Evidence map›Paper›PMID 33099339›Full record

ArticleJournal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia2020

Collateral damage caused by COVID-19: Change in volume and spectrum of neurosurgery patients.

Nishant Goyal, Tejas Venkataram, Vineet Singh, Jitender Chaturvedi

Abstract read
In one paragraph

Article in Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. How has the COVID-19 pandemic impacted clinical care and research in Neuro-Oncology?Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2022
    Review
  9. Changes in Otorhinolaryngologic Disease Incidences before and during the COVID-19 Pandemic in Korea.International journal of environmental research and public health · 2022
    Article
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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

4 authors.

Nishant GoyalDepartment of Neurosurgery, All India Institute of Medical Sciences, Veerbhadra Road, Rishikesh, Uttarakhand 249203, India. Electronic address: drnishantgoyal@gmail.com.
Tejas VenkataramDepartment of Neurosurgery, All India Institute of Medical Sciences, Veerbhadra Road, Rishikesh, Uttarakhand 249203, India.
Vineet SinghDepartment of Neurosurgery, All India Institute of Medical Sciences, Veerbhadra Road, Rishikesh, Uttarakhand 249203, India.
Jitender ChaturvediDepartment of Neurosurgery, All India Institute of Medical Sciences, Veerbhadra Road, Rishikesh, Uttarakhand 249203, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere has been a dramatic change in the pattern of patients being seen in hospitals and surgeries performed during the ongoing COVID-19 pandemic. The objective of this study is to study the change in the volume and spectrum of surgeries performed during the ongoing COVID-19 pandemic compared to pre-COVID-19 era.

methodsDetails of all patients who were operated under department of neurosurgery at our institute since the onset of COVID-19 pandemic in India were collected and compared to the same time period last year. The demographic profile, diagnosis, surgery performed, type of surgery (routine/emergency, cranial/spinal and major/minor) in these two groups were compared. They were further categorized into various categories [neuro-oncology (brain and spine tumors), neuro-trauma (head injury and spinal trauma), congenital cases, degenerative spine, neuro-vascular, CSF diversion procedures, etc.] and compared between the two groups.

resultsOur study showed a drastic fall (52.2%) in the number of surgeries performed during the pandemic compared to pre-COVID era. 11.3% of patients operated during COVID-19 pandemic were non-emergent surgeries compared to 57.7% earlier (p = 0.000). There was increase in proportion of minor cases from 28.8% to 41.5% (p = 0.106). The proportion of spinal cases decreased from 27.9% to 11.3% during the COVID-19 pandemic (p = 0.043).

conclusionsThe drastic decrease in the number of surgeries performed will result in large backlog of patients waiting for 'elective' surgery. There is a risk of these patients presenting at a later stage with progressed disease and the best way forward would be to resume work with necessary precautions and universal effective COVID-19 testing.

Indexed as

AdolescentAdultAgedAged, 80 and overBetacoronavirusChildChild, PreschoolClinical Laboratory TechniquesCoronavirus InfectionsCOVID-19COVID-19 TestingElective Surgical ProceduresFemaleHumansIndiaInfantCOVID-19 (coronavirus disease of 2019)COVID-19 testingElective surgeriesEmergency surgeriesIndiaNeurosurgical practice

Identifiers

PMID33099339
PMCPMC7438073

What OpenQuestion holds

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Registered trials

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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.