International Delphi Expert Consensus on Safe Return to Surgical and Endoscopic Practice From the Coronavirus Global Surgical Collaborative
Por:
Asbun, HJ, Abu Hilal, M, Kunzler, F, Asbun, D, Bonjer, J, Conlon, K, Demartines, N, Feldman, LS, Morales-Conde, S, Pietrabissa, A, Pryor, AD, Schlachta, CM, Sylla, P, Targarona, EM, Agra, Y, Besselink, MG, Callery, M, Cleary, SP, De la Cruz, L, Eckert, P, Evans, C, Han, HS, Jones, DB, Gan, TJ, Koch, D, Lillemoe, KD, Lomanto, D, Marks, J, Matthews, B, Mellinger, J, Melvin, WS, Moreno-Paquentin, E, Navarrete, C, Pawlik, TM, Pessaux, P, Ricciardi, W, Schwaitzberg, S, Shah, P, Szokol, J, Talamini, M, Torres, R, Triboldi, A, Udomsawaengsup, S, Valsecchi, F, Vauthey, JN, Wallace, M, Wexner, SD, Zinner, M, Francis, N
Publicada:
1 jul 2021
Resumen:
Objective: The aim of this work is to formulate recommendations based on global expert consensus to guide the surgical community on the safe resumption of surgical and endoscopic activities.
Background: The COVID-19 pandemic has caused marked disruptions in the delivery of surgical care worldwide. A thoughtful, structured approach to resuming surgical services is necessary as the impact of COVID-19 becomes better controlled. The Coronavirus Global Surgical Collaborative sought to formulate, through rigorous scientific methodology, consensus-based recommendations in collaboration with a multidisciplinary group of international experts and policymakers.
Methods: Recommendations were developed following a Delphi process. Domain topics were formulated and subsequently subdivided into questions pertinent to different aspects of surgical care in the COVID-19 crisis. Forty-four experts from 15 countries across 4 continents drafted statements based on the specific questions. Anonymous Delphi voting on the statements was performed in 2 rounds, as well as in a telepresence meeting.
Results: One hundred statements were formulated across 10 domains. The statements addressed terminology, impact on procedural services, patient/staff safety, managing a backlog of surgeries, methods to restart and sustain surgical services, education, and research. Eighty-three of the statements were approved during the first round of Delphi voting, and 11 during the second round. A final telepresence meeting and discussion yielded acceptance of 5 other statements.
Conclusions: The Delphi process resulted in 99 recommendations. These consensus statements provide expert guidance, based on scientific methodology, for the safe resumption of surgical activities during the COVID-19 pandemic.
Filiaciones:
Asbun, HJ:
Miami Canc Inst, Hepatobiliary & Pancreas Surg, Miami, FL 33176 USA
Abu Hilal, M:
Ist Fdn Poliambulanza, Dept Surg, Brescia, Italy
Southampton Univ Hosp, Dept Surg, Southampton, Hants, England
Kunzler, F:
Miami Canc Inst, Hepatobiliary & Pancreas Surg, Miami, FL 33176 USA
Asbun, D:
Univ Calif San Francisco Fresno, Dept Surg, Fresno, CA USA
Bonjer, J:
Amsterdam Univ Med Ctr, Dept Surg, Amsterdam, Netherlands
Conlon, K:
Trinity Coll Dublin, Dept Surg, Dublin, Ireland
St Vincents Univ Hosp, Dublin, Ireland
Demartines, N:
Univ Lausanne, Lausanne Univ Hosp CHUV, Dept Visceral Surg, Lausanne, Switzerland
Feldman, LS:
McGill Univ, McGill Univ Hlth Ctr Montreal, Dept Surg, Montreal, PQ, Canada
Morales-Conde, S:
Univ Hosp Virgen del Rocio, Seville, Spain
Pietrabissa, A:
Univ Pavia, Dipartimento Sci Clin Chirurg Diagnost & Pediat, Pavia, Italy
Fdn IRCCS Policlin San Matteo, Pavia, Italy
