AI Article Synopsis

  • The study analyzes the effect of the COVID-19 pandemic on inpatient dermatosurgical care across nine German clinics over three years (2019-2021).
  • A total reduction in dermatosurgical cases was observed, with a 14.5% drop in 2020 and an 8.5% drop in 2021 compared to 2019, particularly affecting surgeries for melanoma and benign lesions.
  • The findings highlight that while there was a significant decline in 2020, the number of inpatient cases began to stabilize in 2021, indicating ongoing demand for inpatient treatment despite challenges from the pandemic.

Article Abstract

Introduction: Currently, only little data is available on the impact of the COVID-19 pandemic on inpatient dermatosurgical care in German dermatological clinics.

Methods: A retrospective analysis of all dermatosurgical cases that were treated in inpatient setting in nine German dermatological clinics in four federal states in 2019, 2020 and 2021 was performed. The diagnoses were recorded using the ICD-10 codes. In addition, demographic data such as age, gender and the length of inpatient stay were analysed.

Results: In 2019, 2020 and 2021, a total of 10,739, 9185 and 9828 dermatosurgical inpatients were treated respectively. Thus, the reduction of inpatient dermatosurgical cases was 14.5% in 2020 and 8.5% in 2021 compared to 2019. Inpatient surgical treatment of melanoma decreased by 10.1% of cases in 2020. This decrease was only 1.4% in 2021 compared to 2019. The number of inpatient surgeries performed for benign lesions such as melanocytic nevi or viral warts reduced sharply in both pandemic years.

Conclusion: Our data show for the first time how inpatient care for the entire spectrum of dermatosurgical diseases developed during the COVID-19 pandemic in Germany. After the initial marked decline in inpatient dermatosurgical cases in 2020, there was less difference in 2021 compared to 2019. This trend can be interpreted as an indication that there is still a strong need for inpatient dermatosurgical care that cannot yet be met on an outpatient basis.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538252PMC
http://dx.doi.org/10.1007/s00105-024-05417-5DOI Listing

Publication Analysis

Top Keywords

inpatient dermatosurgical
16
covid-19 pandemic
12
dermatosurgical cases
12
2021 compared
12
compared 2019
12
inpatient
10
pandemic inpatient
8
dermatosurgical care
8
german dermatological
8
2019 2020
8

Similar Publications

Article Synopsis
  • The study analyzes the effect of the COVID-19 pandemic on inpatient dermatosurgical care across nine German clinics over three years (2019-2021).
  • A total reduction in dermatosurgical cases was observed, with a 14.5% drop in 2020 and an 8.5% drop in 2021 compared to 2019, particularly affecting surgeries for melanoma and benign lesions.
  • The findings highlight that while there was a significant decline in 2020, the number of inpatient cases began to stabilize in 2021, indicating ongoing demand for inpatient treatment despite challenges from the pandemic.
View Article and Find Full Text PDF

Background: Dermatosurgical procedures are predominantly performed under local anesthesia, yet there are few studies on perioperative pain management for extensive or staged procedures under local anesthesia. The purpose of this study was to assess pain during dermatologic surgery, describe perioperative pain management, and identify factors that influence pain perception.

Patients And Methods: This prospective, monocentric study included inpatients undergoing dermatologic surgery under local anesthesia from April to December 2021.

View Article and Find Full Text PDF

Background: The aim of the survey was to investigate a possible impairment of inpatient dermatological and dermatosurgical care in Germany due to the COVID-19 pandemic.

Methods: An online survey on the impact of pandemic-related measures on inpatient care was sent to all German dermatology clinics. Only one person per clinic was asked to participate.

View Article and Find Full Text PDF
Article Synopsis
  • The study examines systemic side effects in elderly patients (≥75 years) undergoing skin tumor surgery with tumescent local anesthesia due to increased procedures in this demographic.
  • A total of 782 patients were examined, revealing a 10.2% incidence of systemic complications, primarily hypertensive crises, with no life-threatening issues linked directly to the anesthesia.
  • The findings indicate that while systemic complications can happen, surgery with tumescent local anesthesia is generally safe for elderly patients, helping to avoid risks associated with general anesthesia.
View Article and Find Full Text PDF

Background: Surgical site infections (SSI), bleeding, and necrosis are possible complications of dermatological surgery, and their rates are well described for Mohs surgery (same-day surgery). However, there are only limited data on their occurrence in microscopically controlled surgery of the form in which it is practiced in German hospitals (next-day surgery).

Materials And Methods: We performed a retrospective analysis of patient records of patients hospitalized for microscopically controlled surgery during the year 2017 (12 months) in the Department of Dermatology and Allergology at the University Hospital of the RWTH Aachen (Aachen, Germany).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!