We all have the right to experience kindness, compassion and dignity. We all feel pain and suffer when we are hurt or deprived of our lives, our families, our freedom. We are all living, breathing beings who share the same Earth. If animals could freely talk, their chorus of cries would drown out every other sound in the world. © 2020 BJS Society Ltd Published by John Wiley & Sons Ltd.SINCE THE DAWN OF HUMANITY, there remains a group so persistently abused and marginalized, that their suffering is ingrained in our everyday lives. Los gobiernos deberían mitigar esta importante carga para los pacientes mediante el desarrollo de planes de recuperación e implementando estrategias para reiniciar de manera segura la actividad quirúrgica. CONCLUSIÓN: Se cancelará o pospondrá un número muy grande de operaciones debido a la disrupción causada por COVID-19. Si los países aumentan su volumen quirúrgico normal en un 20% después de la pandemia, se tardaría una mediana de 45 semanas para eliminar la acumulación de operaciones resultantes de la disrupción por COVID’19. La tasa de cancelación general en 12 semanas sería del 72,3%. La mayoría hubieran sido operaciones por enfermedad benigna (90,2%, 25.638.922/28. La mejor estimación fue que 28.404.603 operaciones hubieran sido canceladas o pospuestas durante las 12 semanas del pico de disrupción por COVID-19 (2.367.050 operaciones por semana). Las tasas de cancelación de las 12 semanas se aplicaron a estas cifras para calcular el total de operaciones suspendidas. Esta casuística de casos se aplicó a volúmenes quirúrgicos a nivel de país. Se determinaron los datos de la casuística de casos quirúrgicos electivos, estratificados por especialidad e indicación (cáncer versus cirugía benigna). Se usó un modelo bayesiano de regresión beta para estimar las tasas de cancelación durante 12 semanas en 190 países. MÉTODOS: Se realizó un estudio global de respuestas de expertos para obtener proyecciones sobre la proporción de cirugía electiva que se cancelaría o pospondría durante las 12 semanas del pico máximo de disrupción.
En este estudio se calculó el número total de operaciones electivas para adultos que se cancelarían en todo el mundo durante las 12 semanas de interrupción máxima debido a COVID’19.
La pandemia de COVID-19 ha interrumpido los servicios hospitalarios habituales a nivel mundial. Governments should mitigate against this major burden on patients by developing recovery plans and implementing strategies to restore surgical activity safely. If countries increased their normal surgical volume by 20 per cent after the pandemic, it would take a median of 45 weeks to clear the backlog of operations resulting from COVID-19 disruption.Ī very large number of operations will be cancelled or postponed owing to disruption caused by COVID-19.
Globally, 81♷ per cent of operations for benign conditions (25 638 922 of 31 378 062), 37♷ per cent of cancer operations (2 324 070 of 6 162 311) and 25♴ per cent of elective caesarean sections (441 611 of 1 735 483) would be cancelled or postponed. The overall 12-week cancellation rate would be 72♳ per cent. Most would be operations for benign disease (90♲ per cent, 25 638 922 of 28 404 603). The best estimate was that 28 404 603 operations would be cancelled or postponed during the peak 12 weeks of disruption due to COVID-19 (2 367 050 operations per week). The 12-week cancellation rates were then applied to these figures to calculate the total number of cancelled operations. This case mix was applied to country-level surgical volumes. Elective surgical case-mix data, stratified by specialty and indication (surgery for cancer versus benign disease), were determined. A Bayesian β-regression model was used to estimate 12-week cancellation rates for 190 countries. This study estimated the total number of adult elective operations that would be cancelled worldwide during the 12 weeks of peak disruption due to COVID-19.Ī global expert response study was conducted to elicit projections for the proportion of elective surgery that would be cancelled or postponed during the 12 weeks of peak disruption. The COVID-19 pandemic has disrupted routine hospital services globally.
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