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DOI: 10.1055/s-0043-1770972
Impacto econômico e profissional da pandemia de COVID-19 e prevalência de depressão e ansiedade nos cirurgiões de ombro e cotovelo do Brasil
Article in several languages: português | English Suporte financeiro Não houve suporte financeiro de fontes públicas, comerciais, ou sem fins lucrativos.
Resumo
Objetivo Avaliar o impacto econômico e profissional (incluindo ensino e treinamento) durante a pandemia de covid-19, bem como a prevalência de episódio depressivo maior e de transtorno de ansiedade generalizada, nos cirurgiões de ombro e cotovelo do Brasil.
Métodos Estudo transversal realizado com os cirurgiões membros titulares da Sociedade Brasileira de Cirurgia de Ombro e Cotovelo (SBCOC). A amostragem foi não probabilística por conveniência. As informações foram obtidas por meio de questionário online autoaplicado, através de divulgação pelo e-mail cadastrado dos membros da SBCOC, utilizando questões estruturadas e os instrumentos Patient Health Questionnaire (PHQ-9) e Generalized Anxiety Disorder-7 (GAD-7) para rastreio de episódio depressivo maior e transtorno de ansiedade generalizada, respectivamente.
Resultados Foram avaliados 119 participantes. O comprometimento no ensino foi afirmado por 87,7% dos cirurgiões, houve redução acima de 50% do volume cirúrgico para cerca de 4 em cada 10 cirurgiões e redução da renda acima de 50% para cerca de 17,3%, sendo que 55,5% dos profissionais não apresentavam estabilidade profissional. O episódio depressivo maior apresentou uma prevalência de 26,7% na amostra, e o transtorno de ansiedade generalizada foi apresentado por 20% dos cirurgiões.
Conclusão A combinação do impacto negativo sobre fatores profissionais e financeiros pode ter afetado os cirurgiões de ombro e cotovelo do Brasil, gerando elevados índices de ansiedade e depressão.
Trabalho desenvolvido no Centro de Ciências da Saúde da Universidade Católica de Pelotas, Pelotas, RS, Brasil
Publication History
Received: 01 May 2022
Accepted: 27 October 2022
Article published online:
30 October 2023
© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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Referências
- 1 Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed 2020; 91 (01) 157-160
- 2 Sharma V, Kumar N, Gupta B, Mahajan A. Impact of COVID-19 pandemic on orthopaedic surgeons in terms of anxiety, sleep outcomes and change in management practices: A cross-sectional study from India. J Orthop Surg (Hong Kong) 2021;29(01):23094990211001621
- 3 Nia A, Popp D, Diendorfer C. et al. Impact of lockdown during the COVID-19 pandemic on number of patients and patterns of injuries at a level I trauma center. Wien Klin Wochenschr 2021; 133 (7-8): 336-343
- 4 Murphy T, Akehurst H, Mutimer J. Impact of the 2020 COVID-19 pandemic on the workload of the orthopaedic service in a busy UK district general hospital. Injury 2020; 51 (10) 2142-2147
- 5 Maniscalco P, Ciatti C, Gattoni S. et al. The impact of COVID-19 pandemic on the Emergency Room and Orthopedic Departments in Piacenza: a retrospective analysis. Acta Biomed 2020; 91 (14-S): e2020028
- 6 Mo AZ, Mont MA, Grossman EL. et al. The Effect of the COVID-19 Pandemic on Orthopedic Practices in New York. Orthopedics 2020; 43 (04) 245
- 7 Best MJ, McFarland EG, Anderson GF, Srikumaran U. The likely economic impact of fewer elective surgical procedures on US hospitals during the COVID-19 pandemic. Surgery 2020; 168 (05) 962-967
- 8 Hashmi P, Fahad S, Naqi Khan H, Zahid M, Sadruddin A, Noordin S. Covid-19 pandemic: Economic burden on patients with musculoskeletal injuries in a tertiary care hospital of LMIC; retrospective cross sectional study. Ann Med Surg (Lond) 2020; 60: 5-8
- 9 Kale NN, Patel AH, Leddy 3rd MJ, Savoie 3rd FH, Sherman WF. The Effect of COVID-19 on Orthopedic Practices and Surgeons in Louisiana. Orthopedics 2020; 43 (06) 351-355
