Tales from the frontline: the colorectal battle against SARS
Identifieur interne : 001810 ( Main/Exploration ); précédent : 001809; suivant : 001811Tales from the frontline: the colorectal battle against SARS
Auteurs : I. M. J. BradfordSource :
- Colorectal Disease [ 1462-8910 ] ; 2004-03.
Abstract
Objective The recent worldwide epidemic of Severe Acute Respiratory Disease (SARS) caused over 800 deaths and had a major impact on the health services in affected communities. The impact of SARS on colorectal surgery, particularly service provision and training, is unknown. This paper reports these changes from a single colorectal unit at the centre of the outbreak. Patients and methods Hospital databases and electronic patient records covering the 4 months duration of the SARS epidemic and an equivalent period preceding SARS were compared. Data was collected for inpatient admissions, outpatient consultations, operative surgery, colonoscopy and waiting times for appointments or surgery. Results The SARS epidemic resulted in reductions of 52% for new outpatient attendances, 59% for review attendances, 51% for admissions, 32% for surgical procedures and 48% for colonoscopies. Major emergency procedures, cancer resections and complex major procedures were unaffected. Operative procedures by trainees reduced by 48% and procedures by specialists reduced by 21%. Patients awaiting early or urgent outpatient appointments rose by 200% with waiting times for colonoscopy increased by a median 3, 5 or 9 weeks for outpatient, inpatient or non‐urgent cases, respectively. The waiting time for minor elective colorectal surgery was extended by 5 months. Conclusion SARS resulted in a major reduction in the colorectal surgical caseload. The consequences were evidenced by a detrimental effect on waiting times and colorectal training. However, serious pathology requiring emergency or complex surgery was still possible within these constraints.
Url:
DOI: 10.1111/j.1462-8910.2004.00600.x
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 000297
- to stream Istex, to step Curation: 000264
- to stream Istex, to step Checkpoint: 000278
- to stream Main, to step Merge: 001821
- to stream Main, to step Curation: 001810
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Tales from the frontline: the colorectal battle against SARS</title><author><name sortKey="Bradford, I M J" sort="Bradford, I M J" uniqKey="Bradford I" first="I. M. J." last="Bradford">I. M. J. Bradford</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:B1218798F098D3106012F3AB379462C6E7BFC68D</idno><date when="2004" year="2004">2004</date><idno type="doi">10.1111/j.1462-8910.2004.00600.x</idno><idno type="url">https://api.istex.fr/ark:/67375/WNG-MP6Z2154-0/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">000297</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000297</idno><idno type="wicri:Area/Istex/Curation">000264</idno><idno type="wicri:Area/Istex/Checkpoint">000278</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000278</idno><idno type="wicri:doubleKey">1462-8910:2004:Bradford I:tales:from:the</idno><idno type="wicri:Area/Main/Merge">001821</idno><idno type="wicri:Area/Main/Curation">001810</idno><idno type="wicri:Area/Main/Exploration">001810</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Tales from the frontline: the colorectal battle against SARS</title><author><name sortKey="Bradford, I M J" sort="Bradford, I M J" uniqKey="Bradford I" first="I. M. J." last="Bradford">I. M. J. Bradford</name><affiliation><wicri:noCountry code="subField">Kong</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Colorectal Disease</title><title level="j" type="alt">COLORECTAL DISEASE</title><idno type="ISSN">1462-8910</idno><idno type="eISSN">1463-1318</idno><imprint><biblScope unit="vol">6</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="121">121</biblScope><biblScope unit="page" to="123">123</biblScope><biblScope unit="page-count">3</biblScope><publisher>Blackwell Science Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2004-03">2004-03</date></imprint><idno type="ISSN">1462-8910</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1462-8910</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective The recent worldwide epidemic of Severe Acute Respiratory Disease (SARS) caused over 800 deaths and had a major impact on the health services in affected communities. The impact of SARS on colorectal surgery, particularly service provision and training, is unknown. This paper reports these changes from a single colorectal unit at the centre of the outbreak. Patients and methods Hospital databases and electronic patient records covering the 4 months duration of the SARS epidemic and an equivalent period preceding SARS were compared. Data was collected for inpatient admissions, outpatient consultations, operative surgery, colonoscopy and waiting times for appointments or surgery. Results The SARS epidemic resulted in reductions of 52% for new outpatient attendances, 59% for review attendances, 51% for admissions, 32% for surgical procedures and 48% for colonoscopies. Major emergency procedures, cancer resections and complex major procedures were unaffected. Operative procedures by trainees reduced by 48% and procedures by specialists reduced by 21%. Patients awaiting early or urgent outpatient appointments rose by 200% with waiting times for colonoscopy increased by a median 3, 5 or 9 weeks for outpatient, inpatient or non‐urgent cases, respectively. The waiting time for minor elective colorectal surgery was extended by 5 months. Conclusion SARS resulted in a major reduction in the colorectal surgical caseload. The consequences were evidenced by a detrimental effect on waiting times and colorectal training. However, serious pathology requiring emergency or complex surgery was still possible within these constraints.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Bradford, I M J" sort="Bradford, I M J" uniqKey="Bradford I" first="I. M. J." last="Bradford">I. M. J. Bradford</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/CovidV2/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001810 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001810 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= CovidV2
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:B1218798F098D3106012F3AB379462C6E7BFC68D
|texte= Tales from the frontline: the colorectal battle against SARS
}}
| This area was generated with Dilib version V0.6.33. |  |