Challenges to neurosurgery during the coronavirus disease 2019 (COVID-19) pandemic

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Challenges to neurosurgery during the coronavirus disease 2019 (COVID-19) pandemic. / Tsermoulas, Georgios; Zisakis, Athanasios; Flint, Graham; Belli, Antonio.

In: World Neurosurgery, Vol. 139, 07.2020, p. 519-525.

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Tsermoulas, Georgios ; Zisakis, Athanasios ; Flint, Graham ; Belli, Antonio. / Challenges to neurosurgery during the coronavirus disease 2019 (COVID-19) pandemic. In: World Neurosurgery. 2020 ; Vol. 139. pp. 519-525.

Bibtex

@article{fc80e974b5b44c2aa09d5baa5cac76cf,
title = "Challenges to neurosurgery during the coronavirus disease 2019 (COVID-19) pandemic",
abstract = "The coronavirus disease 2019 pandemic has presented a massive burden to most health care systems across the globe. The demand for intensive care unit capacity in particular has increased significantly, and hospitals in most affected regions have struggled to cope. The focus of health care activity has shifted to the pandemic, with a negative impact on the management of other conditions. Neurosurgery, like most specialties, has been drastically affected but, arguably, warrants special considerations because many of the treatments required are time-critical. Lack or delay of appropriate intervention may lead, for an individual patient, to permanent neurologic injury and a significant decline in function and quality of life, or even death. In this report, we consider the challenges that neurosurgeons currently face in relation to the pandemic and are likely to face in the foreseeable future. The challenges are multifaceted with practical, ethical, legal, and other implications. These include re-deployment of staff to areas outside neurosurgery, treatment priority setting, ethical decision-making and risk of moral injury, as well as medicolegal risks, financial uncertainties and implications for training, research, and global health work. As well as patients, these challenges will affect neurosurgeons as doctors and as humans. The international neurosurgical community has a moral duty to contribute to the global response to the COVID-19 crisis, but also to retain a duty to care for individual patients.",
keywords = "Betacoronavirus, Coronavirus Infections/epidemiology, Delivery of Health Care/methods, Humans, Neurosurgeons/trends, Neurosurgery/methods, Pandemics, Pneumonia, Viral/epidemiology, COVID-19, Coronavirus, Pandemic, Neurosurgery",
author = "Georgios Tsermoulas and Athanasios Zisakis and Graham Flint and Antonio Belli",
note = "Copyright {\textcopyright} 2020 Elsevier Inc. All rights reserved.",
year = "2020",
month = jul,
doi = "10.1016/j.wneu.2020.05.108",
language = "English",
volume = "139",
pages = "519--525",
journal = "World Neurosurgery",
issn = "1878-8750",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Challenges to neurosurgery during the coronavirus disease 2019 (COVID-19) pandemic

AU - Tsermoulas, Georgios

AU - Zisakis, Athanasios

AU - Flint, Graham

AU - Belli, Antonio

N1 - Copyright © 2020 Elsevier Inc. All rights reserved.

PY - 2020/7

Y1 - 2020/7

N2 - The coronavirus disease 2019 pandemic has presented a massive burden to most health care systems across the globe. The demand for intensive care unit capacity in particular has increased significantly, and hospitals in most affected regions have struggled to cope. The focus of health care activity has shifted to the pandemic, with a negative impact on the management of other conditions. Neurosurgery, like most specialties, has been drastically affected but, arguably, warrants special considerations because many of the treatments required are time-critical. Lack or delay of appropriate intervention may lead, for an individual patient, to permanent neurologic injury and a significant decline in function and quality of life, or even death. In this report, we consider the challenges that neurosurgeons currently face in relation to the pandemic and are likely to face in the foreseeable future. The challenges are multifaceted with practical, ethical, legal, and other implications. These include re-deployment of staff to areas outside neurosurgery, treatment priority setting, ethical decision-making and risk of moral injury, as well as medicolegal risks, financial uncertainties and implications for training, research, and global health work. As well as patients, these challenges will affect neurosurgeons as doctors and as humans. The international neurosurgical community has a moral duty to contribute to the global response to the COVID-19 crisis, but also to retain a duty to care for individual patients.

AB - The coronavirus disease 2019 pandemic has presented a massive burden to most health care systems across the globe. The demand for intensive care unit capacity in particular has increased significantly, and hospitals in most affected regions have struggled to cope. The focus of health care activity has shifted to the pandemic, with a negative impact on the management of other conditions. Neurosurgery, like most specialties, has been drastically affected but, arguably, warrants special considerations because many of the treatments required are time-critical. Lack or delay of appropriate intervention may lead, for an individual patient, to permanent neurologic injury and a significant decline in function and quality of life, or even death. In this report, we consider the challenges that neurosurgeons currently face in relation to the pandemic and are likely to face in the foreseeable future. The challenges are multifaceted with practical, ethical, legal, and other implications. These include re-deployment of staff to areas outside neurosurgery, treatment priority setting, ethical decision-making and risk of moral injury, as well as medicolegal risks, financial uncertainties and implications for training, research, and global health work. As well as patients, these challenges will affect neurosurgeons as doctors and as humans. The international neurosurgical community has a moral duty to contribute to the global response to the COVID-19 crisis, but also to retain a duty to care for individual patients.

KW - Betacoronavirus

KW - Coronavirus Infections/epidemiology

KW - Delivery of Health Care/methods

KW - Humans

KW - Neurosurgeons/trends

KW - Neurosurgery/methods

KW - Pandemics

KW - Pneumonia, Viral/epidemiology

KW - COVID-19

KW - Coronavirus

KW - Pandemic

KW - Neurosurgery

UR - http://www.scopus.com/inward/record.url?scp=85085952734&partnerID=8YFLogxK

U2 - 10.1016/j.wneu.2020.05.108

DO - 10.1016/j.wneu.2020.05.108

M3 - Review article

C2 - 32426070

VL - 139

SP - 519

EP - 525

JO - World Neurosurgery

JF - World Neurosurgery

SN - 1878-8750

ER -