- 10 Giordano V, Belangero W, Godoy-Santos AL, Pires RE, Xicará JA, Labronici P. Clinical Decision Rules (CDR) Study Group. The hidden impact of rapid spread of the COVID-19 pandemic in professional, financial, and psychosocial health of Latin American orthopedic trauma surgeons. Injury 2021; 52 (04) 673-678
- 11 Earp BE, Zhang D, Benavent KA, Byrne L, Blazar PE. The Early Effect of COVID-19 Restrictions on an Academic Orthopedic Surgery Department. Orthopedics 2020; 43 (04) 228-232
- 12 Simon MJK, Regan WD. COVID-19 pandemic effects on orthopaedic surgeons in British Columbia. J Orthop Surg Res 2021; 16 (01) 161
- 13 Randau TM, Jaenisch M, Haffer H. et al. Collateral effect of COVID-19 on orthopedic and trauma surgery. PLoS One 2020; 15 (09) e0238759
- 14 Upadhyaya GK, Jain VK, Iyengar KP, Patralekh MK, Vaish A. Impact of COVID-19 on post-graduate orthopaedic training in Delhi-NCR. J Clin Orthop Trauma 2020; 11 (Suppl. 05) S687-S695
- 15 Vallée M, Kutchukian S, Pradère B. et al. Prospective and observational study of COVID-19's impact on mental health and training of young surgeons in France. Br J Surg 2020; 107 (11) e486-e488
- 16 Mattila E, Peltokoski J, Neva MH, Kaunonen M, Helminen M, Parkkila AK. COVID-19: anxiety among hospital staff and associated factors. Ann Med 2021; 53 (01) 237-246
- 17 González-Sanguino C, Ausín B, Castellanos MÁ. et al. Mental health consequences during the initial stage of the 2020 Coronavirus pandemic (COVID-19) in Spain. Brain Behav Immun 2020; 87: 172-176
- 18 Milgrom Y, Tal Y, Finestone AS. Comparison of hospital worker anxiety in COVID-19 treating and non-treating hospitals in the same city during the COVID-19 pandemic. Isr J Health Policy Res 2020; 9 (01) 55
- 19 Wong KC, Han XA, Tay KS, Koh SB, Howe TS. The psychological impact on an orthopaedic outpatient setting in the early phase of the COVID-19 pandemic: a cross-sectional study. J Orthop Surg Res 2020; 15 (01) 322
- 20 Sahu D, Agrawal T, Rathod V, Bagaria V. Impact of COVID 19 lockdown on orthopaedic surgeons in India: A survey. J Clin Orthop Trauma 2020; 11 (Suppl. 03) S283-S290
- 21 Zaçe D, Hoxhaj I, Orfino A, Viteritti AM, Janiri L, Di Pietro ML. Interventions to address mental health issues in healthcare workers during infectious disease outbreaks: A systematic review. J Psychiatr Res 2021; 136: 319-333
- 22 Tan YQ, Wang Z, Yap QV. et al. Psychological Health of Surgeons in a Time of COVID-19: A Global Survey. Ann Surg 2023; 277 (01) 50-56
- 23 Thakrar A, Raheem A, Chui K, Karam E, Wickramarachchi L, Chin K. Trauma and orthopaedic team members' mental health during the COVID-19 pandemic: results of a UK survey. Bone Jt Open 2020; 1 (06) 316-325
- 24 Santos IS, Tavares BF, Munhoz TN. et al. Sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre adultos da população geral. Cad Saude Publica 2013; 29 (08) 1533-1543
- 25 Motta Filho GDR, Leal AC, Amaral MVGD, Maia PAV, Duarte MEL, Bähr GL. Impact of the Strategies Adopted to Face the COVID-19 Pandemic in a Brazilian Reference Institute for High Complexity Surgery in Orthopedics and Traumatology. Rev Bras Ortop 2021; 56 (02) 161-167
- 26 Guiroy A, Gagliardi M, Coombes N. et al. COVID-19 Impact Among Spine Surgeons in Latin America. Global Spine J 2021; 11 (06) 859-865
- 27 Paul KD, Levitt E, McGwin G. et al. COVID-19 Impact on Orthopedic Surgeons: Elective Procedures, Telehealth, and Income. South Med J 2021; 114 (05) 311-316
- 28 Giordano L, Cipollaro L, Migliorini F, Maffulli N. Impact of Covid-19 on undergraduate and residency training. Surgeon 2021; 19 (05) e199-e206
- 29 Barik S, Paul S, Kandwal P. Insight into the changing patterns in clinical and academic activities of the orthopedic residents during COVID-19 pandemic: a cross-sectional survey. Knee Surg Sports Traumatol Arthrosc 2020; 28 (10) 3087-3093
- 30 Megaloikonomos PD, Thaler M, Igoumenou VG. et al. Impact of the COVID-19 pandemic on orthopaedic and trauma surgery training in Europe. Int Orthop 2020; 44 (09) 1611-1619