The COVID-19 Pandemic and Plastic Surgery: Literature Review, Ethical Analysis, and Proposed Guidelines.
COVID-19
Coronavirus Infections
/ epidemiology
Cross Infection
/ prevention & control
Elective Surgical Procedures
/ ethics
Ethical Analysis
Female
Humans
Infection Control
/ organization & administration
Male
Pandemics
/ prevention & control
Patient Safety
Pneumonia, Viral
/ epidemiology
Practice Guidelines as Topic
Prognosis
Risk Assessment
Surgery, Plastic
/ ethics
Journal
Plastic and reconstructive surgery
ISSN: 1529-4242
Titre abrégé: Plast Reconstr Surg
Pays: United States
ID NLM: 1306050
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
pubmed:
9
7
2020
medline:
6
10
2020
entrez:
9
7
2020
Statut:
ppublish
Résumé
Coronavirus disease 2019 (COVID-19), known as the "coronavirus," has spread to over 170 countries. In response, many organizations have spoken out and called for cancellation of all elective surgical procedures. This study aimed to provide clear recommendations for plastic surgeons to follow by addressing the following issues: (1) What defines elective surgery, and where does one draw the line between essential versus nonessential services? (2) How does this differ in the hospital versus private practice setting? (3) If called on to operate on a patient with COVID-19, how do plastic surgeons protect themselves and still provide excellent medical care? A Preferred Reporting Items for Systematic Reviews and Meta-Analyses systematic review of the literature on plastic surgery in the setting of a pandemic was performed on March 19, 2020. An ethical analysis was conducted using the four principles of medical ethics. The initial search yielded 118 articles. Eighteen articles were relevant and included for analysis. Only one editorial article was published in a plastic surgery journal. Accordingly, no peer-reviewed published COVID-19 guidelines exist for plastic surgery. Given that this pandemic may place health care systems under undue stress with an unpredictable trajectory, it is the responsibility of the plastic surgeon to assess and postpone cases whenever possible to properly contribute to adequate resource allocation and patient safety measures. This article fills an important gap in the literature by addressing COVID-19 and providing guidelines for upholding ethics and responsible resource allocation. By upholding these standards, plastic surgeons can do their part to help minimize the spread of this virus.
Sections du résumé
BACKGROUND
Coronavirus disease 2019 (COVID-19), known as the "coronavirus," has spread to over 170 countries. In response, many organizations have spoken out and called for cancellation of all elective surgical procedures. This study aimed to provide clear recommendations for plastic surgeons to follow by addressing the following issues: (1) What defines elective surgery, and where does one draw the line between essential versus nonessential services? (2) How does this differ in the hospital versus private practice setting? (3) If called on to operate on a patient with COVID-19, how do plastic surgeons protect themselves and still provide excellent medical care?
METHODS
A Preferred Reporting Items for Systematic Reviews and Meta-Analyses systematic review of the literature on plastic surgery in the setting of a pandemic was performed on March 19, 2020. An ethical analysis was conducted using the four principles of medical ethics.
RESULTS
The initial search yielded 118 articles. Eighteen articles were relevant and included for analysis. Only one editorial article was published in a plastic surgery journal. Accordingly, no peer-reviewed published COVID-19 guidelines exist for plastic surgery. Given that this pandemic may place health care systems under undue stress with an unpredictable trajectory, it is the responsibility of the plastic surgeon to assess and postpone cases whenever possible to properly contribute to adequate resource allocation and patient safety measures.
CONCLUSIONS
This article fills an important gap in the literature by addressing COVID-19 and providing guidelines for upholding ethics and responsible resource allocation. By upholding these standards, plastic surgeons can do their part to help minimize the spread of this virus.
Identifiants
pubmed: 32639423
doi: 10.1097/PRS.0000000000007268
pii: 00006534-202010000-00041
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
482e-493eRéférences
Centers for Disease Control and Prevention. Screening for critical congenital heart disease at birth saves lives. Available at: https://www.cdc.gov/media/releases/2017/p1205-screening-congenital-heart-disease.html. Accessed March 19, 2020.
World Health Organization. Coronavirus disease advice for the public: Mythbusters. Available at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/myth-busters. Accessed March 24, 2020.
Health Service Executive. People at higher risk from coronavirus. Available at: https://www2.hse.ie/conditions/coronavirus/at-risk-groups.html. Accessed March 24, 2020.
Johns Hopkins Coronavirus Resource Center. COVID-19 dashboard by the Center for System Science and Engineering (CSSSE) at Johns Hopkins University (JHU). Available at: https://coronavirus.jhu.edu/map.html. Accessed March 19, 2020.
Centers for Disease Control and Prevention. Global COVID-19: World map. Available at: https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/world-map.html. Accessed March 24, 2020.
Worldometer. COVID-19 coronavirus pandemic (live). Available at: https://www.worldometers.info/coronavirus/. Accessed March 23, 2020.
