TY - JOUR
T1 - Personal health of spine surgeons can impact perceptions, decision-making and healthcare delivery during the COVID-19 pandemic-a worldwide study
AU - Sayari, Arash J.
AU - Harada, Garrett K.
AU - Louie, Philip K.
AU - McCarthy, Michael H.
AU - Nolte, Michael T.
AU - Mallow, Gary M.
AU - Siyaji, Zakariah
AU - Germscheid, Niccole
AU - Cheung, Jason P.Y.
AU - Neva, Marko H.
AU - El-Sharkawi, Mohammad
AU - Valacco, Marcelo
AU - Sciubba, Daniel M.
AU - Chutkan, Norman B.
AU - An, Howard S.
AU - Samartzis, Dino
N1 - Funding Information:
The authors would like to extend their sincere gratitude to Kaija Kurki-Suonio and Fernando Kijel from AO Spine (Davos, Switzerland)for their assistance with circulating the survey to AO Spine members.
Publisher Copyright:
© 2020 by the Korean Spinal Neurosurgery Society.
PY - 2020/6
Y1 - 2020/6
N2 - Objective: To determine if personal health of spine surgeons worldwide influences percep-tions, healthcare delivery, and decision-making during the coronavirus disease 2019 (CO-VID-19) pandemic. Methods: A cross-sectional study was performed by distributing a multidimensional survey to spine surgeons worldwide. Questions addressed demographics, impacts and perceptions of COVID-19, and the presence of surgeon comorbidities, which included cancer, cardiac disease, diabetes, obesity, hypertension, respiratory illness, renal disease, and current tobacco use. Multivariate analysis was performed to identify specific comorbidities that influenced various impact measures. Results: Across 7 global regions, 36.8% out of 902 respondents reported a comorbidity, of which hypertension (21.9%) and obesity (15.6%) were the most common. Multivariate analysis noted tobacco users were more likely to continue performing elective surgery during the pandemic (odds ratio [OR], 2.62; 95% confidence interval [CI], 1.46–4.72; p = 0.001) and were less likely to utilize telecommunication (OR, 0.51; 95% CI, 0.31–0.86; p = 0.011), whereas those with hypertension were less likely to warn their patients should the surgeon become infected with COVID-19 (OR, 0.57; 95% CI, 0.37–0.91; p = 0.017). Clinicians with multiple comorbidities were more likely to cite personal health as a current stressor (OR, 1.32; 95% CI, 1.07–1.63; p = 0.009) and perceived their hospital’s management un-favorably (OR, 0.74; 95% CI, 0.60–0.91; p = 0.005). Conclusion: This is the first study to have mapped global variations of personal health of spine surgeons, key in the development for future wellness and patient management initia-tives. This study underscored that spine surgeons worldwide are not immune to comorbidi-ties, and their personal health influences various perceptions, healthcare delivery, and de-cision-making during the COVID-19 pandemic.
AB - Objective: To determine if personal health of spine surgeons worldwide influences percep-tions, healthcare delivery, and decision-making during the coronavirus disease 2019 (CO-VID-19) pandemic. Methods: A cross-sectional study was performed by distributing a multidimensional survey to spine surgeons worldwide. Questions addressed demographics, impacts and perceptions of COVID-19, and the presence of surgeon comorbidities, which included cancer, cardiac disease, diabetes, obesity, hypertension, respiratory illness, renal disease, and current tobacco use. Multivariate analysis was performed to identify specific comorbidities that influenced various impact measures. Results: Across 7 global regions, 36.8% out of 902 respondents reported a comorbidity, of which hypertension (21.9%) and obesity (15.6%) were the most common. Multivariate analysis noted tobacco users were more likely to continue performing elective surgery during the pandemic (odds ratio [OR], 2.62; 95% confidence interval [CI], 1.46–4.72; p = 0.001) and were less likely to utilize telecommunication (OR, 0.51; 95% CI, 0.31–0.86; p = 0.011), whereas those with hypertension were less likely to warn their patients should the surgeon become infected with COVID-19 (OR, 0.57; 95% CI, 0.37–0.91; p = 0.017). Clinicians with multiple comorbidities were more likely to cite personal health as a current stressor (OR, 1.32; 95% CI, 1.07–1.63; p = 0.009) and perceived their hospital’s management un-favorably (OR, 0.74; 95% CI, 0.60–0.91; p = 0.005). Conclusion: This is the first study to have mapped global variations of personal health of spine surgeons, key in the development for future wellness and patient management initia-tives. This study underscored that spine surgeons worldwide are not immune to comorbidi-ties, and their personal health influences various perceptions, healthcare delivery, and de-cision-making during the COVID-19 pandemic.
KW - Burnout
KW - COVID-19
KW - Coronavirus
KW - Health
KW - Spine
KW - Surgeon
UR - http://www.scopus.com/inward/record.url?scp=85087115262&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85087115262&partnerID=8YFLogxK
U2 - 10.14245/ns.2040336.168
DO - 10.14245/ns.2040336.168
M3 - Article
C2 - 32615695
AN - SCOPUS:85087115262
SN - 2586-6583
VL - 17
SP - 313
EP - 330
JO - Neurospine
JF - Neurospine
IS - 2
ER -