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Effect of COVID-19 on Hip and Knee Arthroplasty Surgical Volume in the United States.
Bedard, Nicholas A; Elkins, Jacob M; Brown, Timothy S.
  • Bedard NA; Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA.
  • Elkins JM; Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA.
  • Brown TS; Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA.
J Arthroplasty ; 35(7S): S45-S48, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-116852
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. Operative Surgical Procedures ADMINISTERED_TO Surgeon
Subject
Operative Surgical Procedures
Predicate
ADMINISTERED_TO
Object
Surgeon
4. COVID-19 CAUSES Procedure on knee
Subject
COVID-19
Predicate
CAUSES
Object
Procedure on knee
5. COVID-19 AFFECTS Patients
Subject
COVID-19
Predicate
AFFECTS
Object
Patients
6. Bone structure of ischium LOCATION_OF COVID-19
Subject
Bone structure of ischium
Predicate
LOCATION_OF
Object
COVID-19
7. Knee LOCATION_OF COVID-19
Subject
Knee
Predicate
LOCATION_OF
Object
COVID-19
8. Operative Surgical Procedures ADMINISTERED_TO Surgeon
Subject
Operative Surgical Procedures
Predicate
ADMINISTERED_TO
Object
Surgeon
9. COVID-19 CAUSES Procedure on knee
Subject
COVID-19
Predicate
CAUSES
Object
Procedure on knee
10. COVID-19 AFFECTS Patients
Subject
COVID-19
Predicate
AFFECTS
Object
Patients
ABSTRACT

BACKGROUND:

In an effort to help combat the COVID-19 pandemic and preserve essential health care resources, starting in mid-March 2020, surgeons have been instructed to only perform essential surgical procedures. The vast majority of hip and knee arthroplasty surgery does not meet the definition of essential surgery. This study estimated the number of arthroplasty procedures that would be canceled because of these important restrictions.

METHODS:

The US hip and knee arthroplasty procedure volume projections for 2020 were estimated from four recently published studies. Data from the American Joint Replacement Registry were utilized to determine what percentage of these cases would be considered nonessential surgery. Monthly and weekly estimates of nonessential hip and knee arthroplasty procedures that would have occurred had there not been any restrictions due to COVID-19 were calculated.

RESULTS:

After excluding essential procedures, it was estimated that approximately 30,000 primary and 3000 revision hip and knee arthroplasty procedures will be canceled each week while COVID-19 restrictions regarding nonessential surgery are in place. If only 50% of nonessential cases were actually canceled across the United States, that would still result in the cancellation of 15,001 primary and 1435 revision hip and knee arthroplasty procedures per week while restrictions are in place.

CONCLUSION:

This study highlights the profound impact COVID-19 is having on our current hip and knee arthroplasty volume. The large number of cases canceled because of COVID-19 translates into major financial losses for health care institutions and may have a profound impact on our patients.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Arthroplasty, Replacement, Hip / Arthroplasty, Replacement, Knee / Pandemics / Betacoronavirus Type of study: Experimental Studies / Observational study Limits: Humans 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 / Coronavirus Infections / Arthroplasty, Replacement, Hip / Arthroplasty, Replacement, Knee / Pandemics / Betacoronavirus Type of study: Experimental Studies / Observational study Limits: Humans Country/Region as subject: North America Language: English Journal: J Arthroplasty Journal subject: Orthopedics Year: 2020 Document Type: Article