Erschienen in:
08.08.2020 | COVID-19 | Original Article
Zur Zeit gratis
Deadlock of proctologic practice in Italy during COVID-19 pandemic: a national report from ProctoLock2020
verfasst von:
Gaetano Gallo, Alessandro Sturiale, Veronica De Simone, Stefano Mancini, Gian Luca Di Tanna, Giovanni Milito, Francesco Bianco, Roberto Perinotti, Iacopo Giani, Ugo Grossi, Domenico Aiello, Francesco Bianco, Andrea Bondurri, Gaetano Gallo, Marco La Torre, Giovanni Milito, Roberto Perinotti, Renato Pietroletti, Alberto Serventi, Marina Fiorino, Veronica De Simone, Ugo Grossi, Michele Manigrasso, Alessandro Sturiale, Gloria Zaffaroni, Ferruccio Boffi, Vittoria Bellato, Francesco Cantarella, Simona Deidda, Fabio Marino, Jacopo Martellucci, Marco Milone, Arcangelo Picciariello, Ana Minaya Bravo, Vincenzo Vigorita, Miguel Fernandes Cunha, Sezai Leventoglu, Tatiana Garmanova, Petr Tsarkov, Alaa El-Hussuna, Alice Frontali, Argyrios Ioannidis, Gabriele Bislenghi, Mostafa Shalaby, Felipe Celedon Porzio, Jiong Wu, David Zimmerman, Claudio Elbetti, Julio Mayol, Gabriele Naldini, Mario Trompetto, Giuseppe Sammarco, Giulio Aniello Santoro, ProctoLock2020 Working Group
Erschienen in:
Updates in Surgery
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Ausgabe 4/2020
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Abstract
Proctology is one of the surgical specialties that suffered the most during COVID-19 pandemic. Using data from a cross-sectional worldwide web survey, we aimed to snapshot the current status of proctologic practice in Italy with differences between three macro areas (North, Centre, South). Specialists affiliated to renowned scientific societies with an interest in coloproctology were invited to join a 27-item survey. Predictive power of respondents’ and hospitals’ demographics on the change of status of surgical activities was calculated. The study was registered at ClinicalTrials.gov (NCT 04392245). Of 299 respondents from Italy, 94 (40%) practiced in the North, 60 (25%) in the Centrer and 82 (35%) in the South and Islands. The majority were men (79%), at consultant level (70%), with a mean age of 46.5 years, practicing in academic hospitals (39%), where a dedicated proctologist was readily available (68%). Southern respondents were more at risk of infection compared to those from the Center (OR, 3.30; 95%CI 1.46; 7.47, P = 0.004), as were males (OR, 2.64; 95%CI 1.09; 6.37, P = 0.031) and those who routinely tested patients prior to surgery (OR, 3.02; 95%CI 1.39; 6.53, P = 0.005). The likelihood of ongoing surgical practice was higher in the South (OR 1.36, 95%CI 0.75; 2.46, P = 0.304) and in centers that were not fully dedicated to COVID-19 care (OR 4.00, 95%CI 1.88; 8.50, P < 0.001). The results of this survey highlight important factors contributing to the deadlock of proctologic practice in Italy and may inform the development of future management strategies.