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COVID-19对炎症性肠病手术的影响:系统性审查
COVID-19大流行严重影响了炎症性肠病 (IBD) 手术,选择性手术的减少变化. 然而,在此期间接受IBD手术的患者没有面临增加的不良结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,COVID-19大流行扰乱了外科手术服务.
- 指导优先考虑拯救生命和癌症手术,可能影响其他必要的程序.
- 炎症性肠病 (IBD) 手术需要谨慎的时间安排,这可能在疫情期间受到影响.
研究的目的:
- 量化COVID-19大流行对IBD手术的影响.
- 在大流行期间评估进行IBD手术的安全性.
主要方法:
- 系统审查的Medline,Embase,和科学网络.
- 包括比较IBD手术数量和结果的流行病前和流行病前队列的研究.
- 排除了由于异质性而不能进行元分析的研究.
主要成果:
- 包括13项研究,分析了超过300万名患者.
- 选择性IBD手术的发生率差异很大 (66%的减少到9.66%的增加).
- 紧急和紧急IBD手术在很大程度上不受影响;术后结果没有显示任何负面影响.
结论:
- 随着COVID-19大流行,IBD手术服务发生了重大变化.
- 在大流行期间接受IBD手术的患者没有经历不良结果的风险增加.
- 对IBD服务和患者发病率的长期影响需要进一步调查.
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