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[Swedish gallstone surgery during the covid-19 pandemic]

Carl Johan Drott1, Gabriel Sandblom2, Johanna Österberg3

  • 1med dr, ST-läkare, kir-urgkliniken, Hudiksvalls sjukhus.

Lakartidningen
|June 20, 2022
PubMed

Insights

The COVID-19 pandemic led to fewer gallstone surgeries, but a subsequent rise in procedures for acute conditions suggests no major public health impact so far. Further evaluation of patient quality of life is needed.

Area of Science:

  • Health Services Research
  • Surgical Outcomes
  • Epidemiology

Background:

  • The COVID-19 pandemic prompted healthcare resource reallocation, raising concerns about delayed surgeries for benign conditions.
  • The impact of postponed elective surgeries on patient outcomes and quality of life requires investigation.

Purpose of the Study:

  • To analyze trends in gallstone surgery during the COVID-19 pandemic.
  • To assess the immediate impact of surgical delays on public health outcomes.

Main Methods:

  • Utilized data from the Swedish National Register for Gallstone Surgery (GallRiks).
  • Analyzed procedure volumes during initial pandemic waves and subsequent periods.

Main Results:

  • A decrease in total gallstone procedures was observed during the initial months of each pandemic wave.
  • A moderate increase in surgeries for acute cholecystitis, biliary pancreatitis, and obstructive jaundice followed the initial decline.
  • No major adverse public health impact has been identified to date.

Conclusions:

  • While gallstone surgery volumes initially decreased during the pandemic, a subsequent rise in emergency procedures suggests resilience in care.
  • Long-term consequences and effects on patient-reported quality of life from delayed surgeries warrant further study.

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