The impact of the COVID-19 pandemic on waiting times for elective surgery patients: A multicenter study
A concern has been that health care reorganizations during the first COVID-19 wave have led to delays in elective surgeries, resulting in increased complications and even mortality. This multicenter study examined the changes in waiting times of elective surgeries during the COVID-19 pandemic in Fin...
Uložené v:
| Vydané v: | PloS one Ročník 16; číslo 7; s. e0253875 |
|---|---|
| Hlavní autori: | , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
San Francisco
Public Library of Science
06.07.2021
Public Library of Science (PLoS) |
| Predmet: | |
| ISSN: | 1932-6203, 1932-6203 |
| On-line prístup: | Získať plný text |
| Tagy: |
Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
|
| Abstract | A concern has been that health care reorganizations during the first COVID-19 wave have led to delays in elective surgeries, resulting in increased complications and even mortality. This multicenter study examined the changes in waiting times of elective surgeries during the COVID-19 pandemic in Finland. Data on elective surgery were gathered from three Finnish public hospitals for years 2017-2020. Surgery incidence and waiting times were examined and the year 2020 was compared to the reference years 2017-2019. The mean annual, monthly, and weekly waiting times were calculated with 95% confidence intervals (CI). The most common diagnosis groups were examined separately. A total of 88 693 surgeries were included during the study period. The mean waiting time in 2020 was 92.6 (CI 91.5-93.8) days, whereas the mean waiting time in the reference years was 85.8 (CI 85.1-86.5) days, resulting in an average 8% increase in waiting times in 2020. Elective procedure incidence decreased rapidly in the onset of the first COVID-19 wave in March 2020 but recovered in May and June, after which the surgery incidence was 22% higher than in the reference years and remained at this level until the end of the year. In May 2020 and thereafter until November, waiting times were longer with monthly increases varying between 7% and 34%. In gastrointestinal and genitourinary diseases and neoplasms, waiting times were longer in 2020. In cardiovascular and musculoskeletal diseases, waiting times were shorter in 2020. The health care reorganizations due to the pandemic have increased elective surgery waiting times by as much as one-third, even though the elective surgery rate increased by one-fifth after the lockdown. |
|---|---|
| AbstractList | Background A concern has been that health care reorganizations during the first COVID-19 wave have led to delays in elective surgeries, resulting in increased complications and even mortality. This multicenter study examined the changes in waiting times of elective surgeries during the COVID-19 pandemic in Finland. Methods Data on elective surgery were gathered from three Finnish public hospitals for years 2017-2020. Surgery incidence and waiting times were examined and the year 2020 was compared to the reference years 2017-2019. The mean annual, monthly, and weekly waiting times were calculated with 95% confidence intervals (CI). The most common diagnosis groups were examined separately. Findings A total of 88 693 surgeries were included during the study period. The mean waiting time in 2020 was 92.6 (CI 91.5-93.8) days, whereas the mean waiting time in the reference years was 85.8 (CI 85.1-86.5) days, resulting in an average 8% increase in waiting times in 2020. Elective procedure incidence decreased rapidly in the onset of the first COVID-19 wave in March 2020 but recovered in May and June, after which the surgery incidence was 22% higher than in the reference years and remained at this level until the end of the year. In May 2020 and thereafter until November, waiting times were longer with monthly increases varying between 7% and 34%. In gastrointestinal and genitourinary diseases and neoplasms, waiting times were longer in 2020. In cardiovascular and musculoskeletal diseases, waiting times were shorter in 2020. Conclusion The health care reorganizations due to the pandemic have increased elective surgery waiting times by as much as one-third, even though the elective surgery rate increased by one-fifth after the lockdown. A concern has been that health care reorganizations during the first COVID-19 wave have led to delays in elective surgeries, resulting in increased complications and even mortality. This multicenter study examined the changes in waiting times of elective surgeries during the COVID-19 pandemic in Finland. Data on elective surgery were gathered from three Finnish public hospitals for years 2017-2020. Surgery incidence and waiting times were examined and the year 2020 was compared to the reference years 2017-2019. The mean annual, monthly, and weekly waiting times were calculated with 95% confidence intervals (CI). The most common diagnosis groups were examined separately. A total of 88 693 surgeries were included during the study period. The mean waiting time in 2020 was 92.6 (CI 91.5-93.8) days, whereas the mean waiting time in