Evidence map›Paper›PMID 33974628›Full record

ArticlePloS one2021

Is minor surgery safe during the COVID-19 pandemic? A multi-disciplinary study.

Michael Baboudjian, Mehdi Mhatli, Adel Bourouina, Bastien Gondran-Tellier, Vassili Anastay, Lea Perez, Pauline Proye, Jean-Pierre Lavieille, Fanny Duchateau, Aubert Agostini and 14 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 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
0.6field-weighted citation impact, top 29% of its field
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, 7 citations in OpenAlex.

  1. Article
  2. Safe Surgery During the COVID-19 Pandemic.Current obesity reports · 2022
    Review
  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

24 authors at 2 institutions in 1 country.

Michael BaboudjianDepartment of Urology and Kidney Transplantation, Aix-Marseille University, APHM, Conception University Hospital, Marseilles, France.ORCID 0000-0001-6935-3873
Mehdi MhatliDepartment of Otorhinolaryngology- Head & Neck Surgery, APHM, Aix-Marseille University, Conception University Hospital, Marseilles, France.
Adel BourouinaDepartment of Endocrine Surgery, Conception University Hospital, Aix-Marseille University, Marseilles, France.
Bastien Gondran-TellierDepartment of Urology and Kidney Transplantation, Aix-Marseille University, APHM, Conception University Hospital, Marseilles, France.
Vassili AnastayDepartment of Urology and Kidney Transplantation, Aix-Marseille University, APHM, Conception University Hospital, Marseilles, France.
Lea PerezDepartment of Urology and Kidney Transplantation, Aix-Marseille University, APHM, Conception University Hospital, Marseilles, France.
Pauline ProyeDepartment of Urology and Kidney Transplantation, Aix-Marseille University, APHM, Conception University Hospital, Marseilles, France.
Jean-Pierre LavieilleDepartment of Head and Neck Surgery, Conception University Hospital, Aix-Marseille University, Marseilles, France.
Fanny DuchateauDepartment of Obstetrics and Gynecology, Conception Hospital, Marseilles, France.
Aubert AgostiniDepartment of Obstetrics and Gynecology, Conception Hospital, Marseilles, France.
Yann WazneDepartment of Endocrine Surgery, Conception University Hospital, Aix-Marseille University, Marseilles, France.
Frederic SebagDepartment of Endocrine Surgery, Conception University Hospital, Aix-Marseille University, Marseilles, France.
Jean-Marc FolettiDepartment of Oral and maxillofacial Surgery, Aix Marseille University, APHM, IFSTTAR, LBA, Conception University Hospital, Marseilles, France.
Cyrille ChossegrosDepartment of Oral and maxillofacial Surgery, Aix Marseille University, APHM, IFSTTAR, LBA, Conception University Hospital, Marseilles, France.
Didier RaoultAix-Marseille University, IRD, AP-HM, IHU Méditerranée Infectious Disease Research Institute, Marseilles, France.
Julian TouatiDepartment of Radiology, Conception University Hospital, APHM, Marseilles, France.ORCID 0000-0002-7959-6091
Christophe ChagnaudDepartment of Radiology, Conception University Hospital, APHM, Marseilles, France.
Justin MichelDepartment of Otorhinolaryngology- Head & Neck Surgery, APHM, Aix-Marseille University, Conception University Hospital, Marseilles, France.
Baptiste BertrandDepartment of Plastic Surgery, Conception University Hospital, APHM, Marseilles, France.
Antoine GiovanniDepartment of Otorhinolaryngology- Head & Neck Surgery, APHM, Aix-Marseille University, Conception University Hospital, Marseilles, France.
Thomas RadulescoDepartment of Otorhinolaryngology- Head & Neck Surgery, APHM, Aix-Marseille University, Conception University Hospital, Marseilles, France.
Catherine SartorOperational Hospital Hygiene Team, Conception University Hospital, Marseilles, France.
Pierre-Edouard FournierAix-Marseille University, IRD, AP-HM, IHU Méditerranée Infectious Disease Research Institute, Marseilles, France.
Eric LechevallierDepartment of Urology and Kidney Transplantation, Aix-Marseille University, APHM, Conception University Hospital, Marseilles, France.
Aix-Marseille Université · FRHôpital de la Conception · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess the risk of postoperative SARS-CoV-2 infection during the COVID-19 pandemic.

methodsThe CONCEPTION study was a cohort, multidisciplinary study conducted at Conception University Hospital, in France, from March 17th to May 11th, 2020. Our study included all adult patients who underwent minor surgery in one of the seven surgical departments of our hospital: urology, digestive, plastic, gynecological, otolaryngology, gynecology or maxillofacial surgery. Preoperative self-isolation, clinical assessment using a standardized questionnaire, physical examination, nasopharyngeal RT-PCR and chest CT scan performed the day before surgery were part of our active prevention strategy. The main outcome was the occurrence of a SARS-CoV-2 infection within 21 days following surgery. The COVID-19 status of patients after discharge was updated during the postoperative consultation and to ensure the accuracy of data, all patients were contacted again by telephone.

resultsA total of 551 patients from six different specialized surgical Departments in our tertiary care center were enrolled in our study. More than 99% (546/551) of included patients underwent a complete preoperative Covid-19 screening including RT-PCR testing and chest CT scan upon admission to the Hospital. All RT-PCR tests were negative and in 12 cases (2.2%), preoperative chest CT scans detected pulmonary lesions consistent with the diagnosis criteria for COVID-19. No scheduled surgery was postponed. One patient (0.2%) developed a SARS-CoV-2 infection 20 days after a renal transplantation. No readmission or COVID-19 -related death within 30 days from surgery was recorded.

conclusionsMinor surgery remained safe in the COVID-19 Era, as long as all appropriate protective measures were implemented. These data could be useful to public Health Authorities in order to improve surgical patient flow during a pandemic.

Indexed as

Preoperative CareAgedCohort StudiesCOVID-19FemaleFranceHumansMaleMiddle AgedMinor Surgical ProceduresNasopharynxPerioperative PeriodReverse Transcriptase Polymerase Chain ReactionRNA, ViralSARS-CoV-2Tertiary Care CentersRNA, Viral

Identifiers

PMID33974628
PMCPMC8112651
OpenAlexW3163086857

What Socratic 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 Socratic graph.