Management of Outpatient Elective Surgery for Arthroplasty and Sports Medicine During the COVID-19 Pandemic: A Scoping Review

Comfort, Spencer M.; Murata, Yozo; Pierpoint, Lauren A.; Philippon, Marc J.

doi:10.1177/23259671211053335

Cited by 10 publications

(15 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…26 However, it is important to note that other factors, including risks directly related to the procedure and risk of contracting COVID-19 perioperatively, should also be considered. 27 Our study has several limitations. First, the methods used cannot determine the precise causes of the observed decrease in Google search volumes; future studies might assess relative contributions of institutional postponement of elective surgeries and patient-based factors.…”

Section: Discussionmentioning

confidence: 91%

Assessing Public Interest in Elective Surgery During the COVID-19 Pandemic

Snyder

Lanuti

Muniappan

et al. 2022

Annals of Surgery Open

View full text Add to dashboard Cite

To determine trends in internet search volume for elective surgery terms during the first peak of the coronavirus disease 2019 (COVID-19) pandemic using Google Trends data. Background: Postponement of much-needed elective and urgent oncologic surgeries takes a toll on patients and the health care system. The COVID-19 pandemic has led to a decline in elective surgery volume, partially due to the cancellation of elective surgeries at the start of the pandemic. Methods: We performed a cross-sectional analysis of internet search volume trends for elective surgery terms during the first peak of the COVID-19 pandemic using Google Trends data and compared to a control group of terms representing common urgent and oncologic surgeries. Results: Search volume for elective surgery terms ("knee replacement," "spinal fusion," "hip replacement," "laminectomy," "cataract surgery") revealed a decrease of up to 54% compared to the prepandemic period, a significantly greater decrease than search volume for urgent and oncologic surgery terms ("C-section," "cholecystectomy," "CABG," "colectomy," "lobectomy," and "mastectomy"). Conclusions: The first phase of the COVID-19 pandemic led to sharp declines in search volume for essential elective surgical procedures, which may have been partially due to the cancellation of elective surgeries, but patient factors such as a temporary decline in interest in elective surgery might have also played a role. Attention to internet search volume may be used during future public health crises to monitor public engagement and interest in important health topics, including preventive health measures such as cancer screening.

show abstract

Section: Discussionmentioning

confidence: 91%

Assessing Public Interest in Elective Surgery During the COVID-19 Pandemic

Snyder

Lanuti

Muniappan

et al. 2022

Annals of Surgery Open

View full text Add to dashboard Cite

show abstract

“…[10][11] This became more difficult as many elective surgeries were delayed or cancelled due to the COVID-19 pandemic. [8][9] As providers counsel patients about preferred surgical timing for ACLR, both during the COVID-19 pandemic and beyond, they must consider the negative impact of delayed ACLR.…”

Section: Discussionmentioning

confidence: 99%

“…7 Aside from its effect on athletic injuries, COVID-19 also postponed or cancelled elective surgeries in many locations. [8][9] This may have presented problems for patients that experienced an ACL rupture but were unable to undergo surgery in a timely fashion. While surgery should be delayed until effusions reduce and range of motion of the knee returns, further delaying ACLR is associated with a higher rate of chondral injuