{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:02:59Z","timestamp":1740106979638,"version":"3.37.3"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T00:00:00Z","timestamp":1623715200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T00:00:00Z","timestamp":1623715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Langenbecks Arch Surg"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Globally planned surgical procedures have been deferred during the current COVID-19 pandemic. The study aimed to report the outcomes of planned urgent and cancer cases during the current pandemic using a multi-disciplinary prioritisation group.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A prospective cohort study of patients having urgent or cancer surgery at a NHS Trust from 1st March to 30th April 2020 who had been prioritised by a multi-disciplinary COVID Surgery group. Rates of post-operative PCR positive and suspected COVID-19 infections within 30 days, 30-day mortality and any death related to COVID-19 are reported.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Overall 597 patients underwent surgery with a median age of 65 years (interquartile range (IQR) 54\u201374 years). Of these, 86.1% (514\/597) had a current cancer diagnosis. During the period, 60.8% (363\/597) of patients had surgery at the NHS Trust whilst 39.2% (234\/597) had surgery at Independent Sector hospitals. The incidence of COVID-19 in the East Midlands was 193.7 per 100,000 population during the study period. In the 30 days following surgery, 1.3% (8\/597) of patients tested positive for COVID-19 with all cases at the NHS site. Overall 30-day mortality was 0.7% (4\/597). Following a PCR positive COVID-19 diagnosis, mortality was 25.0% (2\/8). Including both PCR positive and suspected cases, 3.0% (18\/597) developed COVID-19 infection with 1.3% at the independent site compared to 4.1% at the NHS Trust (<jats:italic>p<\/jats:italic>=0.047).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Rates of COVID-19 infection in the post-operative period were low especially in the Independent Sector site. Mortality following a post-operative diagnosis of COVID-19 was high.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00423-021-02207-8","type":"journal-article","created":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T15:04:11Z","timestamp":1623769451000},"page":"2469-2477","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Planned surgery in the COVID-19 pandemic: a prospective cohort study from Nottingham"],"prefix":"10.1007","volume":"406","author":[{"given":"J","family":"Catton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3094-2870","authenticated-orcid":false,"given":"A","family":"Banerjea","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Gregory","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Hall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6794-6621","authenticated-orcid":false,"given":"CJ","family":"Crooks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9996-3699","authenticated-orcid":false,"given":"CA","family":"Lewis-Lloyd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Marshall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7071-4098","authenticated-orcid":false,"given":"DJ","family":"Humes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,6,15]]},"reference":[{"key":"2207_CR1","unstructured":"Nepogodiev D, Bhangu A (2020) Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. Br J Surg"},{"key":"2207_CR2","unstructured":"Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. Lancet (London, England). 2020"},{"key":"2207_CR3","unstructured":"COVID-19 guidance for surgeons working during the pandemic. https:\/\/www.rcsengacuk\/coronavirus\/joint-guidance-for-surgeons-v2\/. Accessed June 2020"},{"key":"2207_CR4","unstructured":"Intercollegiate guidance for pre-operative chest CT imaging for elective cancer surgery during the COVID-19 pandemic. Royal College of Surgeons of England https:\/\/www.rcsengacuk\/coronavirus\/preoperative-chest-ct-imaging-guidance\/. Accessed June 2020"},{"key":"2207_CR5","doi-asserted-by":"crossref","unstructured":"Moletta L, Pierobon ES, Capovilla G et al International guidelines and recommendations for surgery during Covid-19 pandemic: a systematic review. International journal of surgery (London, England). 