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The PanSurg-PREDICT Study: Endocrine Surgery During the COVID-19 Pandemic.
K Van Den Heede1, S Chidambaram2, J Winter Beatty2
1Department of Endocrine Surgery, Hammersmith Hospital, 72 Du Cane Rd, London, W12 0HS, UK. klaasvandenheede@hotmail.com.
World Journal of Surgery
|April 20, 2021
Summary
Endocrine surgery continued during the COVID-19 pandemic, with most procedures being elective. Despite resource limitations, endocrine surgery demonstrated safety, with few COVID-19 complications and consultant-led care prevalent.
Area of Science:
- Endocrinology
- Surgical Oncology
- Public Health
Background:
- The COVID-19 pandemic presented significant resource challenges for healthcare systems globally.
- Patients with endocrine surgical pathology required continued management despite pandemic-related constraints.
Purpose of the Study:
- To investigate the impact of the COVID-19 pandemic on endocrine surgery practice.
- To analyze changes in decision-making, patient case mix, and care delivery during the pandemic.
Main Methods:
- An international, multicentre, prospective, observational cohort study (PanSurg-PREDICT) was conducted.
- Data on 380 endocrine surgery patients (thyroid, parathyroid, adrenal) were collected between March and September 2020.
Main Results:
- The majority of endocrine surgeries (97%) were elective, with most requiring timely intervention.
- Decision-making was influenced by pandemic factors in a subset of cases; cancer indications were common.
- COVID-19 status was frequently unknown pre-operatively, yet COVID-19-related complications and mortality were rare.
Conclusions:
- The COVID-19 pandemic altered endocrine surgical practice, including decision-making and care delivery.
- Endocrine surgery was safely performed during the pandemic, with low rates of COVID-19-related complications.
- Variations in risk mitigation measures were observed, highlighting the need for standardized protocols.
