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EAES recommendations for recovery plan in minimally invasive surgery amid COVID-19 pandemic

Title: EAES recommendations for recovery plan in minimally invasive surgery amid COVID-19 pandemic
Authors: Arezzo, A
Francis, N
Mintz, Y
Adamina, M
Antoniou, SA
Bouvy, N
Copaescu, C
De Manzini, N
Di Lorenzo, N
Morales-Conde, S
Mueller-Stich, BP
Nickel, F
Popa, D
Tait, D
Thomas, C
Nimmo, S
Paraskevis, D
Pietrabissa, A
Item Type: Journal Article
Abstract: Background COVID-19 pandemic presented an unexpected challenge for the surgical community in general and Minimally Invasive Surgery (MIS) specialists in particular. This document aims to summarize recent evidence and experts’ opinion and formulate recommendations to guide the surgical community on how to best organize the recovery plan for surgical activity across different sub-specialities after the COVID-19 pandemic. Methods Recommendations were developed through a Delphi process for establishment of expert consensus. Domain topics were formulated and subsequently subdivided into questions pertinent to different surgical specialities following the COVID-19 crisis. Sixty-five experts from 24 countries, representing the entire EAES board, were invited. Fifty clinicians and six engineers accepted the invitation and drafted statements based on specific key questions. Anonymous voting on the statements was performed until consensus was achieved, defined by at least 70% agreement. Results A total of 92 consensus statements were formulated with regard to safe resumption of surgery across eight domains, addressing general surgery, upper GI, lower GI, bariatrics, endocrine, HPB, abdominal wall and technology/research. The statements addressed elective and emergency services across all subspecialties with specific attention to the role of MIS during the recovery plan. Eighty-four of the statements were approved during the first round of Delphi voting (91.3%) and another 8 during the following round after substantial modification, resulting in a 100% consensus. Conclusion The recommendations formulated by the EAES board establish a framework for resumption of surgery following COVID-19 pandemic with particular focus on the role of MIS across surgical specialities. The statements have the potential for wide application in the clinical setting, education activities and research work across different healthcare systems.
Issue Date: 10-Nov-2020
Date of Acceptance: 22-Oct-2020
URI: http://hdl.handle.net/10044/1/86623
DOI: 10.1007/s00464-020-08131-0
ISSN: 0930-2794
Publisher: Springer
Start Page: 1
End Page: 17
Journal / Book Title: SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
Volume: 35
Issue: 1
Copyright Statement: © The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Science & Technology
Life Sciences & Biomedicine
Surgery
COVID-19
Delphi consensus
EAES guidance
Priority
Minimally invasive surgery
COVID-19
Delphi consensus
EAES guidance
Minimally invasive surgery
Priority
COVID-19
Delphi Technique
Elective Surgical Procedures
Emergencies
Global Health
Health Care Rationing
Health Services Accessibility
Humans
Infection Control
Minimally Invasive Surgical Procedures
Pandemics
SARS-CoV-2
EAES Group of Experts for Recovery Amid COVID-19 Pandemic
Humans
Emergencies
Infection Control
Health Care Rationing
Delphi Technique
Health Services Accessibility
Pandemics
Global Health
Elective Surgical Procedures
Minimally Invasive Surgical Procedures
COVID-19
SARS-CoV-2
Science & Technology
Life Sciences & Biomedicine
Surgery
COVID-19
Delphi consensus
EAES guidance
Priority
Minimally invasive surgery
1103 Clinical Sciences
Surgery
Publication Status: Published
Online Publication Date: 2020-11-10
Appears in Collections:Department of Surgery and Cancer
Institute of Global Health Innovation
Imperial College London COVID-19



This item is licensed under a Creative Commons License Creative Commons