Management and Scheduling of Spine Surgery in a Level 1 Trauma Center in the Setting of the COVID-19 Pandemic: Feasibility and Considerations for Reimplementation of Elective Spine Surgery
Introduction Determination of what constitutes necessary surgery in the setting of acute hospital resource strain during the COVID-19 pandemic is an unprecedented challenge for healthcare systems. Over the past two years during the COVID-19 pandemic, there have been many changes in reviews of medica...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-09-01
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| Series: | Geriatric Orthopaedic Surgery & Rehabilitation |
| Online Access: | https://doi.org/10.1177/21514593221126020 |
| _version_ | 1797995211460182016 |
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| author | Zachary Crawford MD, PharmD Nora C. Elson MD Arun Kanhere MD Cameron Thomson MD Ramsey Sabbagh BS Rani Nasser MD Anthony F. Guanciale MD |
| author_facet | Zachary Crawford MD, PharmD Nora C. Elson MD Arun Kanhere MD Cameron Thomson MD Ramsey Sabbagh BS Rani Nasser MD Anthony F. Guanciale MD |
| author_sort | Zachary Crawford MD, PharmD |
| collection | DOAJ |
| description | Introduction Determination of what constitutes necessary surgery in the setting of acute hospital resource strain during the COVID-19 pandemic is an unprecedented challenge for healthcare systems. Over the past two years during the COVID-19 pandemic, there have been many changes in reviews of medically necessary spine surgery. There continues to be no clear guidelines on recommendations and further discussion is necessary to continue to provide appropriate and high-level care during future pandemics. Significance This review critically appraises and evaluates current barriers to medically necessary spine surgery during the COVID-19 pandemic and evaluates future decision making to maintain spine surgery during future pandemics or limitations in medical care. Results Multiple studies included in this review have shown that while various orthopaedic surgeries may be considered elective, medically necessary spine surgery will need to continue during settings of limited medical care. This review discussed multiple methods and recommendations to limit transmission of virus from patients to providers and providers to patients. Conclusion Continued medically necessary spine surgery in the setting of the COVID-19 pandemic and future pandemics should continue while limiting risk of transmission to continue providing high-level medical care and allowing hospitals to maintain financial responsibility. |
| first_indexed | 2024-04-11T09:57:52Z |
| format | Article |
| id | doaj.art-f5aaef7dbd444a8aa2f45465ed90b0a5 |
| institution | Directory Open Access Journal |
| issn | 2151-4593 |
| language | English |
| last_indexed | 2024-04-11T09:57:52Z |
| publishDate | 2022-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Geriatric Orthopaedic Surgery & Rehabilitation |
| spelling | doaj.art-f5aaef7dbd444a8aa2f45465ed90b0a52022-12-22T04:30:31ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45932022-09-011310.1177/21514593221126020Management and Scheduling of Spine Surgery in a Level 1 Trauma Center in the Setting of the COVID-19 Pandemic: Feasibility and Considerations for Reimplementation of Elective Spine SurgeryZachary Crawford MD, PharmDNora C. Elson MDArun Kanhere MDCameron Thomson MDRamsey Sabbagh BSRani Nasser MDAnthony F. Guanciale MDIntroduction Determination of what constitutes necessary surgery in the setting of acute hospital resource strain during the COVID-19 pandemic is an unprecedented challenge for healthcare systems. Over the past two years during the COVID-19 pandemic, there have been many changes in reviews of medically necessary spine surgery. There continues to be no clear guidelines on recommendations and further discussion is necessary to continue to provide appropriate and high-level care during future pandemics. Significance This review critically appraises and evaluates current barriers to medically necessary spine surgery during the COVID-19 pandemic and evaluates future decision making to maintain spine surgery during future pandemics or limitations in medical care. Results Multiple studies included in this review have shown that while various orthopaedic surgeries may be considered elective, medically necessary spine surgery will need to continue during settings of limited medical care. This review discussed multiple methods and recommendations to limit transmission of virus from patients to providers and providers to patients. Conclusion Continued medically necessary spine surgery in the setting of the COVID-19 pandemic and future pandemics should continue while limiting risk of transmission to continue providing high-level medical care and allowing hospitals to maintain financial responsibility.https://doi.org/10.1177/21514593221126020 |
| spellingShingle | Zachary Crawford MD, PharmD Nora C. Elson MD Arun Kanhere MD Cameron Thomson MD Ramsey Sabbagh BS Rani Nasser MD Anthony F. Guanciale MD Management and Scheduling of Spine Surgery in a Level 1 Trauma Center in the Setting of the COVID-19 Pandemic: Feasibility and Considerations for Reimplementation of Elective Spine Surgery Geriatric Orthopaedic Surgery & Rehabilitation |
| title | Management and Scheduling of Spine Surgery in a Level 1 Trauma Center in the Setting of the COVID-19 Pandemic: Feasibility and Considerations for Reimplementation of Elective Spine Surgery |
| title_full | Management and Scheduling of Spine Surgery in a Level 1 Trauma Center in the Setting of the COVID-19 Pandemic: Feasibility and Considerations for Reimplementation of Elective Spine Surgery |
| title_fullStr | Management and Scheduling of Spine Surgery in a Level 1 Trauma Center in the Setting of the COVID-19 Pandemic: Feasibility and Considerations for Reimplementation of Elective Spine Surgery |
| title_full_unstemmed | Management and Scheduling of Spine Surgery in a Level 1 Trauma Center in the Setting of the COVID-19 Pandemic: Feasibility and Considerations for Reimplementation of Elective Spine Surgery |
| title_short | Management and Scheduling of Spine Surgery in a Level 1 Trauma Center in the Setting of the COVID-19 Pandemic: Feasibility and Considerations for Reimplementation of Elective Spine Surgery |
| title_sort | management and scheduling of spine surgery in a level 1 trauma center in the setting of the covid 19 pandemic feasibility and considerations for reimplementation of elective spine surgery |
| url | https://doi.org/10.1177/21514593221126020 |
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