the reference years was 85.8 (CI 85.1-86.5) days, resulting in an average 8% increase in waiting times in 2020. Elective procedure incidence decreased rapidly in the onset of the first COVID-19 wave in March 2020 but recovered in May and June, after which the surgery incidence was 22% higher than in the reference years and remained at this level until the end of the year. In May 2020 and thereafter until November, waiting times were longer with monthly increases varying between 7% and 34%. In gastrointestinal and genitourinary diseases and neoplasms, waiting times were longer in 2020. In cardiovascular and musculoskeletal diseases, waiting times were shorter in 2020. The health care reorganizations due to the pandemic have increased elective surgery waiting times by as much as one-third, even though the elective surgery rate increased by one-fifth after the lockdown. A concern has been that health care reorganizations during the first COVID-19 wave have led to delays in elective surgeries, resulting in increased complications and even mortality. This multicenter study examined the changes in waiting times of elective surgeries during the COVID-19 pandemic in Finland.BACKGROUNDA concern has been that health care reorganizations during the first COVID-19 wave have led to delays in elective surgeries, resulting in increased complications and even mortality. This multicenter study examined the changes in waiting times of elective surgeries during the COVID-19 pandemic in Finland.Data on elective surgery were gathered from three Finnish public hospitals for years 2017-2020. Surgery incidence and waiting times were examined and the year 2020 was compared to the reference years 2017-2019. The mean annual, monthly, and weekly waiting times were calculated with 95% confidence intervals (CI). The most common diagnosis groups were examined separately.METHODSData on elective surgery were gathered from three Finnish public hospitals for years 2017-2020. Surgery incidence and waiting times were examined and the year 2020 was compared to the reference years 2017-2019. The mean annual, monthly, and weekly waiting times were calculated with 95% confidence intervals (CI). The most common diagnosis groups were examined separately.A total of 88 693 surgeries were included during the study period. The mean waiting time in 2020 was 92.6 (CI 91.5-93.8) days, whereas the mean waiting time in the reference years was 85.8 (CI 85.1-86.5) days, resulting in an average 8% increase in waiting times in 2020. Elective procedure incidence decreased rapidly in the onset of the first COVID-19 wave in March 2020 but recovered in May and June, after which the surgery incidence was 22% higher than in the reference years and remained at this level until the end of the year. In May 2020 and thereafter until November, waiting times were longer with monthly increases varying between 7% and 34%. In gastrointestinal and genitourinary diseases and neoplasms, waiting times were longer in 2020. In cardiovascular and musculoskeletal diseases, waiting times were shorter in 2020.FINDINGSA total of 88 693 surgeries were included during the study period. The mean waiting time in 2020 was 92.6 (CI 91.5-93.8) days, whereas the mean waiting time in the reference years was 85.8 (CI 85.1-86.5) days, resulting in an average 8% increase in waiting times in 2020. Elective procedure incidence decreased rapidly in the onset of the first COVID-19 wave in March 2020 but recovered in May and June, after which the surgery incidence was 22% higher than in the reference years and remained at this level until the end of the year. In May 2020 and thereafter until November, waiting times were longer with monthly increases varying between 7% and 34%. In gastrointestinal and genitourinary diseases and neoplasms, waiting times were longer in 2020. In cardiovascular and musculoskeletal diseases, waiting times were shorter in 2020.The health care reorganizations due to the pandemic have increased elective surgery waiting times by as much as one-third, even though the elective surgery rate increased by one-fifth after the lockdown.CONCLUSIONThe health care reorganizations due to the pandemic have increased elective surgery waiting times by as much as one-third, even though the elective surgery rate increased by one-fifth after the lockdown. BackgroundA concern has been that health care reorganizations during the first COVID-19 wave have led to delays in elective surgeries, resulting in increased complications and even mortality. This multicenter study examined the changes in waiting times of elective surgeries during the COVID-19 pandemic in Finland.MethodsData on elective surgery were gathered from three Finnish public hospitals for years 2017-2020. Surgery incidence and waiting times were examined and the year 2020 was compared to the reference years 2017-2019. The mean annual, monthly, and weekly waiting times were calculated with 95% confidence intervals (CI). The most common diagnosis groups were examined separately.FindingsA total of 88 693 surgeries were included during the study period. The mean waiting time in 2020 was 92.6 (CI 