Spine Surgery and COVID-19: The Influence of Practice Type on Preparedness, Response, and Economic Impact.

Autor:	Weiner JA; Northwestern University, Chicago, IL, USA., Swiatek PR; Northwestern University, Chicago, IL, USA., Johnson DJ; Northwestern University, Chicago, IL, USA., Louie PK; Hospital for Special Surgery, New York, NY, USA., Harada GK; Rush University Medical Center, Chicago, IL, USA.; The International Spine Research and Innovation Initiative, Rush University Medical Center, Chicago, IL, USA., McCarthy MH; Hospital for Special Surgery, New York, NY, USA., Germscheid N; AO Spine International, Davos, Switzerland., Cheung JPY; The University of Hong Kong, Hong Kong SAR., Neva MH; Tampere University Hospital, Tampere, Finland., El-Sharkawi M; Assiut University Medical School, Assiut, Egypt., Valacco M; Churruca Hospital de Buenos Aires, Buenos Aires, Argentina., Sciubba DM; Johns Hopkins University, Baltimore, MD, USA., Chutkan NB; University of Arizona College of Medicine, Phoenix, AZ, USA., An HS; Rush University Medical Center, Chicago, IL, USA.; The International Spine Research and Innovation Initiative, Rush University Medical Center, Chicago, IL, USA., Samartzis D; Rush University Medical Center, Chicago, IL, USA.; The International Spine Research and Innovation Initiative, Rush University Medical Center, Chicago, IL, USA.
Jazyk:	angličtina
Zdroj:	Global spine journal [Global Spine J] 2022 Mar; Vol. 12 (2), pp. 249-262. Date of Electronic Publication: 2020 Aug 07.
DOI:	10.1177/2192568220949183
Abstrakt:	Study Design: Cross-sectional observational cohort study. Objective: To investigate preparation, response, and economic impact of COVID-19 on private, public, academic, and privademic spine surgeons. Methods: AO Spine COVID-19 and Spine Surgeon Global Impact Survey includes domains on surgeon demographics, location of practice, type of practice, COVID-19 perceptions, institutional preparedness and response, personal and practice impact, and future perceptions. The survey was distributed by AO Spine via email to members (n = 3805). Univariate and multivariate analyses were performed to identify differences between practice settings. Results: A total of 902 surgeons completed the survey. In all, 45.4% of respondents worked in an academic setting, 22.9% in privademics, 16.1% in private practice, and 15.6% in public hospitals. Academic practice setting was independently associated with performing elective and emergent spine surgeries at the time of survey distribution. A majority of surgeons reported a >75% decrease in case volume. Private practice and privademic surgeons reported losing income at a higher rate compared with academic or public surgeons. Practice setting was associated with personal protective equipment availability and economic issues as a source of stress. Conclusions: The current study indicates that practice setting affected both preparedness and response to COVID-19. Surgeons in private and privademic practices reported increased worry about the economic implications of the current crisis compared with surgeons in academic and public hospitals. COVID-19 decreased overall clinical productivity, revenue, and income. Government response to the current pandemic and preparation for future pandemics needs to be adaptable to surgeons in all practice settings.
Databáze:	MEDLINE
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