Management of endocrine surgical disorders during COVID-19 pandemic: expert opinion for non-surgical options
Makaleler > Tam Makale · 2021
Yazarlar: Orhan Agcaoglu, Atakan Sezer, Özer MAKAY, Murat Faik Erdogan, FAHRİ BAYRAM, SİBEL GÜLDİKEN, Marco Raffaelli, Yusuf Alper Sonmez, Yong-Sang Lee, Kyriakos Vamvakidis, Radu Mihai, Quan-Yang Duh, BARIŞ AKINCI, Faruk Alagol, Martin Almquist, Marcin Barczynski, TANER BAYRAKTAROĞLU, Eren Berber, Yusuf Bukey, Guldeniz Karadeniz Cakmak, NUH ZAFER CANTÜRK, ZEYNEP CANTÜRK, Mehmet Celik, ÖZLEM ÇELİK, Banu Ozturk Ceyhan, Sergii Cherenko, Thomas Clerici, David Scott Coombes, Orhan Demircan, Oguzhan Deyneli, Gianlorenzo Dionigi, ALİ UĞUR EMRE, Yesim Erbil, Ali Ilker Filiz, HÜLYA GÖZÜ, SİBEL ÖZKAN GÜRDAL, Gunay Gurleyik, Mehmet Haciyanli, Abut Kebudi, Seokmo Kim, Giannis Koutelidakis, BEKİR KURU, Meral Mert, Guzide Gonca Oruk, Serdar Ozbas, Fausto Palazzo, Rumen Pandev, Phillip Riss, TEVFİK SABUNCU, İbrahim ŞAHİN, GÜRHAN SAKMAN, Lütfiye Füsun SAYGILI, Yasemin Giles Senyurek, Ilya Sleptsov, Sam Van Slycke, Serkan TEKSÖZ, Tarik Terzioglu, Serdar Tezelman, Fatih Tunca, MUSTAFA ÜMİT UĞURLU, Mehmet Uludag, Jesus Villar-del-Moral, Menno Vriens, Dilek Yazici
Updates in Surgery, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 2021, cilt 74, ss 325-335
DOI: 10.1007/s13304-021-00979-8
Özet
Purpose The COVID-19 pandemic brought unprecedented conditions for overall health care systems by restricting resources for non-COVID-19 patients. As the burden of the disease escalates, routine elective surgeries are being cancelled. The aim of this paper was to provide a guideline for management of endocrine surgical disorders during a pandemic. Methods We used Delphi method with a nine-scale Likert scale on two rounds of voting involving 64 experienced eminent surgeons and endocrinologists who had the necessary experience to provide insight on endocrine disorder management. All voting was done by email using a standard questionnaire. Results Overall, 37 recommendations were voted on. In two rounds, all recommendations reached an agreement and were either endorsed or rejected. Endorsed statements include dietary change in primary hyperparathyroidism, Cinacalcet treatment in secondary hyperparathyroidism, alpha-blocker administration for pheochromocytoma, methimazole +/- beta-blocker combination for Graves' disease, and follow-up for fine-needle aspiration results of thyroid nodules indicated as Bethesda 3-4 cytological results and papillary microcarcinoma. Conclusion This survey summarizes expert opinion for the management of endocrine surgical conditions during unprecedented times when access to surgical treatment is severely disrupted. The statements are not applicable in circumstances in which surgical treatment is possible.