Evidence map›Paper›PMID 33540092›Full record

ArticleWorld neurosurgery2021

COVID-19 and Changes in Neurosurgical Workload in the United Kingdom.

Ahmed Nabil ElGhamry, Nithish Jayakumar, Mohamed Youssef, Syed Shumon, Patrick Mitchell

Abstract read
In one paragraph

Article in World neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

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  11. Trends in United States pediatric neurosurgical practice during the COVID-19 pandemic.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 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

5 authors.

Ahmed Nabil ElGhamryDepartment of Neurosurgery, Royal Victoria Infirmary, Newcastle University, Newcastle upon Tyne, United Kingdom.
Nithish JayakumarDepartment of Neurosurgery, Royal Victoria Infirmary, Newcastle University, Newcastle upon Tyne, United Kingdom. Electronic address: nithish.jayakumar90@gmail.com.
Mohamed YoussefDepartment of Neurosurgery, Royal Victoria Infirmary, Newcastle University, Newcastle upon Tyne, United Kingdom.
Syed ShumonDepartment of Neurosurgery, Royal Victoria Infirmary, Newcastle University, Newcastle upon Tyne, United Kingdom.
Patrick MitchellDepartment of Neurosurgery, Royal Victoria Infirmary, Newcastle University, Newcastle upon Tyne, United Kingdom; Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCessation of elective procedures and lower bed capacity during the COVID-19 pandemic have led to a rise in the waiting lists for surgery, but it is unclear if workload has recovered sufficiently to account for this backlog. We describe the change in neurosurgical workload at a tertiary neurosciences center in the United Kingdom after the first pandemic wave in comparison with the months before and during the first wave.

methodsA retrospective review of theatre records and electronic referrals-between December 1, 2019, and August 31, 2020-was performed. The months of December 2019-February 2020 were designated as pre-COVID months and March-May 2020 were designated as COVID months. The time period from June to August 2020 was designated as post-wave months. Statistical analyses were performed on SPSS v22 (IBM).

resultsReferrals declined from 572 in January to a nadir of 352 in April before a steady rise to August. Referral volumes for degenerative spinal disease and traumatic brain injuries showed a statistically significant change during the year. On average, 212 procedures per month were performed in the pre-COVID months, 167 procedures per month during COVID months, and 232 procedures per month in the post-wave months. The number of patients on the waiting list for scheduled operations rose from March (785 patients) onward to a peak of 997 patients in July.

conclusionsIn the aftermath of COVID-19, higher referral volumes and operative procedures were apparent in the post-wave months as services returned to normal. With the expectation of a second wave of infections, it is unclear whether this will be sustainable.

Indexed as

WorkloadBrain Injuries, TraumaticBrain NeoplasmsCOVID-19FemaleHemorrhagic StrokeHumansIschemic StrokeMaleMiddle AgedNeurosurgical ProceduresReferral and ConsultationRetrospective StudiesSARS-CoV-2Spinal DiseasesSpinal NeoplasmsCOVID-19NeurosurgeryPandemicsPhysicians' Practice PatternsReferral and consultationWorkload

Identifiers

PMID33540092
PMCPMC7982982

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.