World Health Organization. WHO coronavirus disease (COVID-19) dashboard. Available at: https://experience.arcgis.com/experience/685d0ace521648f8a5beeeee1b9125cd. Accessed March 23, 2020.
World Health Organization. Coronavirus disease 2019 (COVID-19): Situation report, 58. Available at: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200318-sitrep-58-covid-19.pdf?sfvrsn=20876712_2. Accessed March 19, 2020.
Woodward A; Business Insider. March 18, 2020. The increase in US coronavirus cases over time looks like a steep staircase: A sign that the outbreak is far from contained. Available at: https://www.businessinsider.in/science/news/the-increase-in-us-coronavirus-cases-over-time-looks-like-a-steep-staircase-a-sign-that-the-outbreak-is-far-from-contained/articleshow/74682618.cms. Accessed March 19, 2020.
Bump P; The Washington Post. March 19, 2020. As confirmed coronavirus cases increase, remember what we don’t know. Available at: https://www.washingtonpost.com/politics/2020/03/19/confirmed-coronavirus-cases-increase-remember-what-we-dont-know/. Accessed March 23, 2020.
Aljazeera. Coronavirus pandemic news. Available at: https://www.aljazeera.com/topics/events/coronavirus-outbreak.html. Accessed March 20, 2020.
Centers for Disease Control and Prevention. Coronavirus disease 2019 (COVID-19): Cases in the U.S. Available at: https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/summary.html. Accessed March 21, 2020.
Adeline S; NPR. July 10, 2020. Tracking the pandemic: Are coronavirus cases rising or falling in your state? Available at: https://www.npr.org/sections/health-shots/2020/03/16/816707182/map-tracking-the-spread-of-the-coronavirus-in-the-u-s. Accessed March 19, 2020.
The New York Times. Coronavirus in the U.S.: Latest map and case count. Available at: https://www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html. Accessed March 23, 2020
American College of Surgeons. COVID-19: Recommendations for management of elective surgical procedures. Available at: https://www.facs.org/about-acs/covid-19/information-for-surgeons/elective-surgery. Accessed March 19, 2020.
American Society of Plastic Surgeons. COVID-19: Resources for plastic surgeons and their practices. Available at: https://www.plasticsurgery.org/for-medical-professionals/covid19-member-resources. Accessed March 21, 2020.
The Aesthetic Society. COVID-19 updates from the president. Available at: https://www.surgery.org/private/COVID-19. Accessed March 21, 2020.
PRISMA. PRISMA checklist. Available at: http://www.prisma-statement.org/PRISMAStatement/. Accessed April 12, 2020.
Cascella M, Rajnik M, Cuomo A, Dulebohn SC, Di Napoli R. Features, evaluation and treatment coronavirus (COVID-19). StatPearls. 2020. Available at: http://www.ncbi.nlm.nih.gov/books/NBK554776/. Accessed March 23, 2020.
Coccolini F, Perrone G, Chiarugi M, et al. Surgery in COVID-19 patients: Operational directives. World J Emerg Surg. 2020;15:25.
Cohen SP, Baber ZB, Buvanendran A, et al. Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. Pain Med. 2020;21:1331–1346.
Correia MITD, Ramos RF, Von Bahten LC. The surgeons and the COVID-19 pandemic. Rev Col Bras Cir. 2020;47:e20202536.
Di Saverio S, Pata F, Gallo G, et al. Coronavirus pandemic and colorectal surgery: Practical advice based on the Italian experience. Colorectal Dis. 2020;22:625–634.
Forrester JD, Nassar AK, Maggio PM, Hawn MT. Precautions for operating room team members during the COVID-19 pandemic. J Am Coll Surg. 2020;230:1098–1101.
Givi B, Schiff BA, Chinn SB, et al. Safety recommendations for evaluation and surgery of the head and neck during the COVID-19 pandemic. JAMA Otolaryngol Head Neck Surg. Published online ahead of print March 31, 2020.
Lentz RJ, Colt H. Summarizing societal guidelines regarding bronchoscopy during the COVID-19 pandemic. Respirology. 2020;25:574–577.
Lui RN, Wong SH, Sánchez-Luna SA, et al. Overview of guidance for endoscopy during the coronavirus disease 2019 (COVID-19) pandemic. J Gastroenterol Hepatol. 2020;35:749–759.
Park J, Yoo SY, Ko J, et al. Infection prevention measures for surgical procedures during a Middle East respiratory syndrome outbreak in a tertiary care hospital in South Korea. Sci Rep. 2020;10:325.
Rajan N, Joshi GP. The COVID-19: Role of ambulatory surgery facilities in this global pandemic. Anesth Analg. 2020;131:31–36.
Rohrich RJ, Hamilton KL, Avashia Y, Savetsky I. The COVID-19 pandemic: Changing lives and lessons learned. Plast Reconstr Surg Glob Open. 2020;8:e2854.
Rosenbaum L. Facing covid-19 in Italy: Ethics, logistics, and therapeutics on the epidemic’s front line. N Engl J Med. 2020;382:1873–1875.
