Tales from the frontline: the colorectal battle against SARS
Identifieur interne : 000F10 ( Pmc/Curation ); précédent : 000F09; suivant : 000F11Tales from the frontline: the colorectal battle against SARS
Auteurs : I. M. J. BradfordSource :
- Colorectal Disease [ 1462-8910 ] ; 2004.
Abstract
Url:
DOI: 10.1111/j.1462-8910.2004.00600.x
PubMed: 15008911
PubMed Central: 7162287
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PMC:7162287Le document en format XML
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<series><title level="j">Colorectal Disease</title>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<p><bold>Objective </bold>
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.</p>
<p><bold>Patients and methods </bold>
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.</p>
<p><bold>Results </bold>
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.</p>
<p><bold>Conclusion </bold>
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.</p>
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<alt-title alt-title-type="left-running-head"><bold><italic>I. M. J. Bradford</italic>
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<alt-title alt-title-type="right-running-head">SARS and colorectal surgery</alt-title>
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Colorectal Unit, Department of Surgery, Prince of Wales Hospital and Chinese University of Hong Kong</aff>
<author-notes><corresp id="correspondenceTo">Prof I. M. J. Bradford, Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Sha Tin, New Territories, Hong Kong
E‐mail: <email>ianbradford@btopenworld.com</email>
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<volume>6</volume>
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<issue-id pub-id-type="doi">10.1111/cdi.2004.6.issue-2</issue-id>
<fpage>121</fpage>
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<history><pmc-comment>supplied string: Received 25 October 2003; accepted 2 December 2003</pmc-comment>
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<date date-type="accepted"><day>2</day>
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<permissions><license><license-p>This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.</license-p>
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<abstract><title>Abstract</title>
<p><bold>Objective </bold>
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.</p>
<p><bold>Patients and methods </bold>
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.</p>
<p><bold>Results </bold>
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.</p>
<p><bold>Conclusion </bold>
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.</p>
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