Evidence map›Paper›PMID 33656269›Full record

ReviewANZ journal of surgery2021

Proposed delay for safe surgery after COVID-19.

Joshua G Kovoor, N Ann Scott, David R Tivey, Wendy J Babidge, David A Scott, Vanessa S Beavis, Jen Kok, Andrew D MacCormick, Robert T A Padbury, Thomas J Hugh and 4 more

Open access · bronzeAbstract readReview
In one paragraph

Review in ANZ journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Surgical safety in the COVID-19 era: present and future considerations.Annals of surgical treatment and research · 2022
    Review
  13. Article
  14. Review
  15. Article
  16. Article
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

14 authors at 9 institutions in 2 countries.

Joshua G KovoorUniversity of Adelaide, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-3880-3840
N Ann ScottAustralian Safety and Efficacy Register of New Interventional Procedures-Surgical, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.
David R TiveyResearch Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-2213-2576
Wendy J BabidgeResearch Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-7063-7192
David A ScottDepartment of Anaesthesia and Acute Pain Medicine, St. Vincent's Hospital, Melbourne, Victoria, Australia.
Vanessa S BeavisAnaesthesia and Operating Rooms, Auckland City Hospital, 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.
Andrew D MacCormickDepartment of Surgery, South Auckland Clinical School, University of Auckland, Auckland, New Zealand.
Robert T A PadburyFlinders University, 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
Peter J HewettUniversity of Adelaide, Discipline of Surgery, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.
Trevor G CollinsonGeneral Surgeons Australia, Adelaide, South Australia, 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
Mark FrydenbergDepartment of Urology, Cabrini Institute, Cabrini Health, Melbourne, Victoria, Australia.
Queen Elizabeth Hospital · AURoyal Australasian College of Surgeons · AUAuckland City Hospital · NZCabrini Hospital · AUFlinders University · AUThe University of Melbourne · AUThe University of Sydney · AUUniversity of Auckland · NZWestmead Hospital · AU

Funding

Royal Australasian College of Surgeons, Research Audit and Academic Surgery
6 · The paper itself

Abstract

backgroundLong-term effects after COVID-19 may affect surgical safety. This study aimed to evaluate the literature and produce evidence-based guidance regarding the period of delay necessary for adequate recovery of patients following COVID-19 infection before undergoing surgery.

methodsA rapid review was combined with advice from a working group of 10 clinical experts across Australia and New Zealand. MEDLINE, medRxiv and grey literature were searched to 4 October 2020. The level of evidence was stratified according to the National Health and Medical Research Council evidence hierarchy.

resultsA total of 1020 records were identified, from which 20 studies (12 peer-reviewed) were included. None were randomized trials. The studies comprised one case-control study (level III-2 evidence), one prospective cohort study (level III-2) and 18 case-series studies (level IV). Follow-up periods containing observable clinical characteristics ranged from 3 to 16 weeks. New or excessive fatigue and breathlessness were the most frequently reported symptoms. SARS-CoV-2 may impact the immune system for multiple months after laboratory confirmation of infection. For patients with past COVID-19 undergoing elective curative surgery for cancer, risks of pulmonary complications and mortality may be lowest at 4 weeks or later after a positive swab.

conclusionAfter laboratory confirmation of SARS-CoV-2 infection, minor surgery should be delayed for at least 4 weeks and major surgery for 8-12 weeks, if patient outcome is not compromised. Comprehensive preoperative and ongoing assessment must be carried out to ensure optimal clinical decision-making.

Indexed as

COVID-19Surgical Procedures, OperativeAdolescentAdultAustraliaFemaleHumansMaleNew ZealandSARS-CoV-2COVID-19inflammationlong-termSARS-CoV-2surgerysymptom

Identifiers

PMID33656269
PMCPMC8014540
OpenAlexW3134713620

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.