91.5-93.8) days, whereas the mean waiting time in the reference years was 85.8 (CI 85.1-86.5) days, resulting in an average 8% increase in waiting times in 2020. Elective procedure incidence decreased rapidly in the onset of the first COVID-19 wave in March 2020 but recovered in May and June, after which the surgery incidence was 22% higher than in the reference years and remained at this level until the end of the year. In May 2020 and thereafter until November, waiting times were longer with monthly increases varying between 7% and 34%. In gastrointestinal and genitourinary diseases and neoplasms, waiting times were longer in 2020. In cardiovascular and musculoskeletal diseases, waiting times were shorter in 2020.ConclusionThe health care reorganizations due to the pandemic have increased elective surgery waiting times by as much as one-third, even though the elective surgery rate increased by one-fifth after the lockdown. Background A concern has been that health care reorganizations during the first COVID-19 wave have led to delays in elective surgeries, resulting in increased complications and even mortality. This multicenter study examined the changes in waiting times of elective surgeries during the COVID-19 pandemic in Finland. Methods Data on elective surgery were gathered from three Finnish public hospitals for years 2017–2020. Surgery incidence and waiting times were examined and the year 2020 was compared to the reference years 2017–2019. The mean annual, monthly, and weekly waiting times were calculated with 95% confidence intervals (CI). The most common diagnosis groups were examined separately. Findings A total of 88 693 surgeries were included during the study period. The mean waiting time in 2020 was 92.6 (CI 91.5–93.8) days, whereas the mean waiting time in the reference years was 85.8 (CI 85.1–86.5) days, resulting in an average 8% increase in waiting times in 2020. Elective procedure incidence decreased rapidly in the onset of the first COVID-19 wave in March 2020 but recovered in May and June, after which the surgery incidence was 22% higher than in the reference years and remained at this level until the end of the year. In May 2020 and thereafter until November, waiting times were longer with monthly increases varying between 7% and 34%. In gastrointestinal and genitourinary diseases and neoplasms, waiting times were longer in 2020. In cardiovascular and musculoskeletal diseases, waiting times were shorter in 2020. Conclusion The health care reorganizations due to the pandemic have increased elective surgery waiting times by as much as one-third, even though the elective surgery rate increased by one-fifth after the lockdown. |
| Audience | Academic |
| Author | Launonen, Antti P. Ponkilainen, Ville Kuitunen, Ilari Mattila, Ville M. Paloneva, Juha Uimonen, Mikko |
| AuthorAffiliation | 5 Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland 4 Department of Orthopaedics, Tampere University Hospital, Tampere, Finland 1 Department of Surgery, Central Finland Hospital Nova, Jyväskylä, Finland 2 School of Medicine, University of Eastern Finland, Kuopio, Finland 3 Mikkeli Central Hospital, Mikkeli, Finland Erasmus Medical Centre: Erasmus MC, NETHERLANDS |
| AuthorAffiliation_xml | – name: 1 Department of Surgery, Central Finland Hospital Nova, Jyväskylä, Finland – name: 5 Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland – name: Erasmus Medical Centre: Erasmus MC, NETHERLANDS – name: 2 School of Medicine, University of Eastern Finland, Kuopio, Finland – name: 3 Mikkeli Central Hospital, Mikkeli, Finland – name: 4 Department of Orthopaedics, Tampere University Hospital, Tampere, Finland |
| Author_xml | – sequence: 1 givenname: Mikko orcidid: 0000-0001-6609-1345 surname: Uimonen fullname: Uimonen, Mikko – sequence: 2 givenname: Ilari orcidid: 0000-0001-8178-9610 surname: Kuitunen fullname: Kuitunen, Ilari – sequence: 3 givenname: Juha surname: Paloneva fullname: Paloneva, Juha – sequence: 4 givenname: Antti P. surname: Launonen fullname: Launonen, Antti P. – sequence: 5 givenname: Ville surname: Ponkilainen fullname: Ponkilainen, Ville – sequence: 6 givenname: Ville M. surname: Mattila fullname: Mattila, Ville M. |
| BookMark | eNqNk11r2zAUhs3oWD-2fzCYYDC2i2SSZclSLwYh-woUAlvXW6HIsqMgW6kkd8u_n5x4oyllDF_IOn7eV-cc-ZxnJ53rdJa9RHCKcIneb1zvO2mn2xSewpxgVpIn2RniOJ_QHOKTe--n2XkIGwgTROmz7BQXec7KvDzLmuu1BqbdShWBq0FMu_nyZvFxgjjYyq7SrVHAdeCnNNF0DYim1QHUzgNttYrmToPQ-0b7XcKj0V0Ml2AG2t5Go9JOexBiX-2eZ09raYN-Ma4X2Y_Pn67nXydXyy-L-exqokpM4oRUkuOC0YrCvCB4xQuMCFkVsK7KoqYMQbZSNVWS01zlXBUlwgjWWiEJOSYMX2SvDr5b64IYexRETgrGc4oITMTiQFRObsTWm1b6nXDSiH3A-UZIn5K3WmBJFUeMcsWqQmnOS7RimpEallyVECWvD-Np_arV1VCwl_bI9PhLZ9aicXeC5YRzxpPB29HAu9tehyhaE5S2Vnba9fu8ebo_VAx5v36APl7dSDUyFWC62qVz1WAqZpSWqa0QlomaPkKlZ3_f6YeqTYofCd4dCRIT9a_YyD4Esfj-7f_Z5c0x--Yeu9bSxnVwto_GdeEYLA6g8i4Er-u_TUZQDPPwpxtimAcxzkOSXT6QKRPl4J4KNvbf4t8Z0Q96 |
