Pituitary surgery and COVID.

IF 3.3 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pituitary Pub Date : 2024-07-05 DOI:10.1007/s11102-024-01423-x
Ameen Farsakh, Sandra Li, Fidel Toomey, Mendel Castle-Kirszbaum, Jeremy Kam, Tony Goldschlager
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Abstract

An effect of the COVID-19 pandemic was the disruption of healthcare systems, especially surgical services provided to the community. Pituitary surgery was especially impacted, given the majority of cases were deemed non-urgent with very few exceptions, and the high risk of viral transmission conferred by the endoscopic endonasal transsphenoidal approach. Patients suffering from pituitary lesions with resultant endocrinopathy or visual symptoms saw their treatment delayed or altered, which had implications on their outcomes and care. This disruption extended to surgical training and the usual functioning of academic units, necessitating changes to curricula and implementation of novel methods of progressing surgical education. This review will explore the effect of the COVID pandemic on pituitary surgery, the experiences of various surgeons as well as the adaptations implemented on the frontlines. The lessons learned from the experience of the pandemic may assist specialists in gleaning insights regarding the care of patients in the future.

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脑垂体手术和 COVID。
COVID-19 大流行的影响之一是扰乱了医疗保健系统,特别是为社区提供的外科服务。垂体外科手术受到的影响尤为严重,因为除极少数例外情况外,大多数病例都被视为非急诊,而且内窥镜经鼻蝶窦方法具有很高的病毒传播风险。垂体病变导致内分泌失调或视觉症状的患者的治疗被推迟或改变,这对他们的治疗效果和护理产生了影响。这种干扰延伸到了外科培训和学术单位的正常运作,因此有必要改变课程设置,并采用新的方法推进外科教育。本综述将探讨 COVID 大流行对垂体外科的影响、不同外科医生的经验以及前线实施的适应措施。从这一流行病中汲取的经验教训可能有助于专家们在今后的病人护理中获得启示。
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来源期刊
Pituitary
Pituitary 医学-内分泌学与代谢
CiteScore
7.10
自引率
7.90%
发文量
90
审稿时长
6 months
期刊介绍: Pituitary is an international publication devoted to basic and clinical aspects of the pituitary gland. It is designed to publish original, high quality research in both basic and pituitary function as well as clinical pituitary disease. The journal considers: Biology of Pituitary Tumors Mechanisms of Pituitary Hormone Secretion Regulation of Pituitary Function Prospective Clinical Studies of Pituitary Disease Critical Basic and Clinical Reviews Pituitary is directed at basic investigators, physiologists, clinical adult and pediatric endocrinologists, neurosurgeons and reproductive endocrinologists interested in the broad field of the pituitary and its disorders. The Editorial Board has been drawn from international experts in basic and clinical endocrinology. The journal offers a rapid turnaround time for review of manuscripts, and the high standard of the journal is maintained by a selective peer-review process which aims to publish only the highest quality manuscripts. Pituitary will foster the publication of creative scholarship as it pertains to the pituitary and will provide a forum for basic scientists and clinicians to publish their high quality pituitary-related work.
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