Evidence map›Paper›PMID 33241225›Full record

ArticleBone & joint open2020

Protecting healthcare workers from COVID-19: learning from variation in practice and policy identified through a global cross-sectional survey.

Zaamin B Hussain, Haitham Shoman, Peter W P Yau, Gowreeson Thevendran, Filippo Randelli, Mingzhu Zhang, Mininder S Kocher, Alan Norrish, Vikas Khanduja

Open access · goldAbstract read
In one paragraph

Article in Bone & joint open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 27 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

9 authors at 4 institutions in 6 countries.

Zaamin B HussainHarvard Graduate School of Education, Harvard University, Cambridge, Massachusetts, USA.
Haitham ShomanHarvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA.
Peter W P YauQueen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China.
Gowreeson ThevendranRaffles Hospital, Singapore.
Filippo RandelliI.R.C.C.S. Policlinico San Donato, University of Milan, Milan, Italy.
Mingzhu ZhangBeijing Tongren Hospital, Capital Medical University, Beijing, China.
Mininder S KocherBoston Children's Hospital, Boston, Massachusetts, USA.
Alan NorrishDivision of Rheumatology, Orthopaedics and Dermatology, Academic Orthopaedics, Trauma and Sports Medicine, Faculty of Medicine and Health Sciences, Queen's Medical Centre, Nottingham, UK.
Vikas KhandujaAddenbrooke's Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Cambridge University Hospitals NHS Foundation Trust · GBHarvard University · USIRCCS Policlinico San Donato · ITQueen's Medical Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe COVID-19 pandemic presents an unprecedented burden on global healthcare systems, and existing infrastructures must adapt and evolve to meet the challenge. With health systems reliant on the health of their workforce, the importance of protection against disease transmission in healthcare workers (HCWs) is clear. This study collated responses from several countries, provided by clinicians familiar with practice in each location, to identify areas of best practice and policy so as to build consensus of those measures that might reduce the risk of transmission of COVID-19 to HCWs at work.

methodsA cross-sectional descriptive survey was designed with ten open and closed questions and sent to a representative sample. The sample was selected on a convenience basis of 27 senior surgeons, members of an international surgical society, who were all frontline workers in the COVID-19 pandemic. This study was reported according to the Standards for Reporting Qualitative Research (SRQR) checklist.

resultsResponses were received by all 27 surgeons from 22 countries across six continents. A number of the study respondents reported COVID-19-related infection and mortality in HCWs in their countries. Differing areas of practice and policy were identified and organized into themes including the specification of units receiving COVID-19 patients, availability and usage of personal protective equipment (PPE), other measures to reduce staff exposure, and communicating with and supporting HCWs. Areas more specific to surgery also identified some variation in practice and policy in relation to visitors to the hospital, the outpatient department, and in the operating room for both non-urgent and emergency care.

conclusionCOVID-19 presents a disproportionate risk to HCWs, potentially resulting in a diminished health system capacity, and consequently an impairment to population health. Implementation of these recommendations at an international level could provide a framework to reduce this burden.

Indexed as

aerosolCoronavirusCOVID-19generating procedurehealthcare professionalhealthcare workerpandemicpersonal protective equipmentPolicySARSCoV-2surgeon

Identifiers

PMID33241225
PMCPMC7684385
OpenAlexW3026125145

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.