| CitedBy_id | crossref_primary_10_1371_journal_pone_0323790 crossref_primary_10_1590_1806_9282_20220904 crossref_primary_10_3390_ijerph19148810 crossref_primary_10_1055_a_2150_8632 crossref_primary_10_4085_1062_6050_0582_21 crossref_primary_10_3390_medicina59050970 crossref_primary_10_1016_j_avsg_2024_12_049 crossref_primary_10_3390_jcm11010171 crossref_primary_10_3389_fpubh_2022_874758 crossref_primary_10_3390_medicina60111825 crossref_primary_10_3390_jcm12175655 crossref_primary_10_1177_11206721231154611 crossref_primary_10_2196_67423 crossref_primary_10_1186_s12913_021_07021_y crossref_primary_10_1016_j_vaccine_2022_06_051 crossref_primary_10_1016_j_lanepe_2024_101188 crossref_primary_10_1007_s00402_022_04521_2 crossref_primary_10_1177_03946320231152835 crossref_primary_10_3390_su14159496 crossref_primary_10_1371_journal_pone_0311970 crossref_primary_10_1001_jamanetworkopen_2025_4858 crossref_primary_10_1007_s12630_022_02199_z crossref_primary_10_5435_JAAOSGlobal_D_22_00276 crossref_primary_10_1111_cch_13154 crossref_primary_10_1111_jan_15502 crossref_primary_10_1097_MOU_0000000000000956 crossref_primary_10_4103_jpgm_jpgm_485_22 crossref_primary_10_1371_journal_pone_0301194 crossref_primary_10_3390_jcm13195992 crossref_primary_10_1016_j_pcorm_2022_100305 crossref_primary_10_3390_cells11081282 crossref_primary_10_3390_jcm12134502 crossref_primary_10_1016_j_clgc_2022_11_016 crossref_primary_10_1371_journal_pone_0285616 crossref_primary_10_3390_diagnostics15020129 crossref_primary_10_17816_OV635529 crossref_primary_10_1088_1755_1315_887_1_012032 crossref_primary_10_9778_cmajo_20220188 crossref_primary_10_15212_ZOONOSES_2023_0024 crossref_primary_10_1007_s00113_023_01325_w crossref_primary_10_4187_respcare_10323 crossref_primary_10_1097_GOX_0000000000005089 crossref_primary_10_1177_15910199221104616 crossref_primary_10_1016_j_arth_2025_01_036 crossref_primary_10_1016_j_heliyon_2022_e09740 crossref_primary_10_3390_ijerph20010112 crossref_primary_10_1007_s10151_022_02629_6 crossref_primary_10_1111_poms_13910 crossref_primary_10_26697_ijsa_2021_2_7 crossref_primary_10_1002_cncr_35026 crossref_primary_10_1002_ejp_4780 crossref_primary_10_1177_22925503241276544 crossref_primary_10_1089_end_2022_0167 crossref_primary_10_1097_MS9_0000000000000328 crossref_primary_10_1016_j_avsg_2025_01_014 crossref_primary_10_1080_21548331_2024_2435802 crossref_primary_10_54053_001c_87551 crossref_primary_10_2196_39787 crossref_primary_10_18278_jep_2_1_1 crossref_primary_10_2147_RMHP_S384456 crossref_primary_10_1308_rcsann_2022_0123 crossref_primary_10_2147_RMHP_S459307 crossref_primary_10_1002_jso_27606 crossref_primary_10_1002_msc_1792 crossref_primary_10_1016_j_bja_2024_08_037 crossref_primary_10_1001_jamanetworkopen_2023_19583 crossref_primary_10_1186_s12889_022_14560_4 crossref_primary_10_1007_s42399_021_01080_2 crossref_primary_10_1093_jhps_hnac039 |
| Cites_doi | 10.1016/j.ejso.2019.11.513 10.1053/j.jvca.2020.08.007 10.1093/annonc/mds101 10.1097/01.blo.0000203477.19421.ed 10.1016/S1470-2045(20)30388-0 10.1016/j.annonc.2020.05.009 10.1002/bjs.11847 10.1001/jamaoncol.2015.4508 10.1016/S1470-2045(20)30392-2 |
| ContentType | Journal Article |
| Copyright | COPYRIGHT 2021 Public Library of Science 2021 Uimonen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2021 Uimonen et al 2021 Uimonen et al |
| Copyright_xml | – notice: COPYRIGHT 2021 Public Library of Science – notice: 2021 Uimonen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: 2021 Uimonen et al 2021 Uimonen et al |
| DBID | AAYXX CITATION IOV ISR 3V. 7QG 7QL 7QO 7RV 7SN 7SS 7T5 7TG 7TM 7U9 7X2 7X7 7XB 88E 8AO 8C1 8FD 8FE 8FG 8FH 8FI 8FJ 8FK ABJCF ABUWG AEUYN AFKRA ARAPS ATCPS AZQEC BBNVY BENPR BGLVJ BHPHI C1K CCPQU COVID D1I DWQXO FR3 FYUFA GHDGH GNUQQ H94 HCIFZ K9. KB. KB0 KL. L6V LK8 M0K M0S M1P M7N M7P M7S NAPCQ P5Z P62 P64 PATMY PDBOC PHGZM PHGZT PIMPY PJZUB PKEHL PPXIY PQEST PQGLB PQQKQ PQUKI PRINS PTHSS PYCSY RC3 7X8 5PM DOA |
| DOI | 10.1371/journal.pone.0253875 |
| DatabaseName | CrossRef Gale In Context: Opposing Viewpoints Gale In Context: Science ProQuest Central (Corporate) Animal Behavior Abstracts Bacteriology Abstracts (Microbiology B) Biotechnology Research Abstracts Nursing & Allied Health Database Ecology Abstracts Entomology Abstracts (Full archive) Immunology Abstracts Meteorological & Geoastrophysical Abstracts Nucleic Acids Abstracts Virology and AIDS Abstracts Agricultural Science Collection Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) ProQuest Pharma Collection Public Health Database Technology Research Database ProQuest SciTech Collection ProQuest Technology Collection ProQuest Natural Science Journals Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Materials Science & Engineering Collection ProQuest Central (Alumni) One Sustainability ProQuest Central UK/Ireland Advanced Technologies & Computer Science Collection Agricultural & Environmental Science Collection (ProQuest) ProQuest Central Essentials Biological Science Collection ProQuest Central Technology collection Natural Science Collection Environmental Sciences and Pollution Management ProQuest One Community College Coronavirus Research Database ProQuest Materials Science Collection ProQuest Central Engineering Research Database Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student AIDS and Cancer Research Abstracts SciTech Premium Collection ProQuest Health & Medical