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Dave P, Pakhchanian H, Tarawneh OH, et al. Trends in United States pediatric neurosurgical practice during the COVID-19 pandemic. J Clin Neurosci. 2022;97:21-24doi: 10.1016/j.jocn.2022.01.001.
Dave, P., Pakhchanian, H., Tarawneh, O. H., Kazim, S. F., Garay, S., Raiker, R., Liu, I. Z., Vellek, J., Dicpinigaitis, A. J., Cole, K. L., Spader, H. S., Botros, J. A., Schmidt, M. H., & Bowers, C. A. (2022). Trends in United States pediatric neurosurgical practice during the COVID-19 pandemic. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 9721-24. https://doi.org/10.1016/j.jocn.2022.01.001
Dave, Pooja, et al. "Trends in United States pediatric neurosurgical practice during the COVID-19 pandemic." Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia vol. 97 (2022): 21-24. doi: https://doi.org/10.1016/j.jocn.2022.01.001
Dave P, Pakhchanian H, Tarawneh OH, Kazim SF, Garay S, Raiker R, Liu IZ, Vellek J, Dicpinigaitis AJ, Cole KL, Spader HS, Botros JA, Schmidt MH, Bowers CA. Trends in United States pediatric neurosurgical practice during the COVID-19 pandemic. J Clin Neurosci. 2022 Jan 06;97:21-24. doi: 10.1016/j.jocn.2022.01.001. Epub 2022 Jan 06. PMID: 35033777.
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J Clin Neurosci. 2022 Jan 06;97:21-24. doi: 10.1016/j.jocn.2022.01.001. Epub 2022 Jan 06.

Trends in United States pediatric neurosurgical practice during the COVID-19 pandemic.

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia

Pooja Dave, Haig Pakhchanian, Omar H Tarawneh, Syed Faraz Kazim, Steven Garay, Rahul Raiker, Ivan Z Liu, John Vellek, Alis J Dicpinigaitis, Kyril L Cole, Heather Stevens Spader, James A Botros, Meic H Schmidt, Christian A Bowers

Affiliations

  1. George Washington University, School of Medicine, Washington, DC, USA.
  2. New York Medical College, School of Medicine, Valhalla, NY, USA.
  3. Department of Neurosurgery, University of New Mexico Hospital (UNMH), Albuquerque, NM, USA.
  4. West Virginia University School of Medicine, Morgantown, WV, USA.
  5. Medical College of Georgia, Augusta, GA, USA.
  6. School of Medicine, University of Utah, Salt Lake City, UT, USA.
  7. Department of Neurosurgery, University of New Mexico Hospital (UNMH), Albuquerque, NM, USA. Electronic address: [email protected].

PMID: 35033777 DOI: 10.1016/j.jocn.2022.01.001

Abstract

There is minimal information on COVID-19 pandemic's national impact on pediatric neurosurgical operative volumes. In this study, using a national database, TriNetX, we compared the overall and seasonal trends of pediatric neurosurgical procedure volumes in the United States during the pandemic to pre-pandemic periods. In the United States, the incidence of COVID-19 began to rise in September 2020 and reached its maximum peak between December 2020 and January 2021. During this time, there was an inverse relationship between pediatric neurosurgical operative volumes and the incidence of COVID-19 cases. From March 2020 to May 2021, there was a significant decrease in the number of pediatric shunt (-11.7% mean change, p = 0.006), epilepsy (-16.6%, p < 0.001), and neurosurgical trauma (-13.8%, p < 0.001) surgeries compared to pre-pandemic years. The seasonal analysis also yielded a broad decrease in most subcategories in spring 2020 with significant decreases in pediatric spine, epilepsy, and trauma cases. To the best of our knowledge, this is the first study to report a national decline in pediatric shunt, epilepsy, and neurosurgical trauma operative volumes during the pandemic. This could be due to fear-related changes in health-seeking behavior as well as underdiagnosis during the COVID-19 pandemic.

Copyright © 2022 Elsevier Ltd. All rights reserved.

Keywords: COVID-19; Pediatric neurosurgery; Procedures; Trends

Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this pa

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