Tao KX, Zhang BX, Zhang P, Zhu P, Wang GB, Chen XP; General Surgery Branch of Hubei Medical Association, General Surgery Branch of Wuhan Medical Association. Recommendations for general surgery clinical practice in 2019 coronavirus disease situation (in Chinese). Zhonghua Wai Ke Za Zhi. 2020;58:170–177.
Ueda M, Martins R, Hendrie PC, et al. Managing cancer care during the COVID-19 pandemic: Agility and collaboration toward a common goal. J Natl Compr Canc Netw. 2020;1–4.
Vukkadala N, Qian ZJ, Holsinger FC, Patel ZM, Rosenthal E. COVID-19 and the otolaryngologist: Preliminary evidence-based review. Laryngoscope Published online ahead of print March 26, 2020.
Wen X, Li Y. Anesthesia procedure of emergency operation for patients with suspected or confirmed COVID-19. Surg Infect (Larchmt.). 2020;21:299.
Yu GY, Lou Z, Zhang W. Several suggestions of operation for colorectal cancer under the outbreak of corona virus disease 19 in China (in Chinese). Zhonghua Wei Chang Wai Ke Za Zhi. 2020;23:9–11.
Beauchamp TL, Childress JF. Principles of Biomedical Ethics. 2009.New York: Oxford University Press;
Stanford University. What are the basic principles of medical ethics? Available at: https://web.stanford.edu/class/siw198q/websites/reprotech/New%20Ways%20of%20Making%20Babies/EthicVoc.htm. Accessed March 18, 2020.
Reynolds KA; Medical Economics. March 17, U.S. Coronavirus task force urges pause in elective surgeries. 2020. Available at: https://www.medicaleconomics.com/news/us-coronavirus-task-force-urges-pause-elective-surgeries. Accessed March 20, 2020.
American College of Surgeons. COVID-19: Recommendations for management of elective surgical procedures. Available at: https://www.facs.org/about-acs/covid-19/information-for-surgeons/elective-surgery. Accessed March 19, 2020.
Johns Hopkins Medicine. Health: Types of surgery. Available at: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/types-of-surgery. Accessed March 20, 2020.
Government of Western Australia Department of Health. What is elective surgery? Available at: http://www.health.wa.gov.au/electivesurgery/docs/Elective_Surgery_Patient_Information_ENGLISH.pdf. Accessed March 21, 2020.
American College of Surgeons. COVID-19: Guidance for triage of non-emergent surgical procedures. Available at: https://www.facs.org/about-acs/covid-19/information-for-surgeons/triage. Accessed March 20, 2020.
Centers for Disease Control and Prevention (CDC). Coronavirus disease 2019 (COVID-19): Interim infection prevention and control recommendations for healthcare personnel during the coronavirus disease 2019 (COVID-19) pandemic. Available at: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html. Accessed March 20, 2020
Centers for Disease Control and Prevention. Coronavirus disease 2019 (COVID-19): Steps healthcare facilities can take now to prepare for COVID-19. Available at: https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/steps-to-prepare.html. Accessed March 19, 2020.
Centers for Disease Control and Prevention. Coronavirus disease 2019 (COVID-19): Information for healthcare professionals about coronavirus (COVID-19). Available at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/index.html. Accessed March 19, 2020.
Accreditation Council for Graduate Medical Education. ACGME response to COVID-19: Clarification regarding telemedicine and ACGME surveys. Available at: https://www.acgme.org/Newsroom/Blog/Details/ArticleID/10125/ACGME-Response-to-COVID-19-Clarification-regarding-Telemedicine-and-ACGME-Surveys. Accessed March 24, 2020.
American Medical Association. Medical education COVID-19 resource guide. Available at: https://www.ama-assn.org/delivering-care/public-health/resident-medical-student-covid-19-resource-guide. Accessed March 23, 2020.
American Medical Association. COVID-19: Frequently asked questions. Available at: https://www.ama-assn.org/delivering-care/public-health/covid-19-frequently-asked-questions. Accessed March 23, 2020.
Chow TT, Kwan A, Lin Z, Bai W. Conversion of operating theatre from positive to negative pressure environment. J Hosp Infect. 2006;64:371–378.
American Society of Anesthesiologists. COVID-19: Information for healthcare professionals. Available at: https://www.asahq.org/about-asa/governance-and-committees/asa-committees/committee-on-occupational-health/coronavirus. Accessed March 23, 2020.
AO CMF. AO CMF international task force recommendations on best practices for maxillofacial procedures during COVID-19 pandemic. Available at: https://aocmf3.aofoundation.org/-/media/project/aocmf/aocmf/files/covid-19/ao_cmf_covid-19_task_force_guidelines.pdf?la=en&hash=C2B89E1E6E9AB72EBF386C747D3BC74CF1009C1E. Accessed April 12, 2020
American College of Surgeons. Considerations for optimum surgeon protection before, during, and after operation. Available at: https://www.facs.org/covid-19/clinical-guidance/surgeon-protection. Accessed April 12, 2020.