COVID-19 Pandemic: Influences on the Practice of Neurosurgeons all over Pakistan

  • Faisal Feroz Rana Department of Paediatric Neurosurgery, Children Hospital
  • Mazhar Mahmood Department of Orthopaedic, Allied Hospital, Faisalabad
  • Uzma Amin Department of Dermatology, Lahore General Hospital,
  • Rizwan Masood Butt Doctors Hospital, Lahore
Keywords: COVID-19, Pandemic, Practice, Neurosurgeons, Pakistan


Objective:  The aim of this survey was to observe the impacts of COVID-19 pandemic on neurosurgery practices during this pandemic, assess various types of adaptations taken by them, protective measures during patient examination and effects on their health, family and socioeconomic life.

Material & Methods:  A Questionnaire comprising 32 questions was circulated among practicing Neurosurgeons of Pakistan by social media, e-mails for 8 weeks (January-February 2021) and their responses were analyzed.

Results:  108 participants were involved from all over Pakistan. 32% respondents stated reduction in clinical practice to a level of less than 25%. While, 10% reported complete closure of outpatient services during pandemic. There were varied responses on the use of protective measures and most used N95 mask only (31%). Pandemic also affected the research work, finances and leisure time activities.

Conclusion:  Our study showed that neurosurgical practice was influenced by COVID-19 pandemic in many aspects in Pakistan. Proper method of protective measures and COVID testing of patients were lacking among them. Neurosurgeons should follow standard guidelines according to institutional directives in local neurosurgical practices so as to avoid being influenced by such crisis.c


1- Cucinotta D, Vanelli M. WHO declares COVID -19 A pandemic. Acta Biomed. 2020; 91: 157-160. Published 2020 Mar 19.
2- Gupta P, Muthukumar N, Rajshekhar V, et al. Neurosurgery and neurology practices during the novel COVID-19 pandemic: a consensus statement from India. Neurol India. 2020; 68: 246-254.
3- Jafri LA, Javed M, Sajjad A, et al. Neurological care and training in the times of covid-19: a tertiary care center experience. Pak J Neurol Sci. 2020; 15: 3 (2).
4- World Health Organization. Corona Virus disease (COVID-19) outbreak situation. 2021.
5- Germano A, Raffa G, Angilero FF, et al. Coronavirus disease 2019 (COVID-19) and neurosurgery: literature and neurosurgical societies’ recommendations update. World Neurosurg. 2020; 139; e 812-e817.
6- Tejas V, Goyal N, Dash C; et al. Impact of COVID-19 pandemic on Neurosurgical practice in India: results of an anonymized national survey. Neurology India. 2020; 68(3).
7- Jean WC, Ironside NT, Sack KD, et al. The impact of COVID-19 on neurosurgeons and the safety for triaging non-emergent operations: a global neurosurgery study. Acta Neurosurgir. 2020; 162(2): 1229-1240.
8- Deora H, Mishra S, Tripathi M, et al. Adapting neurosurgery practice during the COVID-19 pandemic in the Indian subcontinent. World Neurosurg. 2020; 142: e 396-e406.
9- Ranjith RK, Rajshekhar V. Impact of COVID-19 pandemic on neurosurgical practice in India: A survey on personal protective equipment usage, testing and perceptions on disease transmission. Neurol India. 2020; 68(5):1133-1138.
10- Germano A, Raffa G, Angileri FF, et al. Corona virus disease 2019 and neurosurgery: Literature and neurosurgical society’s recommendations update. World Neurosurg. 2020, 139: e812-e817.
11- Ansari A, Kato Y, Tang J. Letter to the editor: neurosurgical practice in covid-19 pandemic : from the point of view of academic departments in India, Japan and China. Br J Neurosurg. 2020; 34: 355-356.
12- Muhammad S, Tanikawa R, Lawton MT, et al. Letter: safety instructions for neurosurgeons during COVID-19 pandemic based on recent knowledge and experience. Neurosurgery. 2020; 87 (2): E 220-E221.
Original Article