Restarting elective orthopaedic services during the COVID-19 pandemic: Do patients want to have surgery?

Bone & Joint Open
Justin S ChangFares S Haddad

Abstract

As the peak of the COVID-19 pandemic passes, the challenge shifts to safe resumption of routine medical services, including elective orthopaedic surgery. Protocols including pre-operative self-isolation, COVID-19 testing, and surgery at a non-COVID-19 site have been developed to minimize risk of transmission. Despite this, it is likely that many patients will want to delay surgery for fear of contracting COVID-19. The aim of this study is to identify the number of patients who still want to proceed with planned elective orthopaedic surgery in this current environment. This is a prospective, single surgeon study of 102 patients who were on the waiting list for an elective hip or knee procedure during the COVID-19 pandemic. Baseline characteristics including age, ASA grade, COVID-19 risk, procedure type, surgical priority, and admission type were recorded. The primary outcome was patient consent to continue with planned surgical care after resumption of elective orthopaedic services. Subgroup analysis was also performed to determine if any specific patient factors influenced the decision to proceed with surgery. Overall, 58 patients (56.8%) wanted to continue with planned surgical care at the earliest possibility. Patients classi...Continue Reading

References

Jan 17, 2019·The Bone & Joint Journal·B KayaniF S Haddad
Apr 2, 2019·The Bone & Joint Journal·D ThewlisL B Solomon
Aug 1, 2019·The Bone & Joint Journal·C E H ScottC R Howie
Mar 27, 2020·The New England Journal of Medicine·Megan L RanneyAshish K Jha
May 16, 2020·The Bone & Joint Journal·Sam OussedikFares S Haddad

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Citations

Aug 18, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Simon T DonellNanne P Kort

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Methods Mentioned

BETA
primary hip arthroplasty
total hip arthroplasty

Software Mentioned

SPSS

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