Evidence map›Paper›PMID 41005992›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Trends and variations in Canadian thoracic surgical volume and perioperative practice during the COVID-19 pandemic.

Daniel Jones, Alexander Simone, Caroline Hyun, Caitlin Anstee, Molly Gingrich, James Villeneuve, Daniel French, Brian Johnston, Stephen Gowing, Jonathan Spicer and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Daniel JonesFrom the Division of Thoracic Surgery, Department of Surgery, The Ottawa Hospital, Ottawa, Ont. (Jones, Villeneuve, Seely); Ottawa Hospital Research Institute, Ottawa, Ont. (Jones, Anstee, Gingrich, Villeneuve, Seely); Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Simone); McGill University Health Centre, Montréal, Que. (Hyun, Spicer, Ferri); Dalhousie University, Halifax, NS (French); Horizon Health Network, Saint Johns, NB (Johnston); University of Saskatchewan, Saskatoon, Sask. (Gowing).
Alexander SimoneFrom the Division of Thoracic Surgery, Department of Surgery, The Ottawa Hospital, Ottawa, Ont. (Jones, Villeneuve, Seely); Ottawa Hospital Research Institute, Ottawa, Ont. (Jones, Anstee, Gingrich, Villeneuve, Seely); Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Simone); McGill University Health Centre, Montréal, Que. (Hyun, Spicer, Ferri); Dalhousie University, Halifax, NS (French); Horizon Health Network, Saint Johns, NB (Johnston); University of Saskatchewan, Saskatoon, Sask. (Gowing) asimo056@uottawa.ca.
Caroline HyunFrom the Division of Thoracic Surgery, Department of Surgery, The Ottawa Hospital, Ottawa, Ont. (Jones, Villeneuve, Seely); Ottawa Hospital Research Institute, Ottawa, Ont. (Jones, Anstee, Gingrich, Villeneuve, Seely); Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Simone); McGill University Health Centre, Montréal, Que. (Hyun, Spicer, Ferri); Dalhousie University, Halifax, NS (French); Horizon Health Network, Saint Johns, NB (Johnston); University of Saskatchewan, Saskatoon, Sask. (Gowing).
Caitlin AnsteeFrom the Division of Thoracic Surgery, Department of Surgery, The Ottawa Hospital, Ottawa, Ont. (Jones, Villeneuve, Seely); Ottawa Hospital Research Institute, Ottawa, Ont. (Jones, Anstee, Gingrich, Villeneuve, Seely); Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Simone); McGill University Health Centre, Montréal, Que. (Hyun, Spicer, Ferri); Dalhousie University, Halifax, NS (French); Horizon Health Network, Saint Johns, NB (Johnston); University of Saskatchewan, Saskatoon, Sask. (Gowing).
Molly GingrichFrom the Division of Thoracic Surgery, Department of Surgery, The Ottawa Hospital, Ottawa, Ont. (Jones, Villeneuve, Seely); Ottawa Hospital Research Institute, Ottawa, Ont. (Jones, Anstee, Gingrich, Villeneuve, Seely); Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Simone); McGill University Health Centre, Montréal, Que. (Hyun, Spicer, Ferri); Dalhousie University, Halifax, NS (French); Horizon Health Network, Saint Johns, NB (Johnston); University of Saskatchewan, Saskatoon, Sask. (Gowing).
James VilleneuveFrom the Division of Thoracic Surgery, Department of Surgery, The Ottawa Hospital, Ottawa, Ont. (Jones, Villeneuve, Seely); Ottawa Hospital Research Institute, Ottawa, Ont. (Jones, Anstee, Gingrich, Villeneuve, Seely); Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Simone); McGill University Health Centre, Montréal, Que. (Hyun, Spicer, Ferri); Dalhousie University, Halifax, NS (French); Horizon Health Network, Saint Johns, NB (Johnston); University of Saskatchewan, Saskatoon, Sask. (Gowing).
Daniel FrenchFrom the Division of Thoracic Surgery, Department of Surgery, The Ottawa Hospital, Ottawa, Ont. (Jones, Villeneuve, Seely); Ottawa Hospital Research Institute, Ottawa, Ont. (Jones, Anstee, Gingrich, Villeneuve, Seely); Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Simone); McGill University Health Centre, Montréal, Que. (Hyun, Spicer, Ferri); Dalhousie University, Halifax, NS (French); Horizon Health Network, Saint Johns, NB (Johnston); University of Saskatchewan, Saskatoon, Sask. (Gowing).
Brian JohnstonFrom the Division of Thoracic Surgery, Department of Surgery, The Ottawa Hospital, Ottawa, Ont. (Jones, Villeneuve, Seely); Ottawa Hospital Research Institute, Ottawa, Ont. (Jones, Anstee, Gingrich, Villeneuve, Seely); Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Simone); McGill University Health Centre, Montréal, Que. (Hyun, Spicer, Ferri); Dalhousie University, Halifax, NS (French); Horizon Health Network, Saint Johns, NB (Johnston); University of Saskatchewan, Saskatoon, Sask. (Gowing).
Stephen GowingFrom the Division of Thoracic Surgery, Department of Surgery, The Ottawa Hospital, Ottawa, Ont. (Jones, Villeneuve, Seely); Ottawa Hospital Research Institute, Ottawa, Ont. (Jones, Anstee, Gingrich, Villeneuve, Seely); Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Simone); McGill University Health Centre, Montréal, Que. (Hyun, Spicer, Ferri); Dalhousie University, Halifax, NS (French); Horizon Health Network, Saint Johns, NB (Johnston); University of Saskatchewan, Saskatoon, Sask. (Gowing).
Jonathan SpicerFrom the Division of Thoracic Surgery, Department of Surgery, The Ottawa Hospital, Ottawa, Ont. (Jones, Villeneuve, Seely); Ottawa Hospital Research Institute, Ottawa, Ont. (Jones, Anstee, Gingrich, Villeneuve, Seely); Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Simone); McGill University Health Centre, Montréal, Que. (Hyun, Spicer, Ferri); Dalhousie University, Halifax, NS (French); Horizon Health Network, Saint Johns, NB (Johnston); University of Saskatchewan, Saskatoon, Sask. (Gowing).
Lorenzo FerriFrom the Division of Thoracic Surgery, Department of Surgery, The Ottawa Hospital, Ottawa, Ont. (Jones, Villeneuve, Seely); Ottawa Hospital Research Institute, Ottawa, Ont. (Jones, Anstee, Gingrich, Villeneuve, Seely); Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Simone); McGill University Health Centre, Montréal, Que. (Hyun, Spicer, Ferri); Dalhousie University, Halifax, NS (French); Horizon Health Network, Saint Johns, NB (Johnston); University of Saskatchewan, Saskatoon, Sask. (Gowing).
Andrew J E SeelyFrom the Division of Thoracic Surgery, Department of Surgery, The Ottawa Hospital, Ottawa, Ont. (Jones, Villeneuve, Seely); Ottawa Hospital Research Institute, Ottawa, Ont. (Jones, Anstee, Gingrich, Villeneuve, Seely); Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Simone); McGill University Health Centre, Montréal, Que. (Hyun, Spicer, Ferri); Dalhousie University, Halifax, NS (French); Horizon Health Network, Saint Johns, NB (Johnston); University of Saskatchewan, Saskatoon, Sask. (Gowing).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThoracic surgeons in Canada responded to the COVID-19 pandemic without existing precedence. The primary aim of this study was to understand how thoracic surgery care in Canada was affected by the pandemic in terms of volume, perioperative management, and patterns of practice.

