International Delphi Expert Consensus on Safe Return to Surgical and Endoscopic Practice From the Coronavirus Global Surgical Collaborative

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...

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Detalles Bibliográficos
Autores: 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
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p4536
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=4536
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8189258
Access Level:acceso abierto
Palabra clave:backlog
consensus
coronavirus
Delphi
endoscopy
pandemic
pathways
recommendations
resources
resumption
surgery
Descripción
Sumario: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.

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