Complete (Alumni) Materials Science Database (ProQuest) Nursing & Allied Health Database (Alumni Edition) Meteorological & Geoastrophysical Abstracts - Academic ProQuest Engineering Collection Biological Sciences Agricultural Science Database ProQuest Health & Medical Collection PML(ProQuest Medical Library) Algology Mycology and Protozoology Abstracts (Microbiology C) Biological Science Database Engineering Database Nursing & Allied Health Premium Advanced Technologies & Aerospace Database ProQuest Advanced Technologies & Aerospace Collection Biotechnology and BioEngineering Abstracts Environmental Science Database (ProQuest) Materials Science Collection ProQuest Databases ProQuest One Academic Publicly Available Content Database ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) One Applied & Life Sciences ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest Central China Engineering collection Environmental Science Collection Genetics Abstracts MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Open Access Full Text |
| DatabaseTitle | CrossRef Agricultural Science Database Publicly Available Content Database ProQuest Central Student ProQuest Advanced Technologies & Aerospace Collection ProQuest Central Essentials Nucleic Acids Abstracts SciTech Premium Collection ProQuest Central China Environmental Sciences and Pollution Management ProQuest One Applied & Life Sciences ProQuest One Sustainability Health Research Premium Collection Meteorological & Geoastrophysical Abstracts Natural Science Collection Health & Medical Research Collection Biological Science Collection ProQuest Central (New) ProQuest Medical Library (Alumni) Engineering Collection Advanced Technologies & Aerospace Collection Engineering Database Virology and AIDS Abstracts ProQuest Biological Science Collection ProQuest One Academic Eastern Edition Agricultural Science Collection Coronavirus Research Database ProQuest Hospital Collection ProQuest Technology Collection Health Research Premium Collection (Alumni) Biological Science Database Ecology Abstracts ProQuest Hospital Collection (Alumni) Biotechnology and BioEngineering Abstracts Environmental Science Collection Entomology Abstracts Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest One Academic UKI Edition Environmental Science Database ProQuest Nursing & Allied Health Source (Alumni) Engineering Research Database ProQuest One Academic Meteorological & Geoastrophysical Abstracts - Academic ProQuest One Academic (New) Technology Collection Technology Research Database ProQuest One Academic Middle East (New) Materials Science Collection ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing ProQuest Natural Science Collection ProQuest Pharma Collection ProQuest Central ProQuest Health & Medical Research Collection Genetics Abstracts ProQuest Engineering Collection Biotechnology Research Abstracts Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Bacteriology Abstracts (Microbiology B) Algology Mycology and Protozoology Abstracts (Microbiology C) Agricultural & Environmental Science Collection AIDS and Cancer Research Abstracts Materials Science Database ProQuest Materials Science Collection ProQuest Public Health ProQuest Nursing & Allied Health Source ProQuest SciTech Collection Advanced Technologies & Aerospace Database ProQuest Medical Library Animal Behavior Abstracts Materials Science & Engineering Collection Immunology Abstracts ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | Agricultural Science Database MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: PIMPY name: Publicly Available Content Database url: http://search.proquest.com/publiccontent sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Sciences (General) Statistics |
| DocumentTitleAlternate | Elective surgery waiting times during COVID-19 |
| EISSN | 1932-6203 |
| ExternalDocumentID | 2548926150 oai_doaj_org_article_3a6c91869c8d4ce9971b8e85f079c701 PMC8259989 A667602007 10_1371_journal_pone_0253875 |
| GeographicLocations | Finland |
| GeographicLocations_xml | – name: Finland |
| GroupedDBID | --- 123 29O 2WC 53G 5VS 7RV 7X2 7X7 7XC 88E 8AO 8C1 8CJ 8FE 8FG 8FH 8FI 8FJ A8Z AAFWJ AAUCC AAWOE AAYXX ABDBF ABIVO ABJCF ABUWG ACCTH ACGFO ACIHN ACIWK ACPRK ACUHS ADBBV AEAQA AENEX AEUYN AFFHD AFKRA AFPKN AFRAH AHMBA ALMA_UNASSIGNED_HOLDINGS AOIJS APEBS ARAPS ATCPS BAIFH BAWUL BBNVY BBTPI BCNDV BENPR BGLVJ BHPHI BKEYQ BPHCQ BVXVI BWKFM CCPQU CITATION CS3 D1I D1J D1K DIK DU5 E3Z EAP EAS EBD EMOBN ESX EX3 F5P FPL FYUFA GROUPED_DOAJ GX1 HCIFZ HH5 HMCUK HYE IAO IEA IGS IHR IHW INH INR IOV IPY ISE ISR ITC K6- KB. KQ8 L6V LK5 LK8 M0K M1P M48 M7P M7R M7S M~E NAPCQ O5R O5S OK1 OVT P2P P62 PATMY PDBOC PHGZM PHGZT PIMPY PJZUB PPXIY PQGLB PQQKQ PROAC PSQYO PTHSS PV9 PYCSY RNS RPM RZL SV3 TR2 UKHRP WOQ WOW ~02 ~KM ALIPV BBORY 3V. 7QG 7QL 7QO 7SN 7SS 7T5 7TG 7TM 7U9 7XB 8FD 8FK AZQEC C1K COVID DWQXO ESTFP FR3 GNUQQ H94 K9. KL. M7N P64 PKEHL PQEST PQUKI PRINS RC3 7X8 5PM - 02 AAPBV ABPTK ADACO BBAFP KM |
| ID | FETCH-LOGICAL-c735t-5da93486d602453b943155b40fd74f68108bcf6ca962c29c471310fec1a093583 |
| IEDL.DBID | M7P |
