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2020 ; 82
(3
): 259-263
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Impact of COVID-19 on General Surgical Practice in India
#MMPMID32837079
Nasta AM
; Goel R
; Kanagavel M
; Easwaramoorthy S
Indian J Surg
2020[Jun]; 82
(3
): 259-263
PMID32837079
show ga
The coronavirus disease 2019 (COVID-19) pandemic is a global health crisis, and
surgeons are at increased occupational risk of contracting COVID-19. The impact
of the disease on prevalent general surgical practice is uncertain and continues
to evolve. The study aimed to study the impact of COVID-19 on general surgical
practice in India and the future implications of the pandemic. A survey
questionnaire was designed and electronically circulated 1 month after India
entered a national lockdown during COVID-19 pandemic, amongst members of Indian
Association of Gastro-intestinal Endo-surgeons (IAGES), a surgical association
with nearly eight thousand members from across the country. Survey questions
pertaining to pre-COVID era surgical practices, impact on current practice, and
financial implications were asked. Responses were collected and statistically
analyzed. One hundred fifty-three surgeons completed the survey, of which only
9.2% were women. Majority (41%) were into practice for more than 20 years; 36.6%
were into private practice at multiple hospitals (free-lancers). Amongst the
respondents, 41.8% had mainly laparoscopic practice with mean outpatient
consultation of 26 patients/day and elective surgeries of 43 cases/month prior to
lockdown. Post-lockdown, daily outpatient consults reduced to 4 patients per day,
and 77% had not performed a single elective procedure. Hydroxychloroquine (HCQ)
chemoprophylaxis was reported by 52% surgeons. Personal protective equipment
(PPE) was used by 52% for all cases, while 71.5% stated there are insufficient
guidelines for future surgical practice in terms of safety. A drop of more than
75% of their monthly income was experienced by 52% surgeons, while 22% faced
50-75% reduction. One third (33%) of respondents own a hospital and are expecting
a monthly financial liability of 2.25 million rupees (nearly 30,000 US dollars).
COVID-19 has led to a drastic reduction in outpatient and elective surgical
practices. There is a definite need for guidelines regarding safety for future
surgical practices and solutions to overcome the financial liabilities in the
near future.
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