Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review

ABSTRACTIn Antarctica, it is extremely difficult to organise medical evacuations in winter. Antarctic physicians are often alone and must be prepared to perform surgery and dentistry, even if they are not specialists. This scoping review summarises epidemiological data on the types of surgical proce...

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Main Authors: Cécile Tissot, Manon Lecordier, Martin Hitier
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:International Journal of Circumpolar Health
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/22423982.2023.2235736
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author Cécile Tissot
Manon Lecordier
Martin Hitier
author_facet Cécile Tissot
Manon Lecordier
Martin Hitier
author_sort Cécile Tissot
collection DOAJ
description ABSTRACTIn Antarctica, it is extremely difficult to organise medical evacuations in winter. Antarctic physicians are often alone and must be prepared to perform surgery and dentistry, even if they are not specialists. This scoping review summarises epidemiological data on the types of surgical procedures performed in Antarctica and identifies gaps in the literature in this area. We searched PubMed and Google Scholar, without language restriction, for papers published between 1 January 1904, and 1 February 2022. Of the 35 papers on 12 Antarctic programs, very few were retrospective observational epidemiological studies; the majority were medical reports. The search identified 41 surgical procedures or reasons for surgical consultation, 19 different reasons for medical evacuations, and 12 causes of death that may have required surgical management. The diagnostic classifications used and the prevalence of each reported surgical speciality were heterogeneous. The most cited specialities were orthopaedics, dentistry, and digestive surgery. Telemedicine was integrated into on-site care or medical evacuation decisions. The current literature is poor, and most studies do not apply to surgical issues. The heterogeneous data collection methodologies limit their interpretation. A standardised diagnostic classification and detailed and systematic epidemiological registers will help define the contours of surgical management in Antarctica.
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spelling doaj.art-3f5acd5975e84e208ba34df4218fc4772023-12-19T21:44:11ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822023-12-0182110.1080/22423982.2023.2235736Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping reviewCécile Tissot0Manon Lecordier1Martin Hitier2Faculty of Medicine and Health Sciences, UBO, Brest, FranceFaculty of Medicine and Health Sciences, UBO, Brest, FranceDepartment of Otolaryngology Head and Neck Surgery, Normandie Univ, Caen, FranceABSTRACTIn Antarctica, it is extremely difficult to organise medical evacuations in winter. Antarctic physicians are often alone and must be prepared to perform surgery and dentistry, even if they are not specialists. This scoping review summarises epidemiological data on the types of surgical procedures performed in Antarctica and identifies gaps in the literature in this area. We searched PubMed and Google Scholar, without language restriction, for papers published between 1 January 1904, and 1 February 2022. Of the 35 papers on 12 Antarctic programs, very few were retrospective observational epidemiological studies; the majority were medical reports. The search identified 41 surgical procedures or reasons for surgical consultation, 19 different reasons for medical evacuations, and 12 causes of death that may have required surgical management. The diagnostic classifications used and the prevalence of each reported surgical speciality were heterogeneous. The most cited specialities were orthopaedics, dentistry, and digestive surgery. Telemedicine was integrated into on-site care or medical evacuation decisions. The current literature is poor, and most studies do not apply to surgical issues. The heterogeneous data collection methodologies limit their interpretation. A standardised diagnostic classification and detailed and systematic epidemiological registers will help define the contours of surgical management in Antarctica.https://www.tandfonline.com/doi/10.1080/22423982.2023.2235736Surgerymedicineepidemiologysurgical epidemiologydentistryAntarctica
spellingShingle Cécile Tissot
Manon Lecordier
Martin Hitier
Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review
International Journal of Circumpolar Health
Surgery
medicine
epidemiology
surgical epidemiology
dentistry
Antarctica
title Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review
title_full Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review
title_fullStr Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review
title_full_unstemmed Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review
title_short Surgical epidemiology of Antarctic stations from 1904 to 2022: A scoping review
title_sort surgical epidemiology of antarctic stations from 1904 to 2022 a scoping review
topic Surgery
medicine
epidemiology
surgical epidemiology
dentistry
Antarctica
url https://www.tandfonline.com/doi/10.1080/22423982.2023.2235736
work_keys_str_mv AT ceciletissot surgicalepidemiologyofantarcticstationsfrom1904to2022ascopingreview
AT manonlecordier surgicalepidemiologyofantarcticstationsfrom1904to2022ascopingreview
AT martinhitier surgicalepidemiologyofantarcticstationsfrom1904to2022ascopingreview