{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T06:55:45Z","timestamp":1768546545334,"version":"3.49.0"},"posted":{"date-parts":[[2020,7,17]]},"group-title":"Surgery","reference-count":16,"publisher":"openRxiv","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2020,7,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The Coronavirus Disease 2019 (COVID-19) pandemic is having an unprecedented impact on healthcare delivery. This international qualitative study captured the global impact on vascular patient care during the first pandemic \u2018wave\u2019.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>An online structured survey was used to collect regular unit-level data regarding the modification to a wide range of vascular services and treatment pathways on a global scale.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>\n                    The survey commenced on 23\n                    <jats:sup>rd<\/jats:sup>\n                    March 2020 worldwide. Over six weeks, 249 vascular units took part in 53 countries (465 individual responses). Overall, 65% of units stopped carotid surgery for anyone except patients with crescendo symptoms or offered surgery on a case-by-case basis, 25% only intervened for symptomatic aortic aneurysms cancelling all \u2018elective\u2019 repairs. For patients with symptomatic peripheral arterial disease 60% of units moved to an endovascular-first strategy. For patients who had previously undergone endovascular aortic aneurysm repair, 31.8% of units stopped all postoperative surveillance. Of those units regularly engaging in multidisciplinary team meetings, 59.5% of units stopped regular meetings and 39.1% had not replaced them. Further, 20% of units did not have formal personal protective equipment (PPE) guidelines in place and 25% reported insufficient PPE availability.\n                  <\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The COVID-19 pandemic has had a major impact on vascular services worldwide. There will be a significant vascular disease burden awaiting screening and intervention after the pandemic.<\/jats:p>\n                <\/jats:sec>","DOI":"10.1101\/2020.07.16.20153593","type":"posted-content","created":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T18:22:49Z","timestamp":1595010169000},"source":"Crossref","is-referenced-by-count":1,"title":["The global impact of the first Coronavirus Disease 2019 (COVID-19) pandemic wave on vascular services"],"prefix":"10.64898","author":[{"name":"The VERN COVER study collaborative","sequence":"first","affiliation":[]},{"given":"Ruth A","family":"Benson","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6036-5760","authenticated-orcid":false,"given":"Sandip","family":"Nandhra","sequence":"additional","affiliation":[]}],"member":"54368","reference":[{"key":"2021011104351002000_2020.07.16.20153593v1.1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11646"},{"key":"2021011104351002000_2020.07.16.20153593v1.2","unstructured":"Imray CHE. COVID-19 virus and vascular surgery www.Vascularsociety.org.uk: VSGBI; 2020. www.vascularsociety.org.uk\/professionals\/news\/113\/covid19_virus_and_vascular_surgery."},{"key":"2021011104351002000_2020.07.16.20153593v1.3","unstructured":"https:\/\/vascular.org\/news-advocacy\/covid-19-resources#Guidelines&Tools"},{"key":"2021011104351002000_2020.07.16.20153593v1.4","unstructured":"https:\/\/www.facs.org\/covid-19\/clinical-guidance\/elective-case\/vascular-surgery"},{"issue":"8","key":"2021011104351002000_2020.07.16.20153593v1.5","doi-asserted-by":"crossref","first-page":"e246","DOI":"10.1002\/bjs.11690","article-title":"Indirect casualties of COVID [19: perspectives from an American vascular surgery practice at a tertiary care centre","volume":"107","year":"2020","journal-title":"British Journal of Surgery"},{"key":"2021011104351002000_2020.07.16.20153593v1.6","unstructured":"VERN Executive Committee. The COvid-19 Vascular sERvice (COVER) Study: An International Vascular and Endovascular Research Network (VERN) Collaborative Study Assessing the Provision, Practice, and Outcomes of Vascular Surgery During the COVID-19 Pandemic. European Journal of Vascular and Endovascular Surgery 2020; Epub ahead of print."},{"key":"2021011104351002000_2020.07.16.20153593v1.7","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.isjp.2019.06.001","article-title":"Study protocol for the groin wound infection after vascular exposure (GIVE) audit and multicentre cohort study","volume":"16","year":"2019","journal-title":"International Journal of Surgery Protocols"},{"issue":"9","key":"2021011104351002000_2020.07.16.20153593v1.8","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1002\/bjs.11214","article-title":"Observational study of the medical management of patients with peripheral artery disease","volume":"106","year":"2019","journal-title":"British Journal of Surgery"},{"issue":"6","key":"2021011104351002000_2020.07.16.20153593v1.9","first-page":"899","article-title":"Acute Kidney Injury (AKI) in Aortic Intervention: Findings From the Midlands Aortic Renal Injury (MARI) Cohort Study","volume":"59","year":"2019","journal-title":"European Journal of Vascular and Endovascular Surgery"},{"key":"2021011104351002000_2020.07.16.20153593v1.10","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzg031"},{"issue":"11","key":"2021011104351002000_2020.07.16.20153593v1.11","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1161\/CIRCULATIONAHA.118.036966","article-title":"Safety of Men With Small and Medium Abdominal Aortic Aneurysms Under Surveillance in the NAAASP","volume":"139","year":"2019","journal-title":"Circulation"},{"key":"2021011104351002000_2020.07.16.20153593v1.12","unstructured":"Public Health England. 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Epub ahead of print.","DOI":"10.1016\/S0140-6736(20)30854-0"}],"container-title":[],"original-title":[],"link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1101\/2020.07.16.20153593","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T13:48:27Z","timestamp":1768484907000},"score":1,"resource":{"primary":{"URL":"http:\/\/medrxiv.org\/lookup\/doi\/10.1101\/2020.07.16.20153593"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,17]]},"references-count":16,"URL":"https:\/\/doi.org\/10.1101\/2020.07.16.20153593","relation":{},"subject":[],"published":{"date-parts":[[2020,7,17]]},"subtype":"preprint"}}