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Related Experiment Video

Updated: Oct 3, 2025

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Proctologic Surgery Prioritization After the Lockdown: Development of a Scoring System.

Renato Pietroletti1, Gaetano Gallo2, Mario Muselli3

  • 1Surgical Coloproctology Hospital Val Vibrata, Sant'Omero (TE) and Department of Clinical and Biotechnological Sciences University of L'Aquila, L'Aquila, Italy.

Frontiers in Surgery
|February 14, 2022
PubMed
Summary

The COVID-19 pandemic disrupted surgical care. A telephone-based severity index effectively prioritized patients for coloproctology surgery after lockdown, aiding efficient rescheduling.

Keywords:
COVID-19proctologic surgeryscoring systemsurgical prioritysurgical scheduling

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Area of Science:

  • Coloproctology
  • Surgical Outcomes
  • Public Health

Background:

  • The COVID-19 pandemic significantly impacted global surgical procedures, with Italy experiencing severe disruptions.
  • Elective surgeries and routine visits were suspended to prioritize urgent and oncologic cases during the initial March 2020 outbreak.

Purpose of the Study:

  • To assess the feasibility of a telephone-based severity index for prioritizing patients awaiting coloproctology surgery post-lockdown.
  • To stratify patients based on disease severity to facilitate efficient rescheduling of surgical activities.

Main Methods:

  • An observational study involved 152 patients awaiting proctological surgery during the national lockdown.
  • Patients were interviewed via telephone using a clinician-validated questionnaire to assess their condition.
  • A severity index was calculated for various proctologic diseases, categorizing patients accordingly.

Main Results:

  • Of 137 patients analyzed, 36.2% required priority surgery (PS), 18.1% deferrable surgery (DS), and 45.6% long-term surgery (L-TS).
  • A strong correlation (Spearman's rho = 0.97, p < 0.001) existed between perceived health status and priority class.
  • Age and sex did not significantly influence patient classification.

Conclusions:

  • A simple, telephone-administered severity score can effectively prioritize patients on surgical waiting lists.
  • This tool allows for efficient patient management post-lockdown without requiring immediate clinical examination or hospital visits.
  • The developed index offers a practical solution for managing surgical backlogs in coloproctology.