Evidence map›Paper›PMID 34221602›Full record

ArticleSurgical neurology international2021

The effect of COVID-19 on trainee operative experience at a multihospital academic neurosurgical practice: A first look at case numbers.

Asham Khan, Jennifer Z Mao, Mohamed A R Soliman, Kyungduk Rho, Ryan M Hess, Renée M Reynolds, Jonathan P Riley, Jeffrey P Mullin, Adnan H Siddiqui, Elad I Levy and 1 more

Abstract read
In one paragraph

Article in Surgical neurology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

11 authors.

Asham KhanDepartment of Neurosurgery, University at Buffalo, Buffalo, New York, United States.
Jennifer Z MaoDepartment of Neurosurgery, University at Buffalo, Buffalo, New York, United States.
Mohamed A R SolimanDepartment of Neurosurgery, University at Buffalo, Buffalo, New York, United States.
Kyungduk RhoDepartment of Neurosurgery, University at Buffalo, Buffalo, New York, United States.
Ryan M HessDepartment of Neurosurgery, University at Buffalo, Buffalo, New York, United States.
Renée M ReynoldsDepartment of Neurosurgery, University at Buffalo, Buffalo, New York, United States.
Jonathan P RileyDepartment of Neurosurgery, University at Buffalo, Buffalo, New York, United States.
Jeffrey P MullinDepartment of Neurosurgery, University at Buffalo, Buffalo, New York, United States.
Adnan H SiddiquiDepartment of Neurosurgery, University at Buffalo, Buffalo, New York, United States.
Elad I LevyDepartment of Neurosurgery, University at Buffalo, Buffalo, New York, United States.
John PollinaDepartment of Neurosurgery, University at Buffalo, Buffalo, New York, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has had a significant impact on the economy, health care, and society as a whole. To prevent the spread of infection, local governments across the United States issued mandatory lockdowns and stay-at-home orders. In the surgical world, elective cases ceased to help "flatten the curve" and prevent the infection from spreading to hospital staff and patients. We explored the effect of the cancellation of these procedures on trainee operative experience at our high-volume, multihospital neurosurgical practice.

methodsOur department cancelled all elective cases starting March 16, 2020, and resumed elective surgical and endovascular procedures on May 11, 2020. We retrospectively reviewed case volumes for 54 days prelockdown and 54 days postlockdown to evaluate the extent of the decrease in surgical volume at our institution. Procedure data were collected and then divided into cranial, spine, functional, peripheral nerve, pediatrics, and endovascular categories.

resultsMean total cases per day in the prelockdown group were 12.26 ± 7.7, whereas in the postlockdown group, this dropped to 7.78 ± 5.5 (

conclusionThe impact of this outbreak on operative training does appear to be significant based solely on statistics. Although the drop in case volumes during this time can be accounted for by the pandemic, it is important to understand that this is a multifactorial effect. Further studies are needed for these results to be generalizable and to fully understand the effect this pandemic has had on trainee operative experience.

Indexed as

Case volumesCOVID-19 pandemicLockdownOperative experienceTrainees

Identifiers

PMID34221602
PMCPMC8248555

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.