How Future Surgery Will Benefit From Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Related Measures Perspective From Italian Young Surgeon Society (SPIGC)

NCT05323851 | Completed

• 1 other identifier: COVID-Italiansurg-SPIGC
• Study Type: observational
• Target: 581
• Locations: 1 country
• Sites: 3

Brief Summary

The coronavirus 2019 pandemic (COVID-19) strongly affected clinical care worldwide. Due to a shortage of hospitals and beds in intensive care units (ICU), in Italy during outbreaks, surgical resources were temporarily and partially shifted to COVID-19 patients. In addition, the risk of cross-infection could have determined a shit in surgical perioperative care. To counterbalance these limitations, many centers routinely changed their clinical practice, which could be maintained by surgeons across Italy. The aim of the present study is to evaluate how the COVID-19 pandemic determined a change in daily clinical practice among all specialties.

Conditions

COVID-19; Health Behavior

Keywords

COVID-19; Survey; Enhanced Recovery After Surgery (ERAS) protocol; perioperative management

Outcome Measures

Primary Outcomes (2)

• The measure of the Italian surgical daily practice before coronavirus pandemic (COVID-19)

  Analysis of this outcome will be held through COVID-surg-SPIGC questionnaire. Variables will be collected as absolute numbers (e.g., number of procedures in a month) or percentages (e.g., percentage of elective surgery compared to total procedures). A sub-analysis will be held regarding the different surgical subspecialties, Italian medical centers, and academic grades.

  12 months before the beginning of COVID-19 emergency in Italy (between eighth March 2019 and seventh March 2020)

• The measure of the Italian surgical daily practice during coronavirus pandemic (COVID-19)

  Analysis of this outcome will be held through COVID-surg-SPIGC questionnaire. Variables will be collected as absolute numbers (e.g., number of procedures in a month) or percentages (e.g., percentage of elective surgery compared to total procedures). A sub-analysis will be held regarding the different surgical subspecialties, Italian medical centers, and academic grades.

  COVID-19 pandemic (between eighth March 2020 and sixteenth March 2022)

Other Outcomes (1)

• Expectation of the Italian surgical daily practice after coronavirus pandemic (COVID-19)

  12 months after the release of COVID-surg-SPIGC questionnaire.

Study Arms (1)

Surgeon

Any Resident, Fellow, PhD candidate, consultant or attending surgeon in any surgical specialty in Italy

Behavioral: COVID-surg-SPIGC questionnaire

Interventions

COVID-surg-SPIGC questionnaire BEHAVIORAL

The questionnaire aimed to evaluate how the COVID-19 pandemic determined a shift in daily practice through a multidimensional assessment of surgical clinical care in three different time frames.

Surgeon

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Any attending surgeon, resident, PhD candidate, or fellow in any surgical specialty in Italy

You may qualify if:

• Resident, Fellow, PhD candidate, consultant or attending surgeon in Italy in the following surgical specialties: cardiothoracic surgery, colon and rectal surgery, general surgery, gynecology and obstetrics, gynecologic oncology, neurological surgery, ophthalmic surgery, oral and maxillofacial surgery, orthopedic surgery, otorhinolaryngology, pediatric surgery, plastic and maxillofacial surgery, urology, and vascular surgery

You may not qualify if:

• undergraduate students
• Non-Surgical consultant

Sponsors & Collaborators

• University of Rome Tor Vergata: lead
• SPIGC: collaborator

Study Sites (3)

Azienza ospedaliera S. Camillo Forlanini

Roma, Rome, 00152, Italy

Location

Policlinico Universitario Campus Bio-Medico

Roma, 00128, Italy

Location

Università degli Studi di Roma Tor Vergata

Roma, 00133, Italy

Location

Related Publications (5)

• Pertile D, Gallo G, Barra F, Pasculli A, Batistotti P, Sparavigna M, Vizzielli G, Soriero D, Graziano G, Di Saverio S, Meniconi RL, Guaitoli E, Mazzarri A; SPIGC Working Group. The impact of COVID-19 pandemic on surgical residency programmes in Italy: a nationwide analysis on behalf of the Italian Polyspecialistic Young Surgeons Society (SPIGC). Updates Surg. 2020 Jun;72(2):269-280. doi: 10.1007/s13304-020-00811-9. Epub 2020 Jun 16.

  PMID: 32557207 BACKGROUND

• Vanni G, Legramante JM, Pellicciaro M, DE Carolis G, Cotesta M, Materazzo M, Buonomo C, Farinaccio A, Santori F, Saraceno F, Ielpo B, Aiello F, Paganelli C, Grande M, DE Andreis G, Chiocchi M, Palombi L, Buonomo OC. Effect of Lockdown in Surgical Emergency Accesses: Experience of a COVID-19 Hospital. In Vivo. 2020 Sep-Oct;34(5):3033-3038. doi: 10.21873/invivo.12137.

  PMID: 32871849 BACKGROUND

• Buonomo OC, Materazzo M, Pellicciaro M, Caspi J, Piccione E, Vanni G. Tor Vergata University-Hospital in the Beginning of COVID-19-Era: Experience and Recommendation for Breast Cancer Patients. In Vivo. 2020 Jun;34(3 Suppl):1661-1665. doi: 10.21873/invivo.11958.

  PMID: 32503826 BACKGROUND

• Ielpo B, Podda M, Pellino G, Pata F, Caruso R, Gravante G, Di Saverio S; ACIE Appy Study Collaborative. Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study. Br J Surg. 2021 Jun 22;108(6):717-726. doi: 10.1002/bjs.11999. Epub 2020 Oct 8.

  PMID: 34157090 BACKGROUND

• Manzia TM, Angelico R, Toti L, Pisani G, Vita G, Romano F, Pirozzi BM, Vinci D, Cacciola R, Iaria G, Tisone G. The hamletic dilemma of patients waiting for kidney transplantation during the COVID-19 pandemic: To accept or not to accept (an organ offer)? Transpl Infect Dis. 2021 Apr;23(2):e13560. doi: 10.1111/tid.13560. Epub 2021 Jan 16.

  PMID: 33393172 BACKGROUND

MeSH Terms

Conditions

COVID-19; Health Behavior

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases; Behavior

Study Officials

• Roberta Angelico

  University of Rome Tor Vergata

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, PhD, FEBS, Senior Lecturer, Department of Surgical Science, Tor Vergata University.

Study Record Dates

• First Submitted: March 30, 2022
• First Posted: April 12, 2022
• Study Start: March 16, 2022
• Primary Completion: July 1, 2022
• Study Completion: July 1, 2022
• Last Updated: November 21, 2022

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will not share

Locations

IT (3)