Impact of COVID-19 on ophthalmic surgical procedures in sub-Saharan Africa: a multicentre study.

IF 3.6 Q1 TROPICAL MEDICINE Tropical Medicine and Health Pub Date : 2024-03-15 DOI:10.1186/s41182-024-00589-1
Naseer Ally, Sarah Ismail, Natasha Naidu, Ismail Makda, Ismail Mayet, Michael E Gyasi, Peter Makafui, Arlette Nomo, Chantal Nanfack, Anesu T Madikane, Walda D Pohl, Bayanda N Mbambisa, Jonathan T Oettle, Feyi Adepoju, Toibat B Tota-Bolarinwa, Amelia Buque, Sidonia J N Khalau, Douglas Zirima, Brian Takayidza, Ugochukwu A Eze, Akinyemi Adedeji, Frank Sandi, Jacinta Feksi, Ogugua Okonkwo, Adekunle Hassan, Nagib du Toit, Shahlaa Petersen, Caroline Tsimi, Viola Dovoma, Mustapha Bature, Mohammed Adamu, Suhanyah Okeke, Ifeoma N Asimadu, Nkiru N Kizor-Akaraiwe, Chinyelu N Ezisi, Henry E Nkumbe, Tchoyou T M Olivier, Hassan D Alli
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Abstract

Background: The COVID-19 pandemic had a profound impact on healthcare and ophthalmology services globally. Numerous studies amongst various medical and surgical specialties showed a reduction in patient attendance and surgical procedures performed. Prior published ophthalmic literature focused on specific types of procedures and were usually single centre. The current study attempts to quantify the impact on a larger scale, namely that of sub-Saharan Africa, and to include all ophthalmic subspecialties.

Methods: This is a retrospective analysis of the surgical records from 17 ophthalmology centres in seven countries located in East, Central, West and Southern Africa. The date of declaration of the first lockdown was used as the beginning of the pandemic and the pivot point to compare theatre records one year prior to the pandemic and the first year of the pandemic. We examined the total number of surgical procedures over the two year period and categorized them according to ophthalmic subspecialty and type of procedure performed. We then compared the pre-pandemic and pandemic surgical numbers over the two year period.

Results: There were 26,357 ophthalmic surgical procedures performed with a significant decrease in the first year of the pandemic (n = 8942) compared to the year prior to the pandemic (n = 17,415). The number of surgical procedures performed was lower in the first year of the pandemic compared to the year prior to the pandemic by 49% [Incidence rate ratio (IRR) 0.51, 95% CI 0.41-0.64), 27% (0.73, 0.55-0.99), 46% (0.54, 0.30-0.99), 40% (0.60, 0.39-0.92) and 59% (0.41, 0.29-0.57) in sub-Saharan Africa (4 regions combined), West, Central, East and Southern Africa, respectively]. The number of surgical procedures in the different sub-specialty categories in sub-Saharan Africa (4 regions combined) was significantly lower in the first year of the pandemic compared to the year prior to the pandemic, except for glaucoma (IRR 0.72, 95% CI 0.52-1.01), oncology (0.71, 0.48-1.05), trauma (0.90, 0.63-1.28) and vitreoretinal (0.67, 0.42-1.08) categories.

Conclusion: This study provides insight into the impact of the COVID-19 pandemic in multiple regions and countries on the African continent. The identification of which surgical subspecialty was most affected by the COVID-19 pandemic in each region allows for better planning and resource allocation to address these backlogs.

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COVID-19 对撒哈拉以南非洲眼科手术的影响:一项多中心研究。
背景:COVID-19 大流行对全球医疗保健和眼科服务产生了深远影响。各内科和外科专科进行的大量研究表明,患者就诊人数和所实施的手术程序均有所减少。之前发表的眼科文献主要集中在特定类型的手术上,而且通常都是单中心进行的。本研究试图在更大范围内(即撒哈拉以南非洲地区)量化这一影响,并将所有眼科亚专科纳入研究范围:本研究对东非、中非、西非和南部非洲 7 个国家 17 个眼科中心的手术记录进行了回顾性分析。我们将宣布首次封锁的日期作为大流行的开始时间,并以此为支点比较大流行前一年和大流行第一年的手术记录。我们检查了两年内的手术总数,并根据眼科亚专科和手术类型进行了分类。然后,我们比较了大流行前和大流行后两年内的手术数量:共进行了 26,357 例眼科手术,与大流行前一年(n = 17,415)相比,大流行第一年的手术例数(n = 8942)明显减少。与大流行前一年相比,大流行第一年进行的手术数量减少了 49% [发病率比 (IRR) 0.51,95% CI 0.41-0.撒哈拉以南非洲(4 个地区合计)、西非、中非、东非和南部非洲的发病率分别为 27%(0.73,0.55-0.99)、46%(0.54,0.30-0.99)、40%(0.60,0.39-0.92)和 59%(0.41,0.29-0.57)]。与疫情发生前一年相比,撒哈拉以南非洲地区(4 个地区总和)不同亚专科类别的手术数量在疫情发生第一年显著减少,但青光眼(IRR 0.72,95% CI 0.52-1.01)、肿瘤(0.71,0.48-1.05)、创伤(0.90,0.63-1.28)和玻璃体视网膜(0.67,0.42-1.08)类别除外:本研究有助于深入了解 COVID-19 大流行对非洲大陆多个地区和国家的影响。确定每个地区哪个外科亚专科受 COVID-19 大流行的影响最大,有助于更好地规划和分配资源,解决这些积压问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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