Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic
Background: The COVID-19 pandemic forced surgeons to reconsider concepts of “elective” operations. Perceptions about the time sensitivity and medical necessity of a procedure have taken on greater significance during the pandemic. The evolving ethical and clinical environment requires reappraisal of...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Slidell, Mark B. [verfasserIn] Kandel, Jessica J. [verfasserIn] Prachand, Vivek [verfasserIn] Baroody, Fuad M. [verfasserIn] Gundeti, Mohan S. [verfasserIn] Reid, Russell R. [verfasserIn] Angelos, Peter [verfasserIn] Matthews, Jeffrey B. [verfasserIn] Mak, Grace Z. [verfasserIn] |
|---|
| Format: |
E-Artikel |
|---|---|
| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Übergeordnetes Werk: |
Enthalten in: Journal of the American College of Surgeons - American College of Surgeons ; ID: gnd/5696-0, New York, NY : Elsevier, 1997, 231, Seite 205-215 |
|---|---|
| Übergeordnetes Werk: |
volume:231 ; pages:205-215 |
| DOI / URN: |
10.1016/j.jamcollsurg.2020.05.015 |
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ELV004394569 |
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| 520 | |a Background: The COVID-19 pandemic forced surgeons to reconsider concepts of “elective” operations. Perceptions about the time sensitivity and medical necessity of a procedure have taken on greater significance during the pandemic. The evolving ethical and clinical environment requires reappraisal of perioperative factors, such as personal protective equipment conservation; limiting the risk of exposure to COVID-19 for patients, families, and healthcare workers; preservation of hospital beds and ICU resources; and minimizing COVID-19-related perioperative risk to patients.Study Design: A scaffold for the complex decision-making required for prioritization of medically necessary, time-sensitive (MeNTS) operations was developed for adult patients by colleagues at the University of Chicago. Although adult MeNTS scoring can be applied across adult surgical specialties, some variables were irrelevant in a pediatric population. Pediatric manifestations of chronic diseases and congenital anomalies were not accounted for. To account for the unique challenges children face, we modified the adult MeNTS system for use across pediatric subspecialties.Results: This pediatric MeNTS scoring system was applied to 101 cases both performed and deferred between March 23 and April 19, 2020 at the University of Chicago Comer Children's Hospital. The pediatric MeNTS scores provide a safe, equitable, transparent, and ethical strategy to prioritize children's surgical procedures.Conclusions: This process is adaptable to individual institutions and we project it will be useful during the acute phase of the pandemic (maximal limitations), as well as the anticipated recovery phase. | ||
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| 700 | 1 | |a Gundeti, Mohan S. |e verfasserin |4 aut | |
| 700 | 1 | |a Reid, Russell R. |e verfasserin |4 aut | |
| 700 | 1 | |a Angelos, Peter |e verfasserin |4 aut | |
| 700 | 1 | |a Matthews, Jeffrey B. |e verfasserin |4 aut | |
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10.1016/j.jamcollsurg.2020.05.015 doi (DE-627)ELV004394569 (ELSEVIER)S1072-7515(20)30430-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Slidell, Mark B. verfasserin aut Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The COVID-19 pandemic forced surgeons to reconsider concepts of “elective” operations. Perceptions about the time sensitivity and medical necessity of a procedure have taken on greater significance during the pandemic. The evolving ethical and clinical environment requires reappraisal of perioperative factors, such as personal protective equipment conservation; limiting the risk of exposure to COVID-19 for patients, families, and healthcare workers; preservation of hospital beds and ICU resources; and minimizing COVID-19-related perioperative risk to patients.Study Design: A scaffold for the complex decision-making required for prioritization of medically necessary, time-sensitive (MeNTS) operations was developed for adult patients by colleagues at the University of Chicago. Although adult MeNTS scoring can be applied across adult surgical specialties, some variables were irrelevant in a pediatric population. Pediatric manifestations of chronic diseases and congenital anomalies were not accounted for. To account for the unique challenges children face, we modified the adult MeNTS system for use across pediatric subspecialties.Results: This pediatric MeNTS scoring system was applied to 101 cases both performed and deferred between March 23 and April 19, 2020 at the University of Chicago Comer Children's Hospital. The pediatric MeNTS scores provide a safe, equitable, transparent, and ethical strategy to prioritize children's surgical procedures.Conclusions: This process is adaptable to individual institutions and we project it will be useful during the acute phase of the pandemic (maximal limitations), as well as the anticipated recovery phase. Kandel, Jessica J. verfasserin aut Prachand, Vivek verfasserin aut Baroody, Fuad M. verfasserin aut Gundeti, Mohan S. verfasserin aut Reid, Russell R. verfasserin aut Angelos, Peter verfasserin aut Matthews, Jeffrey B. verfasserin aut Mak, Grace Z. verfasserin aut Enthalten in American College of Surgeons ; ID: gnd/5696-0 Journal of the American College of Surgeons New York, NY : Elsevier, 1997 231, Seite 205-215 Online-Ressource (DE-627)320594459 (DE-600)2019367-1 (DE-576)118488945 1879-1190 nnns volume:231 pages:205-215 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2004 GBV_ILN_2011 GBV_ILN_2336 44.65 Chirurgie AR 231 205-215 |
