Louie, Garrett K Harada, Michael H McCarthy, Niccole Germscheid, Jason P Y Cheung, Marko H Neva, Mohammad El-Sharkawi and 5 more

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

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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

15 authors at 9 institutions in 5 countries.

Joseph A WeinerNorthwestern University, Chicago, IL, USA.ORCID https://orcid.org/0000-0001-7566-7764
Peter R SwiatekNorthwestern University, Chicago, IL, USA.
Daniel J JohnsonNorthwestern University, Chicago, IL, USA.
Philip K LouieHospital for Special Surgery, New York, NY, USA.ORCID https://orcid.org/0000-0002-4787-1538
Garrett K HaradaRush University Medical Center, Chicago, IL, USA.
Michael H McCarthyHospital for Special Surgery, New York, NY, USA.ORCID https://orcid.org/0000-0003-2766-6366
Niccole GermscheidAO Spine International, Davos, Switzerland.
Jason P Y CheungThe University of Hong Kong, Hong Kong SAR.ORCID https://orcid.org/0000-0002-7052-0875
Marko H NevaTampere University Hospital, Tampere, Finland.
Mohammad El-SharkawiAssiut University Medical School, Assiut, Egypt.ORCID https://orcid.org/0000-0001-6177-7145
Marcelo ValaccoChurruca Hospital de Buenos Aires, Buenos Aires, Argentina.
Daniel M SciubbaJohns Hopkins University, Baltimore, MD, USA.ORCID https://orcid.org/0000-0001-7604-434X
Norman B ChutkanUniversity of Arizona College of Medicine, Phoenix, AZ, USA.
Howard S AnRush University Medical Center, Chicago, IL, USA.
Dino SamartzisRush University Medical Center, Chicago, IL, USA.ORCID https://orcid.org/0000-0002-7473-1311
Northwestern University · USRush University Medical Center · USHospital for Special Surgery · USAOSpine · CHAssiut University · EGJohns Hopkins University · USTampere University Hospital · FIUniversity of Arizona · USUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCross-sectional observational cohort study.

objectiveTo investigate preparation, response, and economic impact of COVID-19 on private, public, academic, and privademic spine surgeons.

methodsAO Spine COVID-19 and Spine Surgeon Global Impact Survey includes domains on surgeon demographics, location of practice, type of practice, COVID-19 perceptions, institutional preparedness and response, personal and practice impact, and future perceptions. The survey was distributed by AO Spine via email to members (n = 3805). Univariate and multivariate analyses were performed to identify differences between practice settings.

resultsA total of 902 surgeons completed the survey. In all, 45.4% of respondents worked in an academic setting, 22.9% in privademics, 16.1% in private practice, and 15.6% in public hospitals. Academic practice setting was independently associated with performing elective and emergent spine surgeries at the time of survey distribution. A majority of surgeons reported a >75% decrease in case volume. Private practice and privademic surgeons reported losing income at a higher rate compared with academic or public surgeons. Practice setting was associated with personal protective equipment availability and economic issues as a source of stress.

conclusionsThe current study indicates that practice setting affected both preparedness and response to COVID-19. Surgeons in private and privademic practices reported increased worry about the economic implications of the current crisis compared with surgeons in academic and public hospitals. COVID-19 decreased overall clinical productivity, revenue, and income. Government response to the current pandemic and preparation for future pandemics needs to be adaptable to surgeons in all practice settings.

Indexed as

coronavirusCOVID-19globalimpactprivate practicespine; surgeons

Identifiers

PMID32762354
PMCPMC8902318
OpenAlexW3048095529

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.