Neurosurgical care for patients with high-grade gliomas during the coronavirus disease 2019 pandemic: Analysis of routine billing data of a German nationwide hospital network.

Neurosurgical care for patients with high-grade gliomas during the coronavirus disease 2019 pandemic: Analysis of routine billing data of a German nationwide hospital network.

Publication date: Oct 01, 2023

Little is known about delivery of neurosurgical care, complication rate and outcome of patients with high-grade glioma (HGG) during the coronavirus disease 2019 (Covid-19) pandemic. This observational, retrospective cohort study analyzed routine administrative data of all patients admitted for neurosurgical treatment of an HGG within the Helios Hospital network in Germany. Data of the Covid-19 pandemic (March 1, 2020-May 31, 2022) were compared to the pre-pandemic period (January 1, 2016-February 29, 2020). Frequency of treatment and outcome (in-hospital mortality, length of hospital stay [LOHS], time in intensive care unit [TICU] and ventilation outside the operating room [OR]) were separately analyzed for patients with microsurgical resection (MR) or stereotactic biopsy (STBx). A total of 1763 patients underwent MR of an HGG (648 patients during the Covid-19 pandemic; 1115 patients in the pre-pandemic period). 513 patients underwent STBx (182 [pandemic]; 331 patients [pre-pandemic]). No significant differences were found for treatment frequency (MR: 2. 95 patients/week [Covid-19 pandemic] vs. 3. 04 patients/week [pre-pandemic], IRR 0. 98, 95% CI: 0. 89-1. 07; STBx (1. 82 [Covid-19 pandemic] vs. 1. 86 [pre-pandemic], IRR 0. 96, 95% CI: 0. 80-1. 16, Pā€…>ā€…. 05). Rates of in-hospital mortality, infection, postoperative hemorrhage, cerebral ischemia and ventilation outside the OR were similar in both periods. Overall LOHS was significantly shorter for patients with MR and STBx during the Covid-19 pandemic. The Covid-19 pandemic did not affect the frequency of neurosurgical treatment of patients with an HGG based on data of a large nationwide hospital network in Germany. LOHS was significantly shorter but quality of neurosurgical care and outcome was not altered during the Covid-19 pandemic.

Concepts Keywords
Biopsy astrocytoma
Coronavirus Covid-19 pandemic
Germany glioblastoma
neurosurgery
oligodendroglioma

Semantics

Type Source Name
disease MESH gliomas
disease MESH coronavirus disease 2019
pathway KEGG Glioma
disease VO frequency
disease VO time
disease MESH infection
disease MESH postoperative hemorrhage
disease MESH cerebral ischemia
disease IDO quality
disease MESH astrocytoma
disease MESH glioblastoma
disease MESH oligodendroglioma

Original Article

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