Economic implications of decreased elective orthopaedic and musculoskeletal surgery volume during the coronavirus disease 2019 pandemic

Best, Matthew J.; Aziz, Khursheed Kamal; McFarland, Edward G.; Anderson, Gerard F.; Srikumaran, Uma

doi:10.1007/s00264-020-04713-8

Cited by 26 publications

(22 citation statements)

References 12 publications

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“…In the research of the impacts on finance Goodell, 2020;Haroon & Rizvi, 2020;Phan & Narayan, 2020), researchers usually took the topics on stock, currency, financial system, gold and real estate trusts, insurance, and cryptocurrency, etc., in which the focus on stock market is the most, as stock is one of the most active financial indicators (Phan & Narayan, 2020). For the research about medical and health, many researchers discussed the economic challenges of COVID-19 on different medical departments, such as elective surgery (Best et al, 2020), dental surgery (Chamorro-Petronacci et al, 2020;Patel, 2020), etc. For human resources part, researchers' attention mainly focused on the employment situations and the general impacts and fluctuations in labor market (Kaur et al, 2020;Modrego et al, 2020;Webb et al, 2020).…”

Section: The Analyses Of the Pandemic's Economic Impacts On Differentmentioning

confidence: 99%

The research on COVID-19 and economy from 2019 to 2020: analysis from the perspective of bibliometrics

Liu

Škare

2021

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Research background: The outbreak and spread of COVID-19 brought disastrous influences to the development of human society, especially the development of economy. Purpose of the article: Considering that knowing about the situations of the existing studies about COVID-19 and economy is not only helpful to understand the research progress and the connections between COVID-19 and economy, but also provides effective suggestions for fighting against COVID-19 and protecting economy, this paper analyzes the existing studies on COVID-19 and economy from the perspective of bibliometrics. Methods: Firstly, the discussion starts from the statistical analysis, in which the basic distributions of the studies on different countries/regions, different publication sources, different publication years, etc., are presented. Then, the paper shows the cooperation situations of the researchers from analyzing the related citation networks, co-citation networks and cooperation networks. Further, the theme analysis of the related studies is presented, in which the related co-occurrence networks are shown, and then the detailed analyses of the studies are introduced. Based on these analyses, the discussions about future research are presented, and finally we draw a conclusion. Findings & value added: The analyses not only present the basic situation on the research about COVID-19 and Economy, but also show the future research trends, which can provide meaningful research expectations.

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Section: The Analyses Of the Pandemic's Economic Impacts On Differentmentioning

confidence: 99%

The research on COVID-19 and economy from 2019 to 2020: analysis from the perspective of bibliometrics

Liu

Škare

2021

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“…Bedard et al [ 18 ] also found a profound impact of COVID-19 on their arthroplasty volumes in the USA. Best et al [ 19 ], in a national surgical survey, identified that all the elective orthopaedics were significantly reduced throughout the USA. This resulted in a severe loss in the incomes of the orthopaedic surgeons.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on the practice of orthopaedics and trauma—an epidemiological study of the full pandemic year of a tertiary care centre of New Delhi

Vaishya

Vaish

Kumar

2021

International Orthopaedics (SICOT)

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Purpose In an observational study, we studied the impact of COVID-19 pandemic on our clinical practice of trauma and orthopaedics, in tertiary care hospital of New Delhi. Methods We collated the hospital data for 2019 and 2020 and analyzed and compared it extensively. We looked for the effects of the COVID-19 pandemic on several important clinical practice parameters like outpatient attendance, inpatients admissions, and surgery. The correlation of the number of surgeries done during the pandemic time was done with the number of positive cases in Delhi, monthwise. A trend of recovery was also observed. Results During the pandemic period, the attendance of outpatients fell by 71.93%, admissions by 59.35%, and surgery by 55.78%. Adult trauma surgery was the least affected (42.21%), followed by arthroscopic surgery (49.81%). Fragility hip fractures requiring bipolar hip arthroplasty were reduced by 34.15%. The maximum adverse impact of the pandemic was seen on arthroplasty surgery (hip > knee), followed by on the paediatric orthopaedic cases, and spinal surgery. We notice a “lazy V-shaped” recovery after the lockdown period. Conclusion COVID-19 pandemic has had a severe impact on all aspects of orthopaedics and trauma’s clinical practice in our setup. These adverse effects were maximally seen during the lockdown period, with a reduction of 90.77% in the outpatients, 84.63% in the admissions, and 86.67% in the surgery. Supplementary Information The online version contains supplementary material available at 10.1007/s00264-021-05021-5.

