Evidence map›Paper›PMID 34783905›Full record

ArticleSurgery today2022

The impact of COVID-19 on surgical procedures in Japan: analysis of data from the National Clinical Database.

Norihiko Ikeda, Hiroyuki Yamamoto, Akinobu Taketomi, Taizo Hibi, Minoru Ono, Naoki Niikura, Iwao Sugitani, Urara Isozumi, Hiroaki Miyata, Hiroaki Nagano and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgery today, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing 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

51 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

13 authors.

Norihiko IkedaCommittee for Novel Coronavirus Disease 2019 Outbreak of Japanese Surgical Society, Tokyo, Japan. ikeda@wd5.so-net.ne.jp.
Hiroyuki YamamotoDepartment of Healthcare Quality Assessment, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Akinobu TaketomiCommittee for Novel Coronavirus Disease 2019 Outbreak of Japanese Surgical Society, Tokyo, Japan.
Taizo HibiCommittee for Novel Coronavirus Disease 2019 Outbreak of Japanese Surgical Society, Tokyo, Japan.
Minoru OnoCommittee for Novel Coronavirus Disease 2019 Outbreak of Japanese Surgical Society, Tokyo, Japan.
Naoki NiikuraDepartment of Breast Surgery, Tokai University, School of Medicine, 143, Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.
Iwao SugitaniDepartment of Endocrine Surgery, Nippon Medical School Graduate School of Medicine, 1-1-5, Bunkyo-ku, Tokyo, 113-8603, Japan.
Urara IsozumiDepartment of Healthcare Quality Assessment, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Hiroaki MiyataDepartment of Healthcare Quality Assessment, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Hiroaki NaganoCommittee for Novel Coronavirus Disease 2019 Outbreak of Japanese Surgical Society, Tokyo, Japan.
Michiaki UnnoDepartment of Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8574, Japan.
Yuko KitagawaCommittee for Novel Coronavirus Disease 2019 Outbreak of Japanese Surgical Society, Tokyo, Japan.
Masaki MoriCommittee for Novel Coronavirus Disease 2019 Outbreak of Japanese Surgical Society, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe spread of COVID-19 has restricted the delivery of standard medical care to surgical patients dramatically. Surgical triage is performed by considering the type of disease, its severity, the urgency for surgery, and the condition of the patient, in addition to the scale of infectious outbreaks in the region. The purpose of this study was to evaluate the impact of the COVID-19 pandemic on the number of surgical procedures performed and whether the effects were more prominent during certain periods of widespread infection and in the affected regions.

methodsWe selected 20 of the most common procedures from each surgical field and compared the weekly numbers of each operation performed in 2020 with the respective numbers in 2018 and 2019, as recorded in the National Clinical Database (NCD). The surgical status during the COVID-19 pandemic as well as the relationship between surgical volume and the degree of regional infection were analyzed extensively.

resultsThe rate of decline in surgery was at most 10-15%. Although the numbers of most oncological and cardiovascular procedures decreased in 2020, there was no significant change in the numbers of pancreaticoduodenectomy and aortic replacement procedures performed in the same period.

conclusionThe numbers of most surgical procedures decreased in 2020 as a result of the COVID-19 pandemic; however, the precise impact of surgical triage on decrease in detection of disease warrants further investigation.

Indexed as

COVID-19Databases, FactualHumansJapanPandemicsSurgical Procedures, OperativeCOVID-19National clinical databaseSurgical triage

Identifiers

PMID34783905
PMCPMC8592826

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.