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10.1177/2192568220949183

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suck abstract from ncbi


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pmid32762354      Global+Spine+J 2022 ; 12 (2): 249-262
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  • Spine Surgery and COVID-19: The Influence of Practice Type on Preparedness, Response, and Economic Impact #MMPMID32762354
  • Weiner JA; Swiatek PR; Johnson DJ; Louie PK; Harada GK; McCarthy MH; Germscheid N; Cheung JPY; Neva MH; El-Sharkawi M; Valacco M; Sciubba DM; Chutkan NB; An HS; Samartzis D
  • Global Spine J 2022[Mar]; 12 (2): 249-262 PMID32762354show ga
  • STUDY DESIGN: Cross-sectional observational cohort study. OBJECTIVE: To investigate preparation, response, and economic impact of COVID-19 on private, public, academic, and privademic spine surgeons. METHODS: AO Spine COVID-19 and Spine Surgeon Global Impact Survey includes domains on surgeon demographics, location of practice, type of practice, COVID-19 perceptions, institutional preparedness and response, personal and practice impact, and future perceptions. The survey was distributed by AO Spine via email to members (n = 3805). Univariate and multivariate analyses were performed to identify differences between practice settings. RESULTS: A total of 902 surgeons completed the survey. In all, 45.4% of respondents worked in an academic setting, 22.9% in privademics, 16.1% in private practice, and 15.6% in public hospitals. Academic practice setting was independently associated with performing elective and emergent spine surgeries at the time of survey distribution. A majority of surgeons reported a >75% decrease in case volume. Private practice and privademic surgeons reported losing income at a higher rate compared with academic or public surgeons. Practice setting was associated with personal protective equipment availability and economic issues as a source of stress. CONCLUSIONS: The current study indicates that practice setting affected both preparedness and response to COVID-19. Surgeons in private and privademic practices reported increased worry about the economic implications of the current crisis compared with surgeons in academic and public hospitals. COVID-19 decreased overall clinical productivity, revenue, and income. Government response to the current pandemic and preparation for future pandemics needs to be adaptable to surgeons in all practice settings.
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