| ISICitedReferencesCount | 73 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000674293700014&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1932-6203 |
| IngestDate | Fri Nov 26 17:13:06 EST 2021 Tue Oct 14 15:15:22 EDT 2025 Tue Nov 04 01:36:30 EST 2025 Sun Nov 09 13:06:44 EST 2025 Tue Oct 07 07:48:01 EDT 2025 Sat Nov 29 13:05:06 EST 2025 Sat Nov 29 10:13:44 EST 2025 Wed Nov 26 09:27:24 EST 2025 Wed Nov 26 09:23:53 EST 2025 Thu May 22 21:19:02 EDT 2025 Sat Nov 29 01:58:01 EST 2025 Tue Nov 18 20:38:51 EST 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 7 |
| Language | English |
| License | This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Creative Commons Attribution License |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c735t-5da93486d602453b943155b40fd74f68108bcf6ca962c29c471310fec1a093583 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Competing Interests: The authors have declared that no competing interests exist. |
| ORCID | 0000-0001-6609-1345 0000-0001-8178-9610 |
| OpenAccessLink | https://www.proquest.com/docview/2548926150?pq-origsite=%requestingapplication% |
| PMID | 34228727 |
| PQID | 2548926150 |
| PQPubID | 1436336 |
| PageCount | e0253875 |
| ParticipantIDs | plos_journals_2548926150 doaj_primary_oai_doaj_org_article_3a6c91869c8d4ce9971b8e85f079c701 pubmedcentral_primary_oai_pubmedcentral_nih_gov_8259989 proquest_miscellaneous_2549203140 proquest_journals_2548926150 gale_infotracmisc_A667602007 gale_infotracacademiconefile_A667602007 gale_incontextgauss_ISR_A667602007 gale_incontextgauss_IOV_A667602007 gale_healthsolutions_A667602007 crossref_primary_10_1371_journal_pone_0253875 crossref_citationtrail_10_1371_journal_pone_0253875 |
| PublicationCentury | 2000 |
| PublicationDate | 2021-07-06 |
| PublicationDateYYYYMMDD | 2021-07-06 |
| PublicationDate_xml | – month: 07 year: 2021 text: 2021-07-06 day: 06 |
| PublicationDecade | 2020 |
| PublicationPlace | San Francisco |
| PublicationPlace_xml | – name: San Francisco – name: San Francisco, CA USA |
| PublicationTitle | PloS one |
| PublicationYear | 2021 |
| Publisher | Public Library of Science Public Library of Science (PLoS) |
| Publisher_xml | – name: Public Library of Science – name: Public Library of Science (PLoS) |
| References | V Ponkilainen (pone.0253875.ref001) 2020; 107 C Maringe (pone.0253875.ref004) 2020; 21 Y Yun (pone.0253875.ref008) 2012; 23 F Grass (pone.0253875.ref010) 2020; 46 DS Garbuz (pone.0253875.ref009) 2006; 447 I Kuitunen (pone.0253875.ref012) 2021 AJ Gregory (pone.0253875.ref013) 2020; 34 A Sud (pone.0253875.ref003) 2020; 21 RJ Bleicher (pone.0253875.ref011) 2016; 2 pone.0253875.ref007 pone.0253875.ref006 pone.0253875.ref005 A Sud (pone.0253875.ref002) 2020; 31 pone.0253875.ref014 |
| References_xml | – ident: pone.0253875.ref006 – ident: pone.0253875.ref005 – volume: 46 start-page: 455 issue: 3 year: 2020 ident: pone.0253875.ref010 article-title: Impact of delay to surgery on survival in stage I-III colon cancer publication-title: European Journal of Surgical Oncology doi: 10.1016/j.ejso.2019.11.513 – volume: 34 start-page: 3218 issue: 12 year: 2020 ident: pone.0253875.ref013 article-title: Cardiac Surgery-Enhanced Recovery Programs Modified for COVID-19: Key Steps to Preserve Resources, Manage Caseload Backlog, and Improve Patient Outcomes publication-title: Journal of Cardiothoracic and Vascular Anesthesia doi: 10.1053/j.jvca.2020.08.007 – ident: pone.0253875.ref007 – volume: 23 start-page: 2731 issue: 10 year: 2012 ident: pone.0253875.ref008 article-title: The influence of hospital volume and surgical treatment delay on long-term survival after cancer surgery publication-title: Annals of oncology doi: 10.1093/annonc/mds101 – volume: 447 start-page: 79 year: 2006 ident: pone.0253875.ref009 article-title: Delays worsen quality of life outcome of primary total hip arthroplasty publication-title: Clinical Orthopaedics and Related Research (1976–2007). doi: 10.1097/01.blo.0000203477.19421.ed – volume: 21 start-page: 1023 issue: 8 year: 2020 ident: pone.0253875.ref004 article-title: The impact of the COVID-19 pandemic on cancer deaths due to delays in diagnosis in England, UK: a national, population-based, modelling study publication-title: Lancet Oncol. doi: 10.1016/S1470-2045(20)30388-0 – year: 2021 ident: pone.0253875.ref012 article-title: Postponing elective surgery due to COVID-19 did not decrease the oncological surgery rate in Finland publication-title: Br J Surg – ident: pone.0253875.ref014 – volume: 31 start-page: 1065 issue: 8 year: 2020 ident: pone.0253875.ref002 article-title: Collateral damage: the impact on outcomes from cancer surgery of the COVID-19 pandemic publication-title: Annals of Oncology doi: 10.1016/j.annonc.2020.05.009 – volume: 107 start-page: e405 issue: 10 year: 2020 ident: pone.0253875.ref001 article-title: The effect of nationwide lockdown and societal restrictions due to COVID-19 on emergency and urgent surgeries publication-title: Br J Surg doi: 10.1002/bjs.11847 – volume: 2 start-page: 330 issue: 3 year: 2016 ident: pone.0253875.ref011 article-title: Time to surgery and breast cancer survival in the United States publication-title: JAMA oncology doi: 10.1001/jamaoncol.2015.4508 – volume: 21 start-page: 1035 issue: 8 year: 2020 ident: pone.0253875.ref003 article-title: Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study. publication-title: Lancet Oncol doi: 10.1016/S1470-2045(20)30392-2 |
