COVID-19 Impact Among Spine Surgeons in Latin America.
COVID-19 Impact Among Spine Surgeons in Latin America.
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DOI：
10.1177/2192568220928032
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发表时间：
2021-07
影响因子：
2.4
通讯作者：
Valacco M
中科院分区：
文献类型：
--
作者：
Guiroy A;Gagliardi M;Coombes N;Landriel F;Zanardi C;Willhuber GC;Guyot JP;Valacco M
横断面研究。这项研究的目的是评估新冠肺炎疫情对拉丁美洲脊柱外科医生的影响。2020年4月4日至6日，向拉丁美洲的脊柱外科医生发出了一份问卷。记录外科医生的特征。新冠肺炎对经济幸福感、工作和心理健康的影响也被确定。对所有变量进行比较分析。共有204名外科医生参与调查，男性占96.6%，平均年龄47.7岁，骨科医生占58.8%(n=120)，神经外科医生占41.2%(n=84)。大多数受访者来自阿根廷(59.8%，n=122)，其次是巴西(17.2%，n=35)、智利(6.4%，n=13)和墨西哥(5.9%，n=12)。大多数外科医生报告只在大流行期间进行紧急手术(76.5%，n=156)。一半使用远程医疗或在线咨询方式(54.4%，n=111)。对大流行造成的财务状况的平均担忧为7.53，从1到10(10是最坏的情况)。22%(n=45)的外科医生在患者健康问卷中得分超过10分(PHQ-9；得分高于10需要转诊以确认抑郁症诊断)。年轻和神经外科专业与较高的PHQ-9得分相关。新冠肺炎对拉美脊柱外科医生的日常工作实践和财务状况都有影响。应考虑到长期的心理影响，以避免给卫生保健提供者带来更重的负担。
Cross-sectional study. The aim of this study was to evaluate the impact of the COVID-19 outbreak in spine surgeons in Latin America. A questionnaire was sent to Latin American spine surgeons from April 4 to 6, 2020. Surgeon characteristics were recorded. The impact of COVID-19 on economic well-being, work, and mental health were also determined. All variables were compared and analyzed. Two hundred four surgeons answered the complete survey; most of them were male (96.6%), the average age was 47.7 years; 58.8% (n = 120) were orthopedic surgeons and 41.2% (n = 84) were neurosurgeons. The majority of the respondents were from Argentina (59.8%, n = 122), followed by Brazil (17.2%, n = 35), Chile (6.4%, n = 13), and Mexico (5.9%, n = 12). Most of the surgeons reported performing emergency procedures only during the pandemic (76.5%, n = 156). Half used telemedicine or online consultation modalities (54.4%, n = 111). The average concern about the financial situation due to the pandemic was 7.53 in a scale of 1 to 10 (10 being the worst scenario). Twenty-two percent (n = 45) of the surgeons had a score over 10 in the Patient Health Questionnaire (PHQ-9; scores higher than 10 needs referral to confirm depression diagnosis). Young age and neurosurgery as a specialty were associated with higher PHQ-9 scores. COVID-19 has an impact in the daily working practice and financial situation of spine surgeons in Latin America. The long-term psychological impact should be taken into consideration to avoid a heavier burden for health care providers.
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