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“…Nevertheless, to the best of our knowledge, this is the first study to clarify the impact of COVID-19 on surgical treatments from 2019 to 2020. Some medical institutes are facing difficulty surviving owing to the decreased revenue [ 14 , 15 ]. According to our output, hospital beds may be unused during this phase of the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Changes in a Single Institution’s Orthopedic Hospitalization Service in Japan Owing to COVID-19 in 2020

Bekki¹,

Arizono²,

Tagata³

et al. 2021

Cureus

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Introduction The coronavirus disease 2019 (COVID-19) pandemic has had immense impact on people and institutions, including the number of admissions to hospitals for surgery. Our aim in this study was to determine the impact of the pandemic on surgeries in a single institution located in Fukuoka, Japan, between 2019 and 2020. Methods We quantified the numbers of surgeries in both years according to three sites of injury (indoor, outdoor, and unknown), 14 disease categories, and 9 primary diseases using patients’ medical records. We also compared the hospital cost per day in each month from March to November in both 2019 and 2020 and compared the change in these costs between the two years. Results The number of admissions in 2020 was 1,187 cases vs 1,282 cases in 2019. The average patients’ age was higher in 2020 vs 2019 (69.7 ± 0.5 vs 67.5 ± 0.5 years, respectively; p = 0.004), with no gender differences (2020: 705 women and 482 men; 2019: 716 women and 566 men). We found no significant differences in the number of admissions by month between 2019 and 2020. The percentages of outdoor injuries were significantly lower in 2020 vs 2019 (29.8% vs 37.9%, respectively; p = 0.004), and we found significantly different rates when comparing 2020 and 2019 for degenerative disease (42.6% vs 37.4%; p = 0.007), trauma related to falls (34.4% vs 30.2%; p = 0.02), chronic disease (1.9% vs 3.7%; p = 0.005), and sports injuries (0.8% vs 3.7%; p < 0.0001). The rate of sports-related injury was significantly lower in 2020 (1.6%) than in 2019 (7.7%) (p < 0.0001). The daily hospital charge was $10,517.09 (US dollars) in 2020 vs $11,225.32 in 2019, and the charges in the months of April and June were significantly higher in 2020 vs 2019 (p = 0.003 and p = 0.001, for April and June, respectively). Both the number and rate of upper limb fractures were higher in 2020. Conclusions The COVID-19 pandemic is affecting some hospitals’ revenue. Although the charges per day were sufficient in our institution in 2020, compared with 2019, some hospital beds were unused during this phase of the pandemic. Hospitals may increase the revenue by mixing both short-term and long-term patients’ hospital stays effectively.

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Economic implications of decreased elective orthopaedic and musculoskeletal surgery volume during the coronavirus disease 2019 pandemic

Cited by 26 publications

References 12 publications

The research on COVID-19 and economy from 2019 to 2020: analysis from the perspective of bibliometrics

The research on COVID-19 and economy from 2019 to 2020: analysis from the perspective of bibliometrics

Impact of COVID-19 on the practice of orthopaedics and trauma—an epidemiological study of the full pandemic year of a tertiary care centre of New Delhi

Changes in a Single Institution’s Orthopedic Hospitalization Service in Japan Owing to COVID-19 in 2020

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