| SSID | ssj0053866 |
| Score | 2.5908642 |
| Snippet | Background A concern has been that health care reorganizations during the first COVID-19 wave have led to delays in elective surgeries, resulting in increased... A concern has been that health care reorganizations during the first COVID-19 wave have led to delays in elective surgeries, resulting in increased... BackgroundA concern has been that health care reorganizations during the first COVID-19 wave have led to delays in elective surgeries, resulting in increased... Background A concern has been that health care reorganizations during the first COVID-19 wave have led to delays in elective surgeries, resulting in increased... |
| SourceID | plos doaj pubmedcentral proquest gale crossref |
| SourceType | Open Website Open Access Repository Aggregation Database Enrichment Source Index Database |
| StartPage | e0253875 |
| SubjectTerms | Complications Confidence intervals Coronaviruses COVID-19 Elective surgery Forecasts and trends Health aspects Health care Hospital patients Hospitals Medical prognosis Medicine and Health Sciences Musculoskeletal diseases Neoplasms Orthopedics Pandemics People and places Statistics Surgery Surgery, Elective Tumors Vacations |
| SummonAdditionalLinks | – databaseName: DOAJ Open Access Full Text dbid: DOA link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELbQigMXRCmoS1swCAk4pN3EiR-9LS0VlVCLeFS9WbHjlJVKstrslr_fGdsbbSSkcuCwl_UkSublmXjmG0Le5gw8npUscYXjSV4IlRhTimSias5N6hhnvlH4izg_l1dX6uvGqC-sCQvwwIFxh6zkVuHcJCur3DqlRGqkk0U9EcqK0LkFUc86mQo-GKyY89gox0R6GOVyMG8bdwC7PPN1hRsbkcfr773yaH7TdoOQc1gwubEDnT4hj2PoSKfhkbfIA9c8JVvRODv6PiJIf9gm1yB8GvofaVtTiPHo8cXl2UmSKjrHr8a_Z5a2Df1TzrDqmfoB8xTCV-qn4oADpF1ol6YRd7U7olPqiw_x4dyCeljaZ-Tn6acfx5-TOFEhsYIVy6SoSsVyySuOJ67MKAgfisLkk7oSeY3QZNLYmttS8cxmyoIcIfyrnU1Lf2DKnpNRAzzcIRQy5xS8gzKSF3ltrEmLCn6ZYXAvl6sxYWv2ahvhxnHqxY32Z2gC0o7ANo1C0VEoY5L0V80D3MY99B9Rcj0tgmX7P0CFdFQhfZ8KjckrlLsOnae9yesp1v9O8GPumLzxFAiY0WBFznW56jp9dnH5D0Tfvw2I3kWiugV22DJ2QcA7IRDXgHJvQAlmbwfLO6ila650GjJ9qTLE94cr15r79-XX_TLeFKvsGteuPI3KcJ4B0IiBxg8YPFxpZr88KrmERFpJ9eJ_SGSXPMqwdsiXZu6R0XKxcvvkob1dzrrFS2_qd1t9V6o priority: 102 providerName: Directory of Open Access Journals – databaseName: Public Library of Science (PLoS) Journals Open Access dbid: FPL link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV3db9MwELeg8MALMD60wgCDkICHbEmc-IO3MqiYNG0TH9PerNh1RqWRVE0L_z53jhswYgIe-tI7R_H5fL6L735HyPOCgcWzkiWudDwpSqESYyqRpKrm3GSOceYLhQ_F0ZE8O1MnPwPF327wmcj2gkx3F23jduGEZuBhXyXXcsY5pnBNTw43lhdInIfyuMtGRsePR-kfbPFocdF2kaMZp0n-cu5Mb_3vG98mN4OHSSe9SmyRK665Q7bCHu7oywA0_eouOQcdoX2ZJG1rCq4g3T8-PXibZIou8OPy17mlbUO_V3NMjqa-Dz0FL5f65jlgJ2nXV1XTAM_avaYT6nMUcTZuST167T3yefru0_77JDReSKxg5SopZ5ViheQzjhezzCjwMsrSFGk9E0WNCGbS2JrbSvHc5srCcoOXWDubVf5eld0nowYmv00oBNgZGBFlJC-L2liTlTP45YbBs1yhxoRt1kPbgEqOzTEutL9qExCd9GLTKE0dpDkmyTBq0aNy_IX_DS71wIuY2v4PWDYdtqhmFbcKO3RZOSusU0pkRjpZ1qlQVqTZmDxBRdF9gepgGfQE04RT_OY7Js88B-JqNJi4c16tu04fHJ_-A9PHDxHTi8BUtyAOW4ViCZgT4nVFnDsRJ1gHG5G3Ua03Uul0DiGqyrENAIzcqPqfyU8HMj4Uk_Ea1649j8qx7QHwiGiLRAKOKc38iwcvlxBvK6keXP5eD8mNHBOHfF7mDhmtlmv3iFy331bzbvnY7_gfjU5Uiw priority: 102 providerName: Public Library of Science |
| Title | The impact of the COVID-19 pandemic on waiting times for elective surgery patients: A multicenter study |
| URI | https://www.proquest.com/docview/2548926150 https://www.proquest.com/docview/2549203140 https://pubmed.ncbi.nlm.nih.gov/PMC8259989 https://doaj.org/article/3a6c91869c8d4ce9971b8e85f079c701 http://dx.doi.org/10.1371/journal.pone.0253875 |
| Volume | 16 |
| WOSCitedRecordID | wos000674293700014&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVAON databaseName: DOAJ Directory of Open Access Journals customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: DOA dateStart: 20060101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: M~E dateStart: 20060101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre – providerCode: PRVPQU databaseName: Advanced Technologies & Aerospace Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: P5Z dateStart: 20061201 isFulltext: true titleUrlDefault: https://search.proquest.com/hightechjournals providerName: ProQuest – providerCode: PRVPQU databaseName: Agriculture Science Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: M0K dateStart: 20061201 isFulltext: true titleUrlDefault: https://search.proquest.com/agriculturejournals providerName: ProQuest – providerCode: PRVPQU databaseName: Biological Science Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: M7P dateStart: 20061201 isFulltext: true titleUrlDefault: http://search.proquest.com/biologicalscijournals providerName: ProQuest – providerCode: PRVPQU databaseName: Engineering Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: M7S dateStart: 20061201 isFulltext: true titleUrlDefault: http://search.proquest.com providerName: ProQuest – providerCode: PRVPQU databaseName: Environmental