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The Effect of the COVID-19 Pandemic on Hip and Knee Arthroplasty Patients in the United States: A Multicenter Update to the Previous Survey.
Brown, Timothy S; Bedard, Nicholas A; Rojas, Edward O; Anthony, Christopher A; Schwarzkopf, Ran; Stambough, Jeffrey B; Nandi, Sumon; Prieto, Hernan; Parvizi, Javad; Bini, Stefano A; Higuera, Carlos A; Piuzzi, Nicholas S; Blankstein, Michael; Wellman, Samuel S; Dietz, Matthew J; Jennings, Jason M; Dasa, Vinod.
  • Brown TS; Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
  • Bedard NA; Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
  • Rojas EO; Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
  • Anthony CA; Department of Orthopedics, Washington University, St. Louis, MO, USA.
  • Schwarzkopf R; Division of Orthopedics, Adult Joint Reconstruction NYU Langone, New York, NY, USA.
  • Stambough JB; Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
  • Nandi S; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
  • Prieto H; Department of Orthopedics and Rehabilitation, University of Florida College of Medicine, Gainesville, FL, USA.
  • Parvizi J; Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA, USA.
  • Bini SA; Department of Orthopedic Surgery, University of California, San Francisco, San Francisco, CA, USA.
  • Higuera CA; Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
  • Piuzzi NS; Department of Orthopedic Surgery, Cleveland Clinic Florida, Weston, FL, USA.
  • Blankstein M; Department of Orthopaedic Surgery, University of Vermont Medical Center, Burlington, VT, USA.
  • Wellman SS; Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.
  • Dietz MJ; Department of Orthopaedics, West Virginia University School of Medicine, Morgantown, WV, USA.
  • Jennings JM; Colorado Joint Replacement, Denver, CO, USA.
  • Dasa V; Department of Orthopaedics, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
Arthroplast Today ; 7: 268-272, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-1131087
Semantic information from SemMedBD (by NLM)
1. Bone structure of ischium LOCATION_OF COVID-19
Subject
Bone structure of ischium
Predicate
LOCATION_OF
Object
COVID-19
2. Knee LOCATION_OF COVID-19
Subject
Knee
Predicate
LOCATION_OF
Object
COVID-19
3. Anxiety PROCESS_OF Participant
Subject
Anxiety
Predicate
PROCESS_OF
Object
Participant
4. Knee LOCATION_OF Arthritis
Subject
Knee
Predicate
LOCATION_OF
Object
Arthritis
5. Bone structure of ischium LOCATION_OF Pain
Subject
Bone structure of ischium
Predicate
LOCATION_OF
Object
Pain
6. Knee LOCATION_OF Pain
Subject
Knee
Predicate
LOCATION_OF
Object
Pain
7. Operative Surgical Procedures compared_with Elective Surgical Procedures
Subject
Operative Surgical Procedures
Predicate
compared_with
Object
Elective Surgical Procedures
8. Operative Surgical Procedures same_as Elective Surgical Procedures
Subject
Operative Surgical Procedures
Predicate
same_as
Object
Elective Surgical Procedures
9. Pain PROCESS_OF Patients
Subject
Pain
Predicate
PROCESS_OF
Object
Patients
10. Bone structure of ischium LOCATION_OF COVID-19
Subject
Bone structure of ischium
Predicate
LOCATION_OF
Object
COVID-19
11. Knee LOCATION_OF COVID-19
Subject
Knee
Predicate
LOCATION_OF
Object
COVID-19
12. Anxiety PROCESS_OF Participant
Subject
Anxiety
Predicate
PROCESS_OF
Object
Participant
13. Knee LOCATION_OF Arthritis
Subject
Knee
Predicate
LOCATION_OF
Object
Arthritis
14. Bone structure of ischium LOCATION_OF Pain
Subject
Bone structure of ischium
Predicate
LOCATION_OF
Object
Pain
15. Knee LOCATION_OF Pain
Subject
Knee
Predicate
LOCATION_OF
Object
Pain
16. Operative Surgical Procedures compared_with Elective Surgical Procedures
Subject
Operative Surgical Procedures
Predicate
compared_with
Object
Elective Surgical Procedures
17. Operative Surgical Procedures same_as Elective Surgical Procedures
Subject
Operative Surgical Procedures
Predicate
same_as
Object
Elective Surgical Procedures
18. Pain PROCESS_OF Patients
Subject
Pain
Predicate
PROCESS_OF
Object
Patients
ABSTRACT

BACKGROUND:

In March 2020, elective total hip and knee arthroplasty (THA and TKA) were suspended across the United States in response to the COVID-19 pandemic. We had previously published the results of a survey to the affected patients from 6 institutions. We now present the results of a larger distribution of this survey, through May and June 2020, to electively scheduled patients representing different regions of the United States.

METHODS:

Fifteen centers identified through the American Association of Hip and Knee Surgeons Research Committee participated in a survey study of THA and TKA patients. Patients scheduled for primary elective THA or TKA but canceled due to the COVID-19 elective surgery stoppage (3/2020-5/2020) were included in the study. Descriptive statistics along with subgroup analysis with Wilcoxon rank were performed.

RESULTS:

In total, surveys were distributed to 2135 patients and completed by 848 patients (40%) from 15 institutions. Most patients (728/848, 86%) had their surgery postponed or canceled by the surgeon or hospital. Unknown length of surgical delay remained the highest source of anxiety among survey participants. Male patients were more likely to be willing to proceed with surgery in spite of COVID-19. There were minimal regional differences in responses. Only 61 patients (7%) stated they will continue to delay surgery for fear of contracting COVID-19 while in the hospital.

CONCLUSION:

Similar to the previous study, the most anxiety-provoking thought was the uncertainty, over if and when the canceled joint replacement surgery could be rescheduled. Patients suffering from the daily pain of hip and knee arthritis who have been scheduled for elective arthroplasty remain eager to have their operation as soon as elective surgery is allowed to resume.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Language: English Journal: Arthroplast Today Year: 2021 Document Type: Article Affiliation country: J.artd.2020.11.025

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Language: English Journal: Arthroplast Today Year: 2021 Document Type: Article Affiliation country: J.artd.2020.11.025