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10.1016/j.jamcollsurg.2020.05.015 doi (DE-627)ELV004394569 (ELSEVIER)S1072-7515(20)30430-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Slidell, Mark B. verfasserin aut Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The COVID-19 pandemic forced surgeons to reconsider concepts of “elective” operations. Perceptions about the time sensitivity and medical necessity of a procedure have taken on greater significance during the pandemic. The evolving ethical and clinical environment requires reappraisal of perioperative factors, such as personal protective equipment conservation; limiting the risk of exposure to COVID-19 for patients, families, and healthcare workers; preservation of hospital beds and ICU resources; and minimizing COVID-19-related perioperative risk to patients.Study Design: A scaffold for the complex decision-making required for prioritization of medically necessary, time-sensitive (MeNTS) operations was developed for adult patients by colleagues at the University of Chicago. Although adult MeNTS scoring can be applied across adult surgical specialties, some variables were irrelevant in a pediatric population. Pediatric manifestations of chronic diseases and congenital anomalies were not accounted for. To account for the unique challenges children face, we modified the adult MeNTS system for use across pediatric subspecialties.Results: This pediatric MeNTS scoring system was applied to 101 cases both performed and deferred between March 23 and April 19, 2020 at the University of Chicago Comer Children's Hospital. The pediatric MeNTS scores provide a safe, equitable, transparent, and ethical strategy to prioritize children's surgical procedures.Conclusions: This process is adaptable to individual institutions and we project it will be useful during the acute phase of the pandemic (maximal limitations), as well as the anticipated recovery phase. Kandel, Jessica J. verfasserin aut Prachand, Vivek verfasserin aut Baroody, Fuad M. verfasserin aut Gundeti, Mohan S. verfasserin aut Reid, Russell R. verfasserin aut Angelos, Peter verfasserin aut Matthews, Jeffrey B. verfasserin aut Mak, Grace Z. verfasserin aut Enthalten in American College of Surgeons ; ID: gnd/5696-0 Journal of the American College of Surgeons New York, NY : Elsevier, 1997 231, Seite 205-215 Online-Ressource (DE-627)320594459 (DE-600)2019367-1 (DE-576)118488945 1879-1190 nnns volume:231 pages:205-215 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2004 GBV_ILN_2011 GBV_ILN_2336 44.65 Chirurgie AR 231 205-215 |
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10.1016/j.jamcollsurg.2020.05.015 doi (DE-627)ELV004394569 (ELSEVIER)S1072-7515(20)30430-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Slidell, Mark B. verfasserin aut Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The COVID-19 pandemic forced surgeons to reconsider concepts of “elective” operations. Perceptions about the time sensitivity and medical necessity of a procedure have taken on greater significance during the pandemic. The evolving ethical and clinical environment requires reappraisal of perioperative factors, such as personal protective equipment conservation; limiting the risk of exposure to COVID-19 for patients, families, and healthcare workers; preservation of hospital beds and ICU resources; and minimizing COVID-19-related perioperative risk to patients.Study Design: A scaffold for the complex decision-making required for prioritization of medically necessary, time-sensitive (MeNTS) operations was developed for adult patients by colleagues at the University of Chicago. Although adult MeNTS scoring can be applied across adult surgical specialties, some variables were irrelevant in a pediatric population. Pediatric manifestations of chronic diseases and congenital anomalies were not accounted for. To account for the unique challenges children face, we modified the adult MeNTS system for use across pediatric subspecialties.Results: This pediatric MeNTS scoring system was applied to 101 cases both performed and deferred between March 23 and April 19, 2020 at the University of Chicago Comer Children's Hospital. The pediatric MeNTS scores provide a safe, equitable, transparent, and ethical strategy to prioritize children's surgical procedures.Conclusions: This process is adaptable to individual institutions and we project it will be useful during the acute phase of the pandemic (maximal limitations), as well as the anticipated recovery phase. Kandel, Jessica J. verfasserin aut Prachand, Vivek verfasserin aut Baroody, Fuad M. verfasserin aut Gundeti, Mohan S. verfasserin aut Reid, Russell R. verfasserin aut Angelos, Peter verfasserin aut Matthews, Jeffrey B. verfasserin aut Mak, Grace Z. verfasserin aut Enthalten in American College of Surgeons ; ID: gnd/5696-0 Journal of the American College of Surgeons New York, NY : Elsevier, 1997 231, Seite 205-215 Online-Ressource (DE-627)320594459 (DE-600)2019367-1 (DE-576)118488945 1879-1190 nnns volume:231 pages:205-215 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2004 GBV_ILN_2011 GBV_ILN_2336 44.65 Chirurgie AR 231 205-215 |
