Evidence map›Paper›PMID 34486805›Full record

ArticleInternational journal of clinical practice2021

Is it safe to perform elective gynaecologic surgery during the two peaks of COVID-19 pandemic?

Betul Kuru, Ahmet Kale, Gulfem Basol, Elif Cansu Gundogdu, Gazi Yildiz, Emre Mat, Taner Usta

Abstract read
In one paragraph

Article in International journal of clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed.

  1. Article
  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

7 authors.

Betul KuruDepartment of Obstetrics and Gynecology, University of Health Sciences Turkey, Istanbul Kartal Dr. Lütfi Kirdar City Hospital, Istanbul, Turkey.
Ahmet KaleDepartment of Obstetrics and Gynecology, University of Health Sciences Turkey, Istanbul Kartal Dr. Lütfi Kirdar City Hospital, Istanbul, Turkey.
Gulfem BasolDepartment of Obstetrics and Gynecology, University of Health Sciences Turkey, Istanbul Kartal Dr. Lütfi Kirdar City Hospital, Istanbul, Turkey.
Elif Cansu GundogduDepartment of Obstetrics and Gynecology, University of Health Sciences Turkey, Istanbul Kartal Dr. Lütfi Kirdar City Hospital, Istanbul, Turkey.
Gazi YildizDepartment of Obstetrics and Gynecology, University of Health Sciences Turkey, Istanbul Kartal Dr. Lütfi Kirdar City Hospital, Istanbul, Turkey.
Emre MatDepartment of Obstetrics and Gynecology, University of Health Sciences Turkey, Istanbul Kartal Dr. Lütfi Kirdar City Hospital, Istanbul, Turkey.
Taner UstaDepartment of Obstetrics and Gynecology, University of Acibadem Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn December 2019, the COVID-19 pandemic started in China and spread around the World. Operations were postponed in most surgical clinics to reduce the risk of contamination and increase the number of beds available in hospitals. We investigate whether elective gynaecologic surgery is safe or not under safety measures.

methodsA total of 765 patients were operated on electively between 15 March and 30 October 2020 at our inpatient gynaecology clinic. We took the SARS-CoV-2 Reverse Transcriptase (RT) Polymerase Chain Reaction (PCR) test of the nasopharyngeal swab before and after the surgery. Patients were questioned for COVID-19 symptoms by phone calls on the 7th, 15th, 30th and 60th days postoperatively.

resultsThe average age of patients was 45.6 ± 11(19-81). Sixty-two (8.1%) operations were performed due to gynaecologic malignancies. Three patients (0.39%) were detected as SARS-CoV-2 RT PCR positive within 7 days after surgery. The patients did not need ICU admission or any further treatments.

conclusionOur study offers a novel perspective on elective surgery during a pandemic. The risk assessment of patients should be meticulously done and substantiated on objective variables. According to our study, in a carefully selected patient population, operating under appropriate precautions, elective gynaecologic surgical procedures during the two peaks of the COVID-19 pandemic do not pose a risk to the patients.

Indexed as

COVID-19PandemicsElective Surgical ProceduresHumansRisk AssessmentSARS-CoV-2

Identifiers

PMID34486805
PMCPMC8646615

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.