Organ transplants and cesarean deliveries did not differ from the 2019 baseline. April 26, 2023 8.52am These high-volume procedures were selected to be representative of surgical procedures that range from always elective to mixed elective and urgent to always urgent or emergent. Later in the pandemic, when there were no federal and few state guidelines limiting elective surgical treatment, procedure rates rebounded for almost every major category of surgical procedure, for an overall procedure rate 10% lower than the 2019 baseline rate. Surgical Procedure Volume and Incidence Ratio Rate During Initial Shutdown and COVID-19 Surge vs Prepandemic Rate, National Library of Medicine US Federal Emergency Management Agency. COVID-19 is an emerging disease and we are still learning about its acute and chronicrepercussions. Earlier today at the White House Task Force Press Briefing, the Centers for Medicare & Medicaid Services (CMS) announced that all elective surgeries, non-essential medical, surgical, and dental procedures be delayed during the 2019 Novel Coronavirus (COVID-19) outbreak. Rhee C, Baker M, Vaidya V, et al. Additionally, elective surgeries for adults who are immuno-compromised, diabetic, or have a history of hospitalization should be deferred eight to 10 weeks after diagnosis. Surgical procedures in veterans affairs hospitals during the COVID-19 pandemic. That statement includes suggested wait times from the date of COVID-19 diagnosis to surgery . Ask your surgeon to share what information is available about rescheduling and when you can be re-evaluated about your surgical condition. CMS Releases Recommendations on Adult Elective Surgeries, Non-Essential A decrease was observed in groin hernia repairs (12378 procedures vs 2815 procedures; IRR, 0.23; 95% CI, 0.05 to 0.41; P<.001), thyroidectomy (2652 procedures vs 985 procedures; IRR, 0.38; 95% CI, 0.22 to 0.55; P<.001), spinal fusion (3859 procedures vs 1592 procedures; IRR, 0.42; 95% CI, 0.25 to 0.59; P<.001), laminectomy (3199 procedures vs 1512 procedures; IRR, 0.51; 95% CI, 0.34 to 0.68; P<.001), and coronary artery bypass graft (3099 procedures vs 1624 procedures; IRR, 0.61; 95% CI, 0.45 to 0.76; P<.001). See eTable 1 in the Supplement for exact values. You should call ahead to see if your doctor or nurse is able to provide your care virtually or by tele-visit (over the phone or computer). Attached is guidance to limit non-essential adult elective surgery and medical and surgical procedures, including all dental procedures. We then separately estimated the linear correlation between the per capita incidence of individuals with COVID-19 and state-specific IRR in each period. Hospitals and surgical centers recovered quickly after the initial shutdown, suggesting that adaptability, resiliency, increased knowledge of limiting transmission, and financial factors may have played a role in reestablishment of baseline surgical procedure volumes even in the setting of substantially increased COVID-19 disease burden.