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10.1016/j.jamcollsurg.2020.05.015 doi (DE-627)ELV004394569 (ELSEVIER)S1072-7515(20)30430-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Slidell, Mark B. verfasserin aut Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The COVID-19 pandemic forced surgeons to reconsider concepts of “elective” operations. Perceptions about the time sensitivity and medical necessity of a procedure have taken on greater significance during the pandemic. The evolving ethical and clinical environment requires reappraisal of perioperative factors, such as personal protective equipment conservation; limiting the risk of exposure to COVID-19 for patients, families, and healthcare workers; preservation of hospital beds and ICU resources; and minimizing COVID-19-related perioperative risk to patients.Study Design: A scaffold for the complex decision-making required for prioritization of medically necessary, time-sensitive (MeNTS) operations was developed for adult patients by colleagues at the University of Chicago. Although adult MeNTS scoring can be applied across adult surgical specialties, some variables were irrelevant in a pediatric population. Pediatric manifestations of chronic diseases and congenital anomalies were not accounted for. To account for the unique challenges children face, we modified the adult MeNTS system for use across pediatric subspecialties.Results: This pediatric MeNTS scoring system was applied to 101 cases both performed and deferred between March 23 and April 19, 2020 at the University of Chicago Comer Children's Hospital. The pediatric MeNTS scores provide a safe, equitable, transparent, and ethical strategy to prioritize children's surgical procedures.Conclusions: This process is adaptable to individual institutions and we project it will be useful during the acute phase of the pandemic (maximal limitations), as well as the anticipated recovery phase. Kandel, Jessica J. verfasserin aut Prachand, Vivek verfasserin aut Baroody, Fuad M. verfasserin aut Gundeti, Mohan S. verfasserin aut Reid, Russell R. verfasserin aut Angelos, Peter verfasserin aut Matthews, Jeffrey B. verfasserin aut Mak, Grace Z. verfasserin aut Enthalten in American College of Surgeons ; ID: gnd/5696-0 Journal of the American College of Surgeons New York, NY : Elsevier, 1997 231, Seite 205-215 Online-Ressource (DE-627)320594459 (DE-600)2019367-1 (DE-576)118488945 1879-1190 nnns volume:231 pages:205-215 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2004 GBV_ILN_2011 GBV_ILN_2336 44.65 Chirurgie AR 231 205-215 |
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610 DE-600 44.65 bkl Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic |
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Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic |
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Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic |
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Slidell, Mark B. |
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Journal of the American College of Surgeons |
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2020 |
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Slidell, Mark B. Kandel, Jessica J. Prachand, Vivek Baroody, Fuad M. Gundeti, Mohan S. Reid, Russell R. Angelos, Peter Matthews, Jeffrey B. Mak, Grace Z. |
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Slidell, Mark B. |
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10.1016/j.jamcollsurg.2020.05.015 |
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verfasserin |
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pediatric modification of the medically necessary, time-sensitive scoring system for operating room procedure prioritization during the covid-19 pandemic |
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Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic |
| abstract |
