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The THYCOVIT (Thyroid Surgery during COVID-19 pandemic in Italy) study: results from a nationwide, multicentric, case-controlled study.
Medas, Fabio; Ansaldo, Gian Luca; Avenia, Nicola; Basili, Giancarlo; Boniardi, Marco; Bononi, Marco; Bove, Aldo; Carcoforo, Paolo; Casaril, Andrea; Cavallaro, Giuseppe; Chiofalo, Maria Grazia; Conzo, Giovanni; De Pasquale, Loredana; Del Rio, Paolo; Dionigi, Gianlorenzo; Dobrinja, Chiara; Docimo, Giovanni; Graceffa, Giuseppa; Iacobone, Maurizio; Innaro, Nadia; Lombardi, Celestino Pio; Palestini, Nicola; Pedicini, Francesco; Perigli, Giuliano; Pezzolla, Angela; Scerrino, Gregorio; Spiezia, Stefano; Testini, Mario; Calò, Pietro Giorgio.
Affiliation
  • Medas F; Department of Surgical Sciences, University of Cagliari, Via Università 40, 09124, Cagliari, Italy. fabiomedas@unica.it.
  • Ansaldo GL; Endocrine Surgery Unit, Ospedale Policlinico San Martino, Genoa, Italy.
  • Avenia N; General Surgery and Surgical Specialties Unit, Medical School, S. Maria University Hospital Terni and University of Perugia, Terni, Italy.
  • Basili G; General Surgery Department, Endocrine Surgery Unit, Azienda USL Toscana Nord-Ovest, Pontedera, Italy.
  • Boniardi M; Endocrine Surgery Unit, Department of Oncological-Mininvasive Surgery, Niguarda Hospital-Milan, Milan, Italy.
  • Bononi M; Pietro Valdoni, Department of Surgery, Sapienza University of Rome, Rome, Italy.
  • Bove A; Department of Medicine, Dentistry and Biotechnology, University ``G. D'Annunzio'', Chieti, Italy.
  • Carcoforo P; Department of Surgery, Unit of General Surgery, University Hospital of Ferrara and University of Ferrara, Ferrara, Italy.
  • Casaril A; Endocrine Surgery Unit, Pederzoli Hospital, Peschiera del Garda, Verona, Italy.
  • Cavallaro G; Pietro Valdoni, Department of Surgery, Sapienza University of Rome, Rome, Italy.
  • Chiofalo MG; Thyroid Surgery Unit, Int Irccs Fondazione Pascale, Napoli, Italy.
  • Conzo G; Division of General and Oncologic Surgery, Department of Traslational Medical Sciences, University of Campania ``Luigi Vanvitelli'', Naples, Italy.
  • De Pasquale L; Endocrine Surgery, ASST Santi Paolo E Carlo University of Milan, Milan, Italy.
  • Del Rio P; General Surgery Unit, Parma University Hospital, Parma, Italy.
  • Dionigi G; Division for Minimally Invasive and Endocrine Surgery, University of Messina, Messina, Italy.
  • Dobrinja C; Department of Medicine, Surgery and Health Sciences, Azienda Sanitaria Universitaria Giuliano Isontina (ASUGI), Trieste, Italy.
  • Docimo G; Division of Thyroid Surgery, Department of Medical and Advanced Surgical Sciences, University of Campania ``Luigi Vanvitelli'', Naples, Italy.
  • Graceffa G; Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, Italy.
  • Iacobone M; Endocrine Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University Of Padova, Padova, Italy.
  • Innaro N; Unit of Endocrine Surgery, A.O.U. Mater Domini, Catanzaro, Italy.
  • Lombardi CP; Division of Endocrine Surgery, Department of Gastroenterologic, Endocrine-Metabolic and Nephro-Urologic Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
  • Palestini N; Head and Neck Oncological Surgery, Candiolo Cancer Institute, Candiolo, Italy.
  • Pedicini F; Thyroid Endocrine Surgery, Sant'Eugenio Hospital, Rome, Italy.
  • Perigli G; Endocrine Surgery Unit, University of Florence, Florence, Italy.
  • Pezzolla A; Division of Videolaparoscopic Surgery, Department of Emergency and Organ Transplantation, University of Bari ``A.Moro'', Bari, Italy.
  • Scerrino G; Department of Surgical Oncology and Oral Sciences, Unit of General and Emergency Surgery, University of Palermo, Via L. Giuffré, 5, 90127, Palermo, Italy.
  • Spiezia S; Endocrine & US Guided Surgery OU, Ospedale del Mare, Napoli, Italy.
  • Testini M; Unit of Academic General Surgery ``V. Bonomo'', Department of Biomedical Sciences and Human Oncology, University of Bari ``A. Moro'', Bari, Italy.
  • Calò PG; Department of Surgical Sciences, University of Cagliari, Via Università 40, 09124, Cagliari, Italy.
Updates Surg ; 73(4): 1467-1475, 2021 Aug.
Article in En | MEDLINE | ID: mdl-33861400
The outbreak of the COVID-19 pandemic has led to a disruption of surgical care. The aim of this multi-centric, retrospective study was to evaluate the impact of the pandemic on surgical activity for thyroid disease among the Italian Units of Endocrine Surgery. Three phases of the pandemic were identified based on the epidemiological situation and the public measures adopted from the Italian Government (1st phase: from 9th March to 3rd May 2020; 2nd phase: from 4th May to 14th June; 3rd phase: from 15th June to 31st). The patients operated upon during these phases were compared to those who underwent surgery during the same period of the previous year. Overall, 3892 patients from 28 Italian endocrine surgical units were included in the study, 1478 (38%) operated upon during COVID-19 pandemic, and 2414 (62%) during the corresponding period of 2019. The decrease in the number of operations was by 64.8%, 44.7% and 5.1% during the three phases of COVID-19 pandemic, compared to 2019, respectively. During the first and the second phases, the surgical activity was dedicated mainly to oncological patients. No differences in post-operative complications were noted between the two periods. Oncological activity for thyroid cancer was adequately maintained during the COVID-19 pandemic.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Thyroid Gland / Pandemics / COVID-19 Type of study: Observational_studies / Risk_factors_studies Limits: Humans Country/Region as subject: Europa Language: En Journal: Updates Surg Year: 2021 Document type: Article Affiliation country: Italy Country of publication: Italy
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Thyroid Gland / Pandemics / COVID-19 Type of study: Observational_studies / Risk_factors_studies Limits: Humans Country/Region as subject: Europa Language: En Journal: Updates Surg Year: 2021 Document type: Article Affiliation country: Italy Country of publication: Italy