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May 12, 2020British journal of surgeryOpen Access

Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans

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Overview

Predictive modeling study reveals over 28 million elective operations cancelled during peak pandemic disruption, indicating extensive backlogs requiring long-term recovery plans.

Key Points

  • To estimate the total number of adult elective operations cancelled or postponed worldwide during the 12 weeks of peak disruption caused by the COVID-19 pandemic.
  • Conducted a global expert response study to project 12-week peak cancellation proportions.
  • Used a Bayesian β-regression model to estimate 12-week elective surgery cancellation rates across 190 countries.
  • Stratified elective surgical case mix by specialty and indication (cancer versus benign conditions) and applied these figures to country-level annual surgical volumes.
  • An estimated 28,404,603 operations would be cancelled or postponed during 12 peak weeks (72.3% cancellation rate overall; 2,367,050 operations per week).
  • Cancellations would affect 81.7% of operations for benign conditions (25,638,922 of 31,378,062), 37.7% of cancer surgeries (2,324,070 of 6,162,311), and 25.4% of elective caesarean sections (441,611 of 1,735,483).
  • If health systems increase baseline surgical capacity by 20% following the pandemic, clearing the resulting operative backlog would require a median of 45 weeks.

Cite This Study

A 2020 study studied this question.

synapsesocial.com/papers/6a7f7f76a7259c59cfca7cf4https://doi.org/10.1002/bjs.11746
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Also Consider

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  4. 4Mitigating the impact of COVID-19 on children's surgery in Africa2020 · 20 citations