Pryor, AD:
SUNY Stony Brook, Dept Surg, Stony Brook, NY 11794 USA
Schlachta, CM:
Western Univ, Schulich Sch Med & Dent, Dept Surg, London, ON, Canada
Sylla, P:
Icahn Sch Med Mt Sinai, New York, NY 10029 USA
Targarona, EM:
Univ Autonoma Barcelona, Dept Surg, Div Colorectal Surg, Hosp Santa Creu & St Pau, Barcelona, Spain
Agra, Y:
Minist Hlth, Madrid, Spain
Besselink, MG:
Amsterdam Univ Med Ctr, Dept Surg, Amsterdam, Netherlands
Callery, M:
Beth Israel Deaconess Med Ctr, Dept Surg, 330 Brookline Ave, Boston, MA 02215 USA
Cleary, SP:
Mayo Clin, Dept Surg, Rochester, MN USA
De la Cruz, L:
Baptist Hosp Miami, Dept Anesthesia, Miami, FL USA
Florida Int Univ, Herbert Wertheim Coll Med, Miami, FL 33199 USA
Eckert, P:
CHU Vaudois, Gen Management, Lausanne, Switzerland
Evans, C:
BA Wake Forest Univ, Reno, NV USA
Han, HS:
Seoul Natl Univ, Seoul Natl Univ Bundang Hosp, Dept Surg, Coll Med, Seoul, South Korea
Jones, DB:
Beth Israel Deaconess Med Ctr, Dept Surg, 330 Brookline Ave, Boston, MA 02215 USA
Gan, TJ:
SUNY Stony Brook, Dept Anesthesiol, Renaissance Sch Med, Stony Brook, NY 11794 USA
Koch, D:
Swiss Fed Off Publ Hlth, Communicable Dis Div, Bern, Switzerland
Lillemoe, KD:
Massachusetts Gen Hosp, Dept Surg, Boston, MA 02114 USA
Lomanto, D:
Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Surg, Singapore, Singapore
Marks, J:
Univ Hosp Cleveland Med Ctr, Dept Surg, Cleveland, OH USA
Matthews, B:
Atrium Hlth Carolinas Med Ctr, Dept Surg, Div Gen Surg, Charlotte, NC USA
Atrium Hlth Carolinas Med Ctr, Dept Surg, Div Gastrointestinal Surg, Charlotte, NC USA
Mellinger, J:
Southern Illinois Univ, Dept Surg, Sch Med, Springfield, IL USA
Melvin, WS:
Montefiore Med Ctr, Dept Surg, Div Gen Surg, New York, NY USA
Moreno-Paquentin, E:
ABC Med Ctr, Dept Surg, Mexico City, DF, Mexico
Navarrete, C:
Hosp San Borja Arriaran Santiago, Clin Santa Maria, Serv Cirugia Endoscop, Dept Cirugia, Santiago, Chile
Pawlik, TM:
Ohio State Univ, Dept Surg, Wexner Med Ctr, Columbus, OH 43210 USA
James Comprehens Canc Ctr, Columbus, OH USA
Pessaux, P:
Univ Strasbourg, Dept Digest Surg, Nouvel Hop Civil, THU Inst Image Guided Surg Strasbourg, Strasbourg, France
Inst Viral & Liver Dis, U1110 Inserm, Strasbourg, France
Ricciardi, W:
Univ Cattolica Sacro Cuore, Univ Dept Life Sci & Publ Hlth, Sect Hyg, Rome, Italy
Fdn Policlin Univ A Gemelli IRCCS, Publ Hlth Area, Dept Woman & Child Hlth & Publ Hlth, Rome, Italy
Schwaitzberg, S:
Univ Buffalo, Dept Surg, Buffalo, NY USA
Shah, P:
NYU Langone Hlth, Dept Surg, New York, NY USA
Szokol, J:
Univ Chicago, NorthShore Univ HealthSyst, Dept Anesthesiol, Pritzker Sch Med, Evanston, IL USA
Talamini, M:
SUNY Stony Brook, Dept Surg, Stony Brook, NY 11794 USA
Torres, R:
Hosp Escuela Jose de San Martin, Dept Surg, Corrientes, Argentina
Triboldi, A:
Ist Fdn Poliambulanza, Dept Surg, Brescia, Italy
Udomsawaengsup, S:
Chulalongkorn Univ, Fac Med, Dept Surg, Bangkok, Thailand
Valsecchi, F:
Fdn Nadia Valsecchi Onlus, Brescia, Italy
Vauthey, JN:
Univ Texas MD Anderson Canc Ctr, Dept Surg Oncol, Houston, TX 77030 USA
Wallace, M:
Mayo Clin, Dept Gastroenterol & Hepatol, Jacksonville, FL USA
Wexner, SD:
Cleveland Clin Florida, Dept Colorectal Surg, Weston, FL USA
Zinner, M:
Miami Canc Inst, Miami, FL USA
Francis, N:
Yeovil Dist Hosp Natl Hlth Serv Fdn Trust, Dept Gen Surg, Yeovil, England
Northwick Pk Inst Med Res, Griffin Inst, Norwich Pk London, London, England
Enhanced Recovery Surg UK ERAS UK, Yeovil, England
Green Published
|