Impact of the 1st and 2nd Wave of the COVID-19 Pandemic on Primary or Revision Total Hip and Knee Arthroplasty—A Cross-Sectional Single Center Study

Simon, Sebastian; Frank, Bernhard J. H.; Aichmair, Alexander; Manolopoulos, Philip P; Dominkus, Martin; Schernhammer, Eva; Hofstaetter, Jochen G.

doi:10.3390/jcm10061260

Cited by 13 publications

(14 citation statements)

References 24 publications

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“…The observed decrease in elective surgeries is in line with previous reports and was partially expected due to the important disruption triggered by the epidemic [ 3 , 4 , 6 , 13 , 17 , 18 ]. However, none of the available studies implemented a counterfactual model taking into account seasonality and historical trends of surgical procedures.…”

Section: Discussionsupporting

confidence: 91%

“…A previous study analysing the rate of JR at the Orthopedic Hospital in Vienna (Austria) during the first and second wave reported similar results showing a rapid decrease in the rate of surgeries in March–April 2020 followed by a recovery that brought the level of surgeries to the expected levels by the fall of 2020 [ 18 ]. The authors suggest that the paucity of resources such as personal protective equipment during the first wave and the attempt to spare resources for the care of COVID patients led to the reduction in JRs early on in the pandemic while better preparation during the second wave helped to minimise the disruptions.…”

Section: Discussionmentioning

confidence: 74%

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The impact of first and second wave of COVID-19 on knee and hip surgeries in Sweden

et al. 2021

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Purpose To investigate the impact of COVID-19 in Sweden on rates of knee and hip surgeries. Methods We used healthcare data for the population of the southernmost region in Sweden (1.4 million inhabitants). We did an interrupted time-series analysis to estimate changes in rates and trends of joint replacements (JR), arthroscopies, and fracture surgeries for knee or hip in April–December 2020 compared to pre-COVID-19 levels adjusting for seasonal variations. Results We found a drop of 54% (95% CI 42%; 68%) and 42% (95% CI 32%; 52%), respectively, in the rate of JRs and arthroscopies in April 2020 when compared to the counterfactual scenario. This was followed by an increase that brought the rates of JRs and arthroscopies back to their predicted levels also during the beginning of the second wave (November–December 2020). Acute fracture surgeries were largely unaffected, i.e. did not show any decrease as observed for the other surgeries. Conclusions In southern Sweden, we observed a marked decrease in elective knee and hip surgeries following the first wave of Covid-19. The rates remained close to normal during the beginning of the second wave suggesting that important elective surgeries for patients with end-stage osteoarthritis can still be offered despite an ongoing pandemic provided adequate routines and hospital resources.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 74%

The impact of first and second wave of COVID-19 on knee and hip surgeries in Sweden

et al. 2021

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“…The demands for elective surgery will increase between pandemic waves; therefore, health systems should be prepared to prioritize patients [30]. Before the outbreak, the incidence of knee and hip replacement in Chile was the second last between OCDE countries [31], so the decrease of 41% and 61% during 2020 means that the gap has increased as other countries reported only a 16% decrease [32]. The waiting list for these procedures will put pressure in the future years on the health system, as patients will still need their surgery to improve their quality of life [33].…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Outbreak on Orthopedic Surgery: A Nationwide Analysis of the First Pandemic Year

Barahona¹,

Infante²,

Palet³

et al. 2021

Cureus

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To analyze the impact of the coronavirus disease 2019 (COVID-19) outbreak during the first pandemic year in a single country. MethodsA cross-sectional study was designed. The free access database of the Chilean Department of Statistics and Health Information (DEIS) was used to compare the number of orthopedic procedures between 2019 and 2020. Country mobility was exported from the Institute of Complex Engineering Systems (ISCI) free-access database; this corresponds to a direct measurement of the degree of confinement of the country. Spearman correlation (rho) was used to analyze the total monthly COVID infection trend and mobility to orthopedics procedures. ResultsThe number of orthopedic surgeries fell by 22.8% during the first year of the pandemic. All surgical procedures were adversely affected, with the fracture/trauma surgeries being the least affected. The maximum adverse impact was seen in knee arthroplasty (-64%), followed by hip arthroplasty (-41%) and knee ligament reconstruction (-44%). The number of orthopedic procedures had a mild correlation to the monthly number of COVID-19 cases (rho=-0.53, p=0.08) and a strong correlation with the country's mobility (rho=0.94, p=0.0001). ConclusionsThe COVID-19 outbreak diminished the number of orthopedic procedures during 2020, and the impact was directly correlated to the country's mobility. The public health network did have a more significant adverse impact in elective surgeries due to a slower recovery than private institutions. An increase in the waiting list should be expected, which will widen the difference in access to orthopedic surgery in Chile.

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“…However, since the epidemic situation is not grave in Taiwan, there has been no need for restrictions or for changes in medical administrative measures. Compared with several other countries that have suffered complete or partial shutdown in medical services and have had an impact on arthroplasty surgery [36][37][38][39][40], Taiwan does not have any policies that try to restrict the number of outpatients and limit the arrangements for routine elective joint replacement surgeries. Therefore, most of the reduction in the volume of medical services could be attributed to COVID-19-related psychological effects, such as the patients' fear, rather than the medical institution itself.…”

Section: Introductionmentioning

confidence: 99%

Impact and Strategies on Joint Surgery Centers without Lockdowns during the Peak of the COVID-19 Pandemic: A Multicenter Cross-Sectional Study

Hsu

2021

JCM

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The real psychological impact of COVID-19 remains difficult to quantify and may differ between hospital sizes and levels. Taiwan’s response to COVID-19 differed in that it successfully prevented its spread, without implementing any lockdowns before May 2021. Patients’ fear would be the major reason for the reduction of surgeries. The daily data for patients who underwent total knee arthroplasty (TKA), total hip arthroplasty, and hemiarthroplasty were collected from two major joint surgery centers of a university hospital and a community hospital in Taiwan. Compared with the previous year, the initial impact of the pandemic evidently reduced the total number of patients (outpatient: 20–29%; admission: 22–37%; surgery: 18–35%) in both hospitals. During the study period, the total number of TKAs decreased by 56–61% in both hospitals. The reduction in arthroplasty surgeries was attributable to patients’ fear. Even with confirmed COVID-19 cases, the university hospital experienced less impact than the community hospital. The TKA was the most affected of all surgery types. Even without local epidemics and restrictions in Taiwan, the worldwide pandemic inevitably led to a reduction of approximately 60% of the total TKA operation volume, especially for community hospitals. The surgery scheduling strategies helped maintain the routine arthroplasty services.

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Impact of the 1st and 2nd Wave of the COVID-19 Pandemic on Primary or Revision Total Hip and Knee Arthroplasty—A Cross-Sectional Single Center Study

Cited by 13 publications

References 24 publications

The impact of first and second wave of COVID-19 on knee and hip surgeries in Sweden

The impact of first and second wave of COVID-19 on knee and hip surgeries in Sweden

Impact of the COVID-19 Outbreak on Orthopedic Surgery: A Nationwide Analysis of the First Pandemic Year

Impact and Strategies on Joint Surgery Centers without Lockdowns during the Peak of the COVID-19 Pandemic: A Multicenter Cross-Sectional Study

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