methodsData were obtained using 2 questionnaires (18-item surgeon-specific and 13-item institution-specific questionnaires) in addition to the Canadian Association of Thoracic Surgery (CATS) national database. Outcomes included qualitative surgeon experiences and thoracic surgery volume from March 2020 to December 2022. Centres were separated into 3 levels of COVID-19 burden based on community prevalence.

resultsWe received survey responses from 63 surgeons and 6 institutions. In-person consultation dropped by 57% during the pandemic. Preoperative cancer workups experienced minor (≤ 4 wk, 39%) and major (≥ 8 wk, 27%) delays. Operable lung and esophageal cancer experienced minor delays in treatment, while pure ground-glass opacities and benign esophageal pathology experienced major delays (25%) or cancellations (21%). Medical education shifted to virtual platforms, decreasing student involvement by 81%. Perceived factors affecting operating room availability included lack of staff, beds, and personal protective equipment.

conclusionThere was a pan-Canadian reduction in thoracic surgery volume, regardless of regional COVID-19 caseload. Prioritization of thoracic oncology was observed, with a delay in care for minimally invasive and benign illness. Our findings illustrate how surgeons and institutions responded to the pandemic and inform strategies for Canadian thoracic practice in the event of future analogous events.

Indexed as

COVID-19Perioperative CarePractice Patterns, Physicians'Thoracic SurgeryThoracic Surgical ProceduresCanadaHumansPandemicsSARS-CoV-2SurgeonsSurveys and Questionnaires

Identifiers

PMID41005992
PMCPMC12479119

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.