Spine Surgery and COVID-19 : The Influence of Practice Type on Preparedness, Response, and Economic Impact
STUDY DESIGN: Cross-sectional observational cohort study.
OBJECTIVE: To investigate preparation, response, and economic impact of COVID-19 on private, public, academic, and privademic spine surgeons.
METHODS: AO Spine COVID-19 and Spine Surgeon Global Impact Survey includes domains on surgeon demographics, location of practice, type of practice, COVID-19 perceptions, institutional preparedness and response, personal and practice impact, and future perceptions. The survey was distributed by AO Spine via email to members (n = 3805). Univariate and multivariate analyses were performed to identify differences between practice settings.
RESULTS: A total of 902 surgeons completed the survey. In all, 45.4% of respondents worked in an academic setting, 22.9% in privademics, 16.1% in private practice, and 15.6% in public hospitals. Academic practice setting was independently associated with performing elective and emergent spine surgeries at the time of survey distribution. A majority of surgeons reported a >75% decrease in case volume. Private practice and privademic surgeons reported losing income at a higher rate compared with academic or public surgeons. Practice setting was associated with personal protective equipment availability and economic issues as a source of stress.
CONCLUSIONS: The current study indicates that practice setting affected both preparedness and response to COVID-19. Surgeons in private and privademic practices reported increased worry about the economic implications of the current crisis compared with surgeons in academic and public hospitals. COVID-19 decreased overall clinical productivity, revenue, and income. Government response to the current pandemic and preparation for future pandemics needs to be adaptable to surgeons in all practice settings.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:12 |
|---|---|
| Enthalten in: |
Global spine journal - 12(2022), 2 vom: 31. März, Seite 249-262 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Weiner, Joseph A [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
COVID-19 |
|---|
| Anmerkungen: |
Date Revised 02.05.2022 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.1177/2192568220949183 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM313374309 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM313374309 | ||
| 003 | DE-627 | ||
| 005 | 20231225150433.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1177/2192568220949183 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1044.xml |
| 035 | |a (DE-627)NLM313374309 | ||
| 035 | |a (NLM)32762354 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Weiner, Joseph A |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Spine Surgery and COVID-19 |b The Influence of Practice Type on Preparedness, Response, and Economic Impact |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 02.05.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a STUDY DESIGN: Cross-sectional observational cohort study | ||
| 520 | |a OBJECTIVE: To investigate preparation, response, and economic impact of COVID-19 on private, public, academic, and privademic spine surgeons | ||
| 520 | |a METHODS: AO Spine COVID-19 and Spine Surgeon Global Impact Survey includes domains on surgeon demographics, location of practice, type of practice, COVID-19 perceptions, institutional preparedness and response, personal and practice impact, and future perceptions. The survey was distributed by AO Spine via email to members (n = 3805). Univariate and multivariate analyses were performed to identify differences between practice settings | ||
| 520 | |a RESULTS: A total of 902 surgeons completed the survey. In all, 45.4% of respondents worked in an academic setting, 22.9% in privademics, 16.1% in private practice, and 15.6% in public hospitals. Academic practice setting was independently associated with performing elective and emergent spine surgeries at the time of survey distribution. A majority of surgeons reported a >75% decrease in case volume. Private practice and privademic surgeons reported losing income at a higher rate compared with academic or public surgeons. Practice setting was associated with personal protective equipment availability and economic issues as a source of stress | ||
| 520 | |a CONCLUSIONS: The current study indicates that practice setting affected both preparedness and response to COVID-19. Surgeons in private and privademic practices reported increased worry about the economic implications of the current crisis compared with surgeons in academic and public hospitals. COVID-19 decreased overall clinical productivity, revenue, and income. Government response to the current pandemic and preparation for future pandemics needs to be adaptable to surgeons in all practice settings | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a coronavirus | |
| 650 | 4 | |a global | |
| 650 | 4 | |a impact | |
| 650 | 4 | |a private practice | |
| 650 | 4 | |a spine; surgeons | |
| 700 | 1 | |a Swiatek, Peter R |e verfasserin |4 aut | |
| 700 | 1 | |a Johnson, Daniel J |e verfasserin |4 aut | |
| 700 | 1 | |a Louie, Philip K |e verfasserin |4 aut | |
| 700 | 1 | |a Harada, Garrett K |e verfasserin |4 aut | |
| 700 | 1 | |a McCarthy, Michael H |e verfasserin |4 aut | |
| 700 | 1 | |a Germscheid, Niccole |e verfasserin |4 aut | |
| 700 | 1 | |a Cheung, Jason P Y |e verfasserin |4 aut | |
| 700 | 1 | |a Neva, Marko H |e verfasserin |4 aut | |
| 700 | 1 | |a El-Sharkawi, Mohammad |e verfasserin |4 aut | |
| 700 | 1 | |a Valacco, Marcelo |e verfasserin |4 aut | |
| 700 | 1 | |a Sciubba, Daniel M |e verfasserin |4 aut | |
| 700 | 1 | |a Chutkan, Norman B |e verfasserin |4 aut | |
| 700 | 1 | |a An, Howard S |e verfasserin |4 aut | |
| 700 | 1 | |a Samartzis, Dino |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Global spine journal |d 2011 |g 12(2022), 2 vom: 31. März, Seite 249-262 |w (DE-627)NLM233811001 |x 2192-5682 |7 nnns |
| 773 | 1 | 8 | |g volume:12 |g year:2022 |g number:2 |g day:31 |g month:03 |g pages:249-262 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1177/2192568220949183 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 12 |j 2022 |e 2 |b 31 |c 03 |h 249-262 | ||