The impact of COVID-19 pandemics on dermatologic surgery: real-life data from the Italian Red-Zone. (17th February 2022)

• Record Type: Journal Article
• Authors: Gironi, Laura Cristina; Boggio, Paolo; Giorgione, Roberto; Esposto, Elia; Tarantino, Vanessa; Damiani, Giovanni; Savoia, Paola
• Is Part Of: Journal of dermatological treatment. Volume 33:Number 2(2022)
• Page Start: 897
• Page End: 903
• Publication Date: 2022-02-17
• Subjects: COVID-19 -- SARS-CoV-2 -- dermatosurgery -- healthcare management -- mohs surgery -- emergency medicine -- SARS-CoV-2; Skin -- Diseases -- Treatment -- Periodicals; Skin Diseases -- drug therapy -- Periodicals; Skin Diseases -- therapy -- Periodicals; 616.5
• DOI: 10.1080/09546634.2020.1789044
• Languages: English
• ISSNs: 0954-6634

Abstract

Abstract: Background: The COVID-19 pandemic is challenging healthcare systems worldwide. Dermatology had to re-prioritize visits, guarantee urgent care, and ensure continuity for chronic patients. Objectives: To evaluate the COVID-19 impact on dermatologic surgery outpatient management. Material and methods: In this real-life retrospective observational study, we evaluated both major and minor outpatient surgeries (MaOS and MiOS) performance in 2020, before and during the first month of lockdown declaration, in a primary referral center in Northern Italy. During the lockdown, all lifesaving and cancer surgery, (approximately 80% of our usual activities), were continued. Data from 2020 were compared with the 2019 corresponding periods to assess the real-life impact of COVID-19 in dermatologic surgical activities. Results: From January 1st to April 3rd, 2020 we performed 769 interventions, compared to 908 over the corresponding 2019 period. After the lockdown, scheduled surgeries were reduced by 14.8%; overall performed ones displayed a reduction of 46.5% (51.6% MaOS, 44.2% MiOS). 52.9% and 12.5% procedures were canceled due to patients' renunciation and due to confirmed/suspected COVID-19, respectively. Conclusions: While reduced in number, dermatologic surgeries, similarly to other surgical specialties, remained operative to provide oncological and/or life-saving procedures.