World Neurosurgery: X (Oct 2023)
The impact of COVID-19 pandemic on surgical neuro-oncology: A survey from the Italian society of neurosurgery (SINch)
- Luca Zanin,
- Tamara Ius,
- Pier Paolo Panciani,
- Felice Esposito,
- Andrea Gori,
- Marco Maria Fontanella,
- Maria Pia Tropeano,
- Antonino Raco,
- Filippo Flavio Angileri,
- Giovanni Sabatino,
- Alessandro Olivi,
- Vincenzo Esposito,
- Federico Pessina,
- Edoardo Agosti,
- Salvatore Aiello,
- Denis Aiudi,
- Danilo Aleo,
- Roberto Altieri,
- Rosina Amoroso,
- Anna Maria Auricchio,
- Giuseppe Barbagallo,
- Andrea Barbanera,
- Giacomo Beggio,
- Andrea Bianco,
- Riccardo Boccaletti,
- Stefano Borsa,
- Giuseppe Canova,
- Paolo Cappabianca,
- Manuela Caroli,
- Michele Alessandro Cavallo,
- Francesco Certo,
- Marcella Chimenti,
- Franco Chioffi,
- Valentina Cioffi,
- Fabio Cofano,
- Christian Cossandi,
- Giancarlo D’Andrea,
- Raffaele De Falco,
- Alessandro D'Elia,
- Giuseppe Maria Della Pepa,
- Alessandro Della Puppa,
- Attilio Della Torre,
- Paolo Ferroli,
- Diego Garbossa,
- Antonino Germanò,
- Alessandra Giaquinta,
- Franco Guida,
- Maurizio Iacoangeli,
- Domenico Gerardo Iacopino,
- Angelo Lavano,
- Giuseppe Maimone,
- Vincenza Maiola,
- Rosario Mauferi,
- Alessandro Melatini,
- Mario Moro,
- Domenico Murrone,
- Giovanni Muscas,
- Piero Andrea Oppido,
- Fabrizio Pignotti,
- Domenico Policicchio,
- Piermassimo Proto,
- Paolo Quaglietta,
- Antonino Raco,
- Giulia Renisi,
- Luca Ricciardi,
- Francesco Romeo,
- Marta Rossetto,
- Alba Scerrati,
- Andreas Schwarz,
- Miran Skrap,
- Carlo Somma,
- Teresa Somma,
- Giannantonio Spena,
- Stefano Telera,
- Luigino Tosatto,
- Maria Pia Tropeano,
- Francesco Volpin,
- Lorenzo Volpin,
- Cesare Zoia
Affiliations
- Luca Zanin
- Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Spedali Civili di Brescia, Brescia, Italy
- Tamara Ius
- Neurosurgery Unit, Department of Neurosciences, Santa Maria Della Misericordia University Hospital, Udine, Italy
- Pier Paolo Panciani
- Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Spedali Civili di Brescia, Brescia, Italy; Corresponding author. Unit of Neurosurgery, Department of Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
- Felice Esposito
- Department of Neurosciences and Reproductive and Odontostomatological Sciences, Division of Neurosurgery, University of Napoli ''Federico II'', Naples, Italy
- Andrea Gori
- Infectious Diseases Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan, Italy
- Marco Maria Fontanella
- Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Spedali Civili di Brescia, Brescia, Italy
- Maria Pia Tropeano
- Neurosurgical Department-Humanitas Clinical and Research Center - IRCCS, Via Manzoni 56, 20089, Rozzano, Mi, Italy; Humanitas University, Department of Biomedical Sciences, Via Rita Levi Montalcini 4, 20090, Pieve Emanuele, Milan, Italy
- Antonino Raco
- Division of Neurosurgery, AOU Sant’Andrea, Department of NESMOS, Sapienza University, Rome, Italy
- Filippo Flavio Angileri
- Division of Neurosurgery, BIOMORF Department, University of Messina, Italy
- Giovanni Sabatino
- Institute of Neurosurgery, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, Rome, Italy; Division of Neurosurgery, Mater Olbia Hospital, Olbia, Italy
- Alessandro Olivi
- Institute of Neurosurgery, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, Rome, Italy
- Vincenzo Esposito
