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The Effect of the COVID-19 Pandemic on Electively Scheduled Hip and Knee Arthroplasty Patients in the United States.
Brown, Timothy S; Bedard, Nicholas A; Rojas, Edward O; Anthony, Christopher A; Schwarzkopf, Ran; Barnes, C Lowry; Stambough, Jeffrey B; Mears, Simon C; Edwards, Paul K; Nandi, Sumon; Prieto, Hernan A; Parvizi, Javad.
  • Brown TS; Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA.
  • Bedard NA; Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA.
  • Rojas EO; Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA.
  • Anthony CA; Department of Orthopedics, Washington University, St. Louis, MO.
  • Schwarzkopf R; Division of Orthopedics, Adult Joint Reconstruction, NYU Langone, New York, NY.
  • Barnes CL; Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR.
  • Stambough JB; Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR.
  • Mears SC; Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR.
  • Edwards PK; Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR.
  • Nandi S; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD.
  • Prieto HA; Department of Orthopedics and Rehabilitation, University of Florida College of Medicine, Gainesville, FL.
  • Parvizi J; Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA.
J Arthroplasty ; 35(7S): S49-S55, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-102140
Semantic information from SemMedBD (by NLM)
1. Operative Surgical Procedures TREATS Patients
Subject
Operative Surgical Procedures
Predicate
TREATS
Object
Patients
2. Financial concerns PROCESS_OF Patients
Subject
Financial concerns
Predicate
PROCESS_OF
Object
Patients
3. Knee LOCATION_OF Arthritis
Subject
Knee
Predicate
LOCATION_OF
Object
Arthritis
4. Bone structure of ischium LOCATION_OF Pain
Subject
Bone structure of ischium
Predicate
LOCATION_OF
Object
Pain
5. Knee LOCATION_OF Pain
Subject
Knee
Predicate
LOCATION_OF
Object
Pain
6. Pain PROCESS_OF Patients
Subject
Pain
Predicate
PROCESS_OF
Object
Patients
7. Operative Surgical Procedures TREATS Patients
Subject
Operative Surgical Procedures
Predicate
TREATS
Object
Patients
8. Financial concerns PROCESS_OF Patients
Subject
Financial concerns
Predicate
PROCESS_OF
Object
Patients
9. Knee LOCATION_OF Arthritis
Subject
Knee
Predicate
LOCATION_OF
Object
Arthritis
10. Bone structure of ischium LOCATION_OF Pain
Subject
Bone structure of ischium
Predicate
LOCATION_OF
Object
Pain
11. Knee LOCATION_OF Pain
Subject
Knee
Predicate
LOCATION_OF
Object
Pain
12. Pain PROCESS_OF Patients
Subject
Pain
Predicate
PROCESS_OF
Object
Patients
ABSTRACT

BACKGROUND:

In response to the COVID-19 pandemic, hospitals in the United States were recommended to stop performing elective procedures. This stoppage has led to the cancellation of a large number of hip and knee arthroplasties. The effect of this on patients' physical mental and economic health is unknown.

METHODS:

A survey was developed by the AAHKS Research Committee to assess pain, anxiety, physical function, and economic ability of patients to undergo a delayed operation. Six institutions conducted the survey to 360 patients who had to have elective hip and knee arthroplasty cancelled between March and July of 2020.

RESULTS:

Patients were most anxious about the uncertainty of when their operation could be rescheduled. Although 85% of patients understood and agreed with the public health measures to curb infections, almost 90% of patients plan to reschedule as soon as possible. Age and geographic region of the patients affected their anxiety. Younger patients were more likely to have financial concerns and concerns about job security. Patients in the Northeast were more concerned about catching COVID-19 during a future hospitalization.

CONCLUSIONS:

Patients suffering from the pain of hip and knee arthritis continue to struggle with pain from their end-stage disease. They have anxiety about the COVID-19 pandemic. Few patients feel they will be limited financially and 90% want to have surgery as soon as possible. Age and physical location of the patients affect their causes for anxiety around their future surgery.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Elective Surgical Procedures / Coronavirus Infections / Arthroplasty, Replacement, Hip / Arthroplasty, Replacement, Knee / Pandemics / Betacoronavirus Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Arthroplasty Journal subject: Orthopedics Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Elective Surgical Procedures / Coronavirus Infections / Arthroplasty, Replacement, Hip / Arthroplasty, Replacement, Knee / Pandemics / Betacoronavirus Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Arthroplasty Journal subject: Orthopedics Year: 2020 Document Type: Article