2020","DOI":"10.1016\/j.ijsu.2020.05.061"},{"key":"2207_CR6","first-page":"m1106","volume":"368","author":"G Iacobucci","year":"2020","unstructured":"Iacobucci G (2020) Covid-19: all non-urgent elective surgery is suspended for at least three months in England. BMJ (Clinical research ed) 368:m1106","journal-title":"BMJ (Clinical research ed)"},{"key":"2207_CR7","doi-asserted-by":"crossref","unstructured":"Turaga KK, Girotra S Are we harming cancer patients by delaying their cancer surgery during the COVID-19 pandemic? Annals of surgery. 2020","DOI":"10.1097\/SLA.0000000000003967"},{"issue":"3","key":"2207_CR8","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1007\/s00423-020-01888-x","volume":"405","author":"S Flemming","year":"2020","unstructured":"Flemming S, Hankir M, Ernestus RI et al (2020) Surgery in times of COVID-19-recommendations for hospital and patient management. Langenbeck's Arch Surg 405(3):359\u2013364","journal-title":"Langenbeck's Arch Surg"},{"issue":"5","key":"2207_CR9","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","volume":"40","author":"ME Charlson","year":"1987","unstructured":"Charlson ME, Pompei P, Ales KL, MacKenzie CR (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40(5):373\u2013383","journal-title":"J Chronic Dis"},{"key":"2207_CR10","unstructured":"Number of coronavirus (COVID-19) cases in the United Kingdom. https:\/\/www.statistacom\/statistics\/1102151\/coronavirus-cases-by-region-in-the-uk\/. June 2020"},{"key":"2207_CR11","doi-asserted-by":"crossref","unstructured":"Qadan M, Hong TS, Tanabe KK, Ryan DP, Lillemoe KD (2020) A multidisciplinary team approach for triage of elective cancer surgery at the Massachusetts General Hospital during the novel coronavirus COVID-19 outbreak. Ann Surg","DOI":"10.1097\/SLA.0000000000003963"},{"issue":"7","key":"2207_CR12","doi-asserted-by":"publisher","first-page":"e183","DOI":"10.1002\/bjs.11643","volume":"107","author":"M Cai","year":"2020","unstructured":"Cai M, Wang G, Zhang L et al (2020) Performing abdominal surgery during the COVID-19 epidemic in Wuhan, China: a single-centred, retrospective, observational study. Br J Surg 107(7):e183\u2013e185","journal-title":"Br J Surg"},{"key":"2207_CR13","doi-asserted-by":"crossref","unstructured":"Torzilli G, Vigano L, Galvanin J et al (2020) A snapshot of elective oncological surgery in Italy during COVID-19 emergency: pearls, pitfalls, and perspectives. Ann Surg","DOI":"10.1097\/SLA.0000000000004081"},{"key":"2207_CR14","doi-asserted-by":"crossref","unstructured":"Low TY, So JBY, Madhavan KK, Hartman M (2020) Restructuring the surgical service during the COVID-19 pandemic: experience from a tertiary institution in Singapore. 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Accessed 2020"}],"container-title":["Langenbeck's Archives of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-021-02207-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00423-021-02207-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-021-02207-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T18:08:13Z","timestamp":1636481293000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00423-021-02207-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,15]]},"references-count":16,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["2207"],"URL":"https:\/\/doi.org\/10.1007\/s00423-021-02207-8","relation":{},"ISSN":["1435-2443","1435-2451"],"issn-type":[{"type":"print","value":"1435-2443"},{"type":"electronic","value":"1435-2451"}],"subject":[],"published":{"date-parts":[[2021,6,15]]},"assertion":[{"value":"30 December 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 May 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 June 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This observational study involving human participants was registered and accepted for service evaluation (Registration 20-190C) by the Institution and as such did not require formal ethics review. However, ethical considerations were addressed with input from members of the Trust\u2019s Ethics Committee with inclusion of lay representatives at every meeting. All procedures performed in this study were in accordance with the ethical standards of the Institution and the 1964 Helsinki declaration and its later amendments or comparable ethical standards except for informed consent. As this study was registered and accepted for service evaluation (Registration 20-190C) by the Institution, informed consent was not required as all data was classed as auditable within the Trust. Consent within a service evaluation is considered implied by the Institution and this study followed all procedures in line with the Data Protection Act (2018) and Confidentiality: NHS Code of Practice (2003).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}