Evidence map›Paper›PMID 39177853›Full record

ReviewResearch in health services & regions2023

Effects of Covid-19 on the elective surgery: an approach based on the case of the Italian Province of Bolzano.

Mirko Bonetti, Carla Melani

Full text readReview
In one paragraph

Review in Research in health services & regions, 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

2 authors.

Mirko BonettiObservatory for Health - Health Department Province of Bolzano, Bolzano, Italy. mirko.bonetti@provincia.bz.it.ORCID http://orcid.org/0000-0001-8799-181X
Carla MelaniObservatory for Health - Health Department Province of Bolzano, Bolzano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs of February 2020, the rise of COVID-19 cases led to significant pressures in the Northern parts of Italy, including the province of Bolzano (a small territorial reality on the border between Italy and Austria), and left the Italian National Health System (NHS) unprepared for the initial wave of the SARS-CoV-2 pandemic. OBJECTIVE/

methodsBy dividing the analyses into two phases, the study assesses the effect of COVID-19 for the years 2018-2019 and 2020-2021. The first phase highlights the hospitalization rates in the Province of Bolzano in comparison to other Italian regions. In the second step, the Systematic Component of Variation (SCV) has been applied to calculate the differences between the admission rates for the elective surgery (tonsillectomy, vein stripping, hip replacement, knee replacement, and arthroscopy) in the four health districts (HDs) of the Province of Bolzano.

resultsOverall, the findings demonstrate that the effect of COVID-19 cases has resulted in a 20% reduction in hospitalization rates. A variation of less than 30% for knee and hip replacements and up to 75% for vein stripping is seen for elective surgeries. According to the SCV values for each elective procedure, the results indicate comparable levels of variation across the two time periods, with tonsillectomy showing the lowest levels of variation, arthroscopy and vein stripping having the highest levels, hip replacement having a high level and knee replacement having a low-medium level.

conclusionsThe data show no significant changes in the variation between the four HDs in the province of Bolzano, suggesting that the COVID-19 cases have a proportionate impact on hospitalization rates.

Indexed as

And/or publication of this articleAuthorshipCOVID-19 impactDeclaration of conflicting interestsElective proceduresSmall Area variation analysisSystematic component of variationThe authors declared no potential conflicts of interest with respect to the research

Identifiers

PMID39177853
PMCPMC10014390

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read40
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.