Science Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: PATMY dateStart: 20061201 isFulltext: true titleUrlDefault: http://search.proquest.com/environmentalscience providerName: ProQuest – providerCode: PRVPQU databaseName: Health & Medical Collection customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: 7X7 dateStart: 20061201 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: Materials Science Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: KB. dateStart: 20061201 isFulltext: true titleUrlDefault: http://search.proquest.com/materialsscijournals providerName: ProQuest – providerCode: PRVPQU databaseName: Nursing & Allied Health Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: 7RV dateStart: 20061201 isFulltext: true titleUrlDefault: https://search.proquest.com/nahs providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: BENPR dateStart: 20061201 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: Public Health Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: 8C1 dateStart: 20061201 isFulltext: true titleUrlDefault: https://search.proquest.com/publichealth providerName: ProQuest – providerCode: PRVPQU databaseName: Publicly Available Content Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: PIMPY dateStart: 20061201 isFulltext: true titleUrlDefault: http://search.proquest.com/publiccontent providerName: ProQuest – providerCode: PRVATS databaseName: Public Library of Science (PLoS) Journals Open Access customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: FPL dateStart: 20060101 isFulltext: true titleUrlDefault: http://www.plos.org/publications/ providerName: Public Library of Science |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3db9MwELdYxwMvwPjQCqMYhAQ8pEviJLZ5QW1ZRbWtizqoCi9R4iSl0khK08K_z53jlkVCgMRD76E-J7LvfDnbd78j5IXHwOIpwazMzwLL87m0kiTmli3zIEicjAVMJwqf8fFYzGYyNAdulQmr3NpEbajTUuEZ-TFsZIR0Eb787fKbhVWj8HbVlNDYI_uIksB06F64tcSwloPApMsx7hwb6XSXZZF14VvPdHThtc-RRu3f2ebW8qqsGo5nM2zy2ndoeOd_R3CX3DYeKO3VKnNAbmTFPXJg1nhFXxkg6tf3yRx0iNZplLTMKbiKdHAxHb2zHEmXePj8daFoWdAf8QKDp6muU0_BC6a6uA7YUVrVWdfUwLdWb2iP6hhGHF22ohrd9gH5ODz5MHhvmcIMluLMX1t-GkvmiSAN8OKWJRK8EN9PPDtPuZcjwplIVB6oWAaucqUCdQAvMs-UE-t7V_aQtAoQwiGhsAF3wMjIRAS-lycqcfwUfm7C4FmZJ9uEbeUTKYNajsUzriJ9Fcdh91JPW4RSjYxU28Ta9VrWqB1_4e-j6He8iLmt_yhX88gs4YjFgZJYwUuJ1FOZlNxJRCb83OZScdtpk6eoOFGdwLqzHFEPw4htPBNuk-eaA3E3CgzsmcebqopGF9N_YLqcNJheGqa8hOlQsUmmgDEhnleD86jBCdZDNZoPUc23s1JFv7QUem71-PfNz3bN-FAM1iuycqN5pItlEYCHN5ZMY4KbLcXiiwY3F7Afl0I--vPLH5NbLgYX6djNI9JarzbZE3JTfV8vqlWH7PHJFOmMayqAioHTIfv9k3E46eiDF6DD8Azoab8L9Nw-7Wjroekl0ND_DD3C0Xn46Sc6mnLM |
| linkProvider | ProQuest |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V3db9MwELdGQYIXYHxohcEMAgEP2Zo48QcSQmVjWrWyoTGqvYXEcUqlkZSmZeKf4m_kznHKIiHgZQ889CW-uPLl7ndn-z4IeRIyQDwtmWciw70wEspL00R4PZVznvqGcWYThYfi4ECenKj3K-RHkwuDYZUNJlqgzkqNZ-RbsJGRKsDy5a-nXz3sGoW3q00LjVos9s33M9iyVa8GO_B9nwbB7tvj7T3PdRXwtGDR3IuyRLFQ8ozjrSNLFZjQKErDXp6JMMfyXDLVOdeJ4oEOlIa1gAuUG-0n9tKQwbyXyGXAcR9DyMTRqEF-wA7OXXoeE_6Wk4bNaVmYTfAtmI1mPGf-bJeApS3oTE_LquXotsM0z9m93Rv_G8dukuvOw6b9WiVWyYopbpFVh2EVfe4Kbb-4TcagI7ROE6VlTsEVptuHo8GO5ys6xcP1LxNNy4KeJRMMDqdzTJeh4OVT2zwI7ASt6qxy6srTVi9pn9oYTeSmmVFbvfcO-XghC75LOgV89DVCpZQ-gKhKJY_CPNWpH2XwC1IGc5lQdQlr5CHWrio7Ngc5je1Vo4DdWc22GKUodlLUJd7yrWldleQv9G9Q1Ja0WFPcPihn49hBVMwSrhV2KNMyC7VRSvipNDLKe0Jp0fO7ZAMFNa4TdJfIGPcxTLqHZ95d8thSYF2RAgOXxsmiquLB4egfiD4ctYieOaK8BHboxCWLwJqwXlmLcr1FCeioW8NrqFYNV6r4l1bAm43e_H740XIYJ8VgxMKUC0ujAmz7ADSipaItBrdHislnW7xdBpFSUt37859vkKt7x--G8XBwsH-fXAswkMrGqa6Tzny2MA_IFf1tPqlmDy0CUfLpohX4J6iHwCM |
| linkToPdf | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V3fb9MwELZGQYgXYPzQCoMZBAIesjZx4thICJWWimpTN8GY9hYSxymVRlKalol_jb-OO8cJi4SAlz3w0Jf6ksrXu_PZ_u47Qp74DCKeEszRgeaOH4TSSZI4dPoy4zxxNePMFArvh9OpODmRhxvkR10Lg7DKOiaaQJ0WCs_Ie7CREdJD-vJeZmERh6Px68VXBztI4U1r3U6jMpE9_f0Mtm_lq8kI_uunnjd-ezR859gOA44KWbBygjSWzBc85XgDyRIJy2kQJH4_S0M_Q6oukaiMq1hyT3lSwbwgHcq0cmNzgcjgvZfI5RBmhHAyMWzgJRBHOLeleix0e9YydhdFrnchz2AG2XhuKTQdA5p1obM4LcpW0tuGbJ5bA8c3_mft3STXbeZNB5WrbJINnd8imza2lfS5JeB-cZvMwHdoVT5Ki4xCikyHB8eTkeNKusBD9y9zRYucnsVzBI3TFZbRUMj-qWkqBOsHLatqc2ppa8uXdEANdhM1q5fUsPreIR8vZMJ3SScHA9giVAjhQnCVieCBnyUqcYMUPl7C4F3al13CatuIlGVrx6Yhp5G5ggxh11apLUKLiqxFdYnTPLWo2Er-Iv8Gza6RRa5x80WxnEU2dEUs5kpi5zIlUl9pKUM3EVoEWT-UKuy7XbKDRhtVhbtNxIwGCJ_u41l4lzw2Esg3kqPtzeJ1WUaTg-N_EPrwviX0zAplBahDxbaIBOaEPGYtye2WJERN1RreQhertVJGvzwEnqx96PfDj5phfCmCFHNdrI2M9LAdBMiELXdtKbg9ks8_G1J34QVSCnnvzz--Q66C30b7k-nefXLNQ3yVga9uk85qudYPyBX1bTUvlw9NMKLk00X7708czMh- |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+impact+of+the+COVID-19+pandemic+on+waiting+times+for+elective+surgery+patients%3A+A+multicenter+study&rft.jtitle=PloS+one&rft.au=Uimonen%2C+Mikko&rft.au=Kuitunen%2C+Ilari&rft.au=Paloneva%2C+Juha&rft.au=Launonen%2C+Antti+P&rft.date=2021-07-06&rft.pub=Public+Library+of+Science&rft.eissn=1932-6203&rft.volume=16&rft.issue=7&rft.spage=e0253875&rft_id=info:doi/10.1371%2Fjournal.pone.0253875&rft.externalDBID=HAS_PDF_LINK |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1932-6203&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1932-6203&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1932-6203&client=summon |