Evidence map›Paper›PMID 32770653›Full record

ReviewANZ journal of surgery2020

Screening and testing for COVID-19 before surgery.

Joshua G Kovoor, David R Tivey, Penny Williamson, Lorwai Tan, Helena S Kopunic, Wendy J Babidge, Trevor G Collinson, Peter J Hewett, Thomas J Hugh, Robert T A Padbury and 4 more

Open access · bronzeAbstract readReview
In one paragraph

Review in ANZ journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Safe Surgery During the COVID-19 Pandemic.Current obesity reports · 2022
    Review
  6. Article
  7. Article
  8. Article
  9. COVID-19 FAQs in Pediatric Cardiac Surgery: 2022 Perspective and Updates.World journal for pediatric & congenital heart surgery · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. COVID Convalescence-A Boon or Bane in Cardiac Surgery?: A "Second Hit" Hypothesis.Journal of cardiothoracic and vascular anesthesia · 2021
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Gynecologic Surgery during the COVID-19 Pandemic: Is Universal Screening Mandatory?Infectious diseases in obstetrics and gynecology · 2021
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 2 countries.

Joshua G KovoorUniversity of Adelaide, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-3880-3840
David R TiveyResearch Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-2213-2576
Penny WilliamsonResearch Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.
Lorwai TanResearch Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0001-8434-2988
Helena S KopunicResearch Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.
Wendy J BabidgeResearch Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-7063-7192
Trevor G CollinsonGeneral Surgeons Australia, Adelaide, South Australia, Australia.
Peter J HewettUniversity of Adelaide Discipline of Surgery, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.
Thomas J HughNorthern Clinical School, University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0001-6690-342X
Robert T A PadburyFlinders University, Adelaide, South Australia, Australia.
Mark FrydenbergDepartment of Urology, Cabrini Institute, Cabrini Health, Melbourne, Victoria, Australia.
Richard G DouglasDepartment of Surgery, The University of Auckland, Auckland, New Zealand.
Jen KokCentre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead, New South Wales, Australia.
Guy J MaddernResearch Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-2064-181X
Queen Elizabeth Hospital · AURoyal Australasian College of Surgeons · AUCabrini Hospital · AUFlinders University · AUThe University of Adelaide · AUThe University of Sydney · AUUniversity of Auckland · NZWestmead Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreoperative screening for coronavirus disease 2019 (COVID-19) aims to preserve surgical safety for both patients and surgical teams. This rapid review provides an evaluation of current evidence with input from clinical experts to produce guidance for screening for active COVID-19 in a low prevalence setting.

methodsAn initial search of PubMed (until 6 May 2020) was combined with targeted searches of both PubMed and Google Scholar until 1 July 2020. Findings were streamlined for clinical relevance through the advice of an expert working group that included seven senior surgeons and a senior medical virologist.

resultsPatient history should be examined for potential exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Hyposmia and hypogeusia may present as early symptoms of COVID-19, and can potentially discriminate from other influenza-like illnesses. Reverse transcription-polymerase chain reaction is the gold standard diagnostic test to confirm SARS-CoV-2 infection, and although sensitivity can be improved with repeated testing, the decision to retest should incorporate clinical history and the local supply of diagnostic resources. At present, routine serological testing has little utility for diagnosing acute infection. To appropriately conduct preoperative testing, the temporal dynamics of SARS-CoV-2 must be considered. Relative to other thoracic imaging modalities, computed tomography has the greatest utility for characterizing pulmonary involvement in COVID-19 patients who have been diagnosed by reverse transcription-polymerase chain reaction.

conclusionThrough a rapid review of the literature and advice from a clinical expert working group, evidence-based recommendations have been produced for the preoperative screening of surgical patients with suspected COVID-19.

Indexed as

COVID-19 TestingMass ScreeningCOVID-19HumansPractice Guidelines as TopicPreoperative CareCOVID-19imagingscreeningsurgerytesting

Identifiers

PMID32770653
PMCPMC7436563
OpenAlexW3048209469

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.