Evidence map›Paper›PMID 36811624›Full record

ArticleThe British journal of surgery2022

Impact of the COVID-19 pandemic on surgical care in the Netherlands.

Michelle R de Graaff, Rianne N M Hogenbirk, Yester F Janssen, Arthur K E Elfrink, Ronald S L Liem, Simon W Nienhuijs, Jean-Paul P M de Vries, Jan-Willem Elshof, Emiel Verdaasdonk, Jarno Melenhorst and 23 more

Abstract read
In one paragraph

Article in The British journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  14. Therapeutic developments in pancreatic cancer.Nature reviews. Gastroenterology & hepatology · 2024
    Review
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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

33 authors.

Michelle R de GraaffDepartment of Surgery, University Medical Centre Groningen, Groningen, the Netherlands.
Rianne N M HogenbirkDepartment of Surgery, University Medical Centre Groningen, Groningen, the Netherlands.ORCID 0000-0002-7723-0256
Yester F JanssenDepartment of Surgery, University Medical Centre Groningen, Groningen, the Netherlands.ORCID 0000-0003-1271-3780
Arthur K E ElfrinkDepartment of Surgery, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0003-2332-2849
Ronald S L LiemDepartment of Surgery, Dutch Obesity Clinic, Gouda, the Netherlands.ORCID 0000-0002-0165-5995
Simon W NienhuijsDepartment of Surgery, Catharina Hospital, Eindhoven, the Netherlands.ORCID 0000-0002-0104-9477
Jean-Paul P M de VriesDepartment of Surgery, University Medical Centre Groningen, Groningen, the Netherlands.ORCID 0000-0002-2669-320X
Jan-Willem ElshofDepartment of Surgery, VieCuri Medical Centre, Venlo, the Netherlands.
Emiel VerdaasdonkDepartment of Surgery, Jeroen Bosch Hospital, 's Hertogenbosch, the Netherlands.ORCID 0000-0002-2168-294X
Jarno MelenhorstDepartment of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.ORCID 0000-0002-1495-4003
H L van WestreenenDepartment of Surgery, Isala, Zwolle, the Netherlands.ORCID 0000-0002-1910-2723
Marc G H BesselinkDepartment of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0003-2650-9350
Jelle P RuurdaDepartment of Surgery, University Medical Centre Utrecht, Utrecht, the Netherlands.ORCID 0000-0001-6584-1677
Mark I van Berge HenegouwenDepartment of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0001-8689-3134
Joost M KlaaseDepartment of Surgery, University Medical Centre Groningen, Groningen, the Netherlands.ORCID 0000-0002-4409-2280
Marcel den DulkDepartment of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.ORCID 0000-0002-6161-161X
Mark van HeijlDepartment of Surgery, Diakonessenhuis, Utrecht, the Netherlands.ORCID 0000-0001-5896-744X
Johannes H HegemanDepartment of Surgery, Ziekenhuisgroep Twente Almelo-Hengelo, Almelo, Hengelo, the Netherlands.ORCID 0000-0003-2188-2738
Jerry BraunDepartment of Surgery, Leiden University Medical Centre, Leiden, the Netherlands.ORCID 0000-0002-4504-6235
Daan M VoetenDutch Institute for Clinical Auditing, Scientific Bureau, Leiden, the Netherlands.ORCID 0000-0003-4292-6795
Franka S WürdemannDutch Institute for Clinical Auditing, Scientific Bureau, Leiden, the Netherlands.
Anne-Loes K WarpsDutch Institute for Clinical Auditing, Scientific Bureau, Leiden, the Netherlands.ORCID 0000-0002-9070-3214
Anna J AlbergaDutch Institute for Clinical Auditing, Scientific Bureau, Leiden, the Netherlands.ORCID 0000-0003-0943-895X
J Annelie SuurmeijerDutch Institute for Clinical Auditing, Scientific Bureau, Leiden, the Netherlands.ORCID 0000-0003-2972-5622
Erman O AkpinarDutch Institute for Clinical Auditing, Scientific Bureau, Leiden, the Netherlands.ORCID 0000-0001-5291-0688
Nienke WolfhagenDutch Institute for Clinical Auditing, Scientific Bureau, Leiden, the Netherlands.ORCID 0000-0002-5434-850X
Anne Loes van den BoomDepartment of Surgery, University Medical Centre Groningen, Groningen, the Netherlands.ORCID 0000-0002-5502-964X
Marieke J Bolster-van EenennaamDepartment of Surgery, Gelre Ziekenhuizen, Apeldoorn, the Netherlands.ORCID 0000-0002-6500-8738
Peter van DuijvendijkDepartment of Surgery, Gelre Ziekenhuizen, Apeldoorn, the Netherlands.ORCID 0000-0002-0441-6180
David J HeinemanDepartment of Surgery, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0001-5778-6954
Michel W J M WoutersDutch Institute for Clinical Auditing, Scientific Bureau, Leiden, the Netherlands.ORCID 0000-0001-6173-0662
Schelto KruijffDepartment of Surgery, University Medical Centre Groningen, Groningen, the Netherlands.ORCID 0000-0002-5151-7320
Dutch CovidSurg Collaborative Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic caused disruption of regular healthcare leading to reduced hospital attendances, repurposing of surgical facilities, and cancellation of cancer screening programmes. This study aimed to determine the impact of COVID-19 on surgical care in the Netherlands.

methodsA nationwide study was conducted in collaboration with the Dutch Institute for Clinical Auditing. Eight surgical audits were expanded with items regarding alterations in scheduling and treatment plans. Data on procedures performed in 2020 were compared with those from a historical cohort (2018-2019). Endpoints included total numbers of procedures performed and altered treatment plans. Secondary endpoints included complication, readmission, and mortality rates.

resultsSome 12 154 procedures were performed in participating hospitals in 2020, representing a decrease of 13.6 per cent compared with 2018-2019. The largest reduction (29.2 per cent) was for non-cancer procedures during the first COVID-19 wave. Surgical treatment was postponed for 9.6 per cent of patients. Alterations in surgical treatment plans were observed in 1.7 per cent. Time from diagnosis to surgery decreased (to 28 days in 2020, from 34 days in 2019 and 36 days in 2018; P < 0.001). For cancer-related procedures, duration of hospital stay decreased (5 versus 6 days; P < 0.001). Audit-specific complications, readmission, and mortality rates were unchanged, but ICU admissions decreased (16.5 versus 16.8 per cent; P < 0.001).

conclusionThe reduction in the number of surgical operations was greatest for those without cancer. Where surgery was undertaken, it appeared to be delivered safely, with similar complication and mortality rates, fewer admissions to ICU, and a shorter hospital stay.

Indexed as

COVID-19HospitalizationHospitalsHumansNetherlandsPandemics

Identifiers

PMID36811624
PMCPMC10364688

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.