审查拉丁美洲和加勒比地区 COVID-19 导致的手术积压：范围审查的启示

IF 7 Q1 HEALTH CARE SCIENCES & SERVICES

Lancet Regional Health-Americas Pub Date : 2024-10-16 DOI:10.1016/j.lana.2024.100908

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引用次数: 0

摘要

本范围界定综述评估了拉丁美洲和加勒比地区（LAC）因 COVID-19 导致的手术积压情况，并确定了缓解策略。我们检索了七个数据库中2019年12月至2022年12月期间的引文，重点关注被取消或推迟手术的拉美和加勒比地区患者。我们在开放科学框架（https://osf.io/x2nd8）上注册了我们的研究方案，并遵守了PRISMA-ScR指南。我们纳入了 83 篇引文，涵盖 23 个拉丁美洲和加勒比国家以及 19 个外科专业，其中巴西（67%，56/83）和移植手术（24%，20/83）的文献最多。手术积压主要发生在医院（44%，37/83）和国家层面（38%，32/83）。我们发现有 58 篇引文共报告了 42 项缓解积压的策略，其中引用最多的是建立手术病例优先排序标准（41%，24/58）。我们的研究结果突显了拉丁美洲和加勒比地区不同医疗系统所面临的挑战，包括数据可用性、手术能力和资源分配方面的差异。例如，巴西等国拥有全国手术积压的大量数据，而其他国家则缺乏全面的国家级数据。我们的综述有助于为政策制定者和医疗保健利益相关者提供信息，以实施有针对性的干预措施，使拉加地区的外科系统为未来的医疗紧急情况做好准备。

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Examining the surgical backlog due to COVID-19 in Latin America and the Caribbean: insights from a scoping review

This scoping review assessed the surgical backlog in Latin America and the Caribbean (LAC) due to COVID-19 and identified mitigation strategies. We searched seven databases for citations from December 2019 to December 2022, focusing on LAC patients with cancelled or postponed procedures. We registered our protocol at Open Science Framework (https://osf.io/x2nd8) and adhered to PRISMA-ScR guidelines. We included 83 citations covering 23 LAC countries and 19 surgical specialities, with Brazil (67%, 56/83) and transplant surgery (24%, 20/83) being the most documented. Surgical backlogs were mainly reported at the hospital (44%, 37/83) and national levels (38%, 32/83). We identified 58 citations that reported a total of 42 strategies to mitigate the backlog, the most cited being establishing prioritisation criteria for surgical cases (41%, 24/58). Our findings highlight challenges across differing healthcare systems in LAC, including disparities in data availability, surgical capacity, and resource allocation. For instance, while countries like Brazil had extensive data on national surgical backlogs, others lacked comprehensive national-level data. Our review can help inform policymakers and healthcare stakeholders to implement targeted interventions to prepare LAC-based surgical systems for future health emergencies.

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来源期刊

Lancet Regional Health-Americas Multiple-

CiteScore

8.00

自引率

0.00%

发文量

期刊介绍： The Lancet Regional Health – Americas, an open-access journal, contributes to The Lancet's global initiative by focusing on health-care quality and access in the Americas. It aims to advance clinical practice and health policy in the region, promoting better health outcomes. The journal publishes high-quality original research advocating change or shedding light on clinical practice and health policy. It welcomes submissions on various regional health topics, including infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, emergency care, health policy, and health equity.