Evidence map›Paper›PMID 36635725›Full record

ArticleBMC health services research2023

Surgeons' involvement in COVID-19 treatment: a practice by a regional core hospital in Japan to avoid physician burnout.

Yugo Matsui, Siyuan Yao, Takashi Kumode, Keisuke Tanino, Ryosuke Mizuno, Yusuke Ogoshi, Shusaku Honma, Teppei Murakami, Takatsugu Kan, Sanae Nakajima and 5 more

Abstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Yugo MatsuiDepartment of Surgery, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
Siyuan YaoDepartment of Surgery, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan. siyuan@kuhp.kyoto-u.ac.jp.
Takashi KumodeDepartment of Surgery, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
Keisuke TaninoDepartment of Surgery, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
Ryosuke MizunoDepartment of Surgery, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
Yusuke OgoshiDepartment of Surgery, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
Shusaku HonmaDepartment of Surgery, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
Teppei MurakamiDepartment of Surgery, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
Takatsugu KanDepartment of Surgery, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
Sanae NakajimaDepartment of Surgery, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
Takehisa HaradaDepartment of Surgery, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
Koji OhCOVID-19 Task Force, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
Takehiro NakamuraCOVID-19 Task Force, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
Hiroki KonishiCOVID-19 Task Force, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
Shigeki AriiDepartment of Surgery, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo prevent task accumulation on certain divisions, our institution developed a unique system of allocating inpatient treatment of COVID-19 patients to doctors who were not specialized in respiratory infections. The objective of this study was to investigate whether surgeons can be involved in the COVID-19 inpatient treatment without negatively affecting patient outcome, and how such involvement can affect the wellbeing of surgeons.

methodsThere were 300 patients diagnosed with COVID-19 and hospitalized from January to June 2021, and 160 of them were treated by the redeployed doctors. They were divided into 3 groups based on the affiliation of the treating doctor. Patient characteristics and outcomes were compared between the groups. In addition, the impact of COVID-19 duty on participating surgeons was investigated from multiple perspectives, and a postduty survey was conducted.

resultsThere were 43 patients assigned to the Department of Surgery. There were no differences in the backgrounds and outcomes of patients compared with other groups. The surgeon's overtime hours were significantly longer during the duty period, despite no change in the number of operations and the complication rate. The questionnaire revealed that there was a certain amount of mental and physical burden from the COVID-19 duty.

conclusionSurgeons can take part in inpatient COVID-19 treatment without affecting patient outcome. However, as such duty could negatively affect the surgeons' physical and mental wellbeing, further effort is needed to maintain the balance of fulfilling individual and institutional needs.

Indexed as

Burnout, ProfessionalCOVID-19COVID-19 Drug TreatmentSurgeonsHospitalsHumansJapanBurn outCoronavirus disease 2019Surgeon reallocationTask sharing

Identifiers

PMID36635725
PMCPMC9834681

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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.