Background: The COVID-19 pandemic forced surgeons to reconsider concepts of “elective” operations. Perceptions about the time sensitivity and medical necessity of a procedure have taken on greater significance during the pandemic. The evolving ethical and clinical environment requires reappraisal of perioperative factors, such as personal protective equipment conservation; limiting the risk of exposure to COVID-19 for patients, families, and healthcare workers; preservation of hospital beds and ICU resources; and minimizing COVID-19-related perioperative risk to patients.Study Design: A scaffold for the complex decision-making required for prioritization of medically necessary, time-sensitive (MeNTS) operations was developed for adult patients by colleagues at the University of Chicago. Although adult MeNTS scoring can be applied across adult surgical specialties, some variables were irrelevant in a pediatric population. Pediatric manifestations of chronic diseases and congenital anomalies were not accounted for. To account for the unique challenges children face, we modified the adult MeNTS system for use across pediatric subspecialties.Results: This pediatric MeNTS scoring system was applied to 101 cases both performed and deferred between March 23 and April 19, 2020 at the University of Chicago Comer Children's Hospital. The pediatric MeNTS scores provide a safe, equitable, transparent, and ethical strategy to prioritize children's surgical procedures.Conclusions: This process is adaptable to individual institutions and we project it will be useful during the acute phase of the pandemic (maximal limitations), as well as the anticipated recovery phase. |
| abstractGer |
Background: The COVID-19 pandemic forced surgeons to reconsider concepts of “elective” operations. Perceptions about the time sensitivity and medical necessity of a procedure have taken on greater significance during the pandemic. The evolving ethical and clinical environment requires reappraisal of perioperative factors, such as personal protective equipment conservation; limiting the risk of exposure to COVID-19 for patients, families, and healthcare workers; preservation of hospital beds and ICU resources; and minimizing COVID-19-related perioperative risk to patients.Study Design: A scaffold for the complex decision-making required for prioritization of medically necessary, time-sensitive (MeNTS) operations was developed for adult patients by colleagues at the University of Chicago. Although adult MeNTS scoring can be applied across adult surgical specialties, some variables were irrelevant in a pediatric population. Pediatric manifestations of chronic diseases and congenital anomalies were not accounted for. To account for the unique challenges children face, we modified the adult MeNTS system for use across pediatric subspecialties.Results: This pediatric MeNTS scoring system was applied to 101 cases both performed and deferred between March 23 and April 19, 2020 at the University of Chicago Comer Children's Hospital. The pediatric MeNTS scores provide a safe, equitable, transparent, and ethical strategy to prioritize children's surgical procedures.Conclusions: This process is adaptable to individual institutions and we project it will be useful during the acute phase of the pandemic (maximal limitations), as well as the anticipated recovery phase. |
| abstract_unstemmed |
Background: The COVID-19 pandemic forced surgeons to reconsider concepts of “elective” operations. Perceptions about the time sensitivity and medical necessity of a procedure have taken on greater significance during the pandemic. The evolving ethical and clinical environment requires reappraisal of perioperative factors, such as personal protective equipment conservation; limiting the risk of exposure to COVID-19 for patients, families, and healthcare workers; preservation of hospital beds and ICU resources; and minimizing COVID-19-related perioperative risk to patients.Study Design: A scaffold for the complex decision-making required for prioritization of medically necessary, time-sensitive (MeNTS) operations was developed for adult patients by colleagues at the University of Chicago. Although adult MeNTS scoring can be applied across adult surgical specialties, some variables were irrelevant in a pediatric population. Pediatric manifestations of chronic diseases and congenital anomalies were not accounted for. To account for the unique challenges children face, we modified the adult MeNTS system for use across pediatric subspecialties.Results: This pediatric MeNTS scoring system was applied to 101 cases both performed and deferred between March 23 and April 19, 2020 at the University of Chicago Comer Children's Hospital. The pediatric MeNTS scores provide a safe, equitable, transparent, and ethical strategy to prioritize children's surgical procedures.Conclusions: This process is adaptable to individual institutions and we project it will be useful during the acute phase of the pandemic (maximal limitations), as well as the anticipated recovery phase. |
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Pediatric Modification of the Medically Necessary, Time-Sensitive Scoring System for Operating Room Procedure Prioritization During the COVID-19 Pandemic |
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Kandel, Jessica J. Prachand, Vivek Baroody, Fuad M. Gundeti, Mohan S. Reid, Russell R. Angelos, Peter Matthews, Jeffrey B. Mak, Grace Z. |
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