Waiting lists for symptomatic joint arthritis are not benign: prioritizing patients for surgery in the setting of COVID-19

Bone & Joint Open
James Alexander MorrisRaymond Anakwe

Abstract

Restarting elective services presents a challenge to restore and improve many of the planned patient care pathways which have been suspended during the response to the COVID-19 pandemic. A significant backlog of planned elective work has built up representing a considerable volume of patient need. We aimed to investigate the health status, quality of life, and the impact of delay for patients whose referrals and treatment for symptomatic joint arthritis had been delayed as a result of the response to COVID-19. We interviewed 111 patients referred to our elective outpatient service and whose first appointments had been cancelled as a result of the response to the COVID-19 pandemic. Patients reported significant impacts on their health status and quality of life. Overall, 79 (71.2%) patients reported a further deterioration in their condition while waiting, with seven (6.3%) evaluating their health status as 'worse than death'. Waiting lists are clearly not benign and how to prioritize patients, their level of need, and access to assessment and treatment must be more sophisticated than simply relying on the length of time a patient has been waiting. This paper supports the contention that patients awaiting elective joint arthropl...Continue Reading

References

Jan 9, 2008·Respiratory Medicine·A Simon PickardTodd A Lee
Nov 28, 2012·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·M F JanssenJan Busschbach
Sep 28, 2018·Diabetes, Obesity & Metabolism·Michael A NauckUNKNOWN LEADER Publication Committee for the LEADER Trial Investigators
Aug 1, 2019·The Bone & Joint Journal·C E H ScottC R Howie

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Citations

Mar 24, 2021·The Bone & Joint Journal·Nick D ClementUNKNOWN IMPACT-Restart Collaboration
Apr 23, 2021·Bone & Joint Open·Andrew James HotchenStephen M McDonnell
May 1, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Fatima Nadeem
May 18, 2021·Journal of Hand Surgery Global Online·Amr M TawfikPedro K Beredjiklian
Jul 16, 2021·Bone & Joint Open·Matthew HamptonKevin Wembridge

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