- Department of Neurosurgery ''Giampaolo Cantore''-IRCSS Neuromed, Pozzilli, Italy; Department of Human Neurosciences-''Sapienza'' University of Rome, Italy
- Federico Pessina
- Neurosurgical Department-Humanitas Clinical and Research Center - IRCCS, Via Manzoni 56, 20089, Rozzano, Mi, Italy; Humanitas University, Department of Biomedical Sciences, Via Rita Levi Montalcini 4, 20090, Pieve Emanuele, Milan, Italy
- Edoardo Agosti
- Salvatore Aiello
- Denis Aiudi
- Danilo Aleo
- Roberto Altieri
- Rosina Amoroso
- Anna Maria Auricchio
- Giuseppe Barbagallo
- Andrea Barbanera
- Giacomo Beggio
- Andrea Bianco
- Riccardo Boccaletti
- Stefano Borsa
- Giuseppe Canova
- Paolo Cappabianca
- Manuela Caroli
- Michele Alessandro Cavallo
- Francesco Certo
- Marcella Chimenti
- Franco Chioffi
- Valentina Cioffi
- Fabio Cofano
- Christian Cossandi
- Giancarlo D’Andrea
- Raffaele De Falco
- Alessandro D'Elia
- Giuseppe Maria Della Pepa
- Alessandro Della Puppa
- Attilio Della Torre
- Paolo Ferroli
- Diego Garbossa
- Antonino Germanò
- Alessandra Giaquinta
- Franco Guida
- Maurizio Iacoangeli
- Domenico Gerardo Iacopino
- Angelo Lavano
- Giuseppe Maimone
- Vincenza Maiola
- Rosario Mauferi
- Alessandro Melatini
- Mario Moro
- Domenico Murrone
- Giovanni Muscas
- Piero Andrea Oppido
- Fabrizio Pignotti
- Domenico Policicchio
- Piermassimo Proto
- Paolo Quaglietta
- Antonino Raco
- Giulia Renisi
- Luca Ricciardi
- Francesco Romeo
- Marta Rossetto
- Alba Scerrati
- Andreas Schwarz
- Miran Skrap
- Carlo Somma
- Teresa Somma
- Giannantonio Spena
- Stefano Telera
- Luigino Tosatto
- Maria Pia Tropeano
- Francesco Volpin
- Lorenzo Volpin
- Cesare Zoia
- Journal volume & issue
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Vol. 20
p. 100233
Abstract
Background: The COVID-19 pandemic and its impact on hospitals' activity and organization has imposed a vast change in standard neurosurgical oncology practice to accommodate for shifting resources. Aims: This investigation aims to analyse the nationwide capability in reorganizing the surgical neuro-oncological activity during the COVID-19 pandemic to evaluate whether COVID-19-pandemic influenced the surgical management in these patients. Method: A web-based dataset model organized by the Italian Neurosurgical Society (SINCh) was sent to all the Italian neurosurgical departments in May 2021, requesting to report the types and numbers of surgical procedures performed in the pre-pandemic period (from March 9th 2019 to March 9th 2020) compared to the pandemic period (from March 10th 2020 to March 10th 2021). Results: This multicentre investigation included the surgical activity of 35 Italian Neurosurgical Departments in a pre-pandemic year versus a pandemic year. During the COVID period, 699 fewer neuro-oncological patients were operated on than in the pre-COVID period. We noted a slight increase in urgency and a more severe decrease in elective and benign pathology. None of these differences was statistically significant. Surgically treated patients who tested positive for SARS-CoV-2 were 36, of which 11 died. Death was found to be COVID-related only in 2 cases. Conclusion: The reorganization of the Italian Neurosurgical Departments was able to guarantee a redistribution of the CNS tumors during the inter-pandemic periods, demonstrating that patients even in the pandemic era could be treated without compromising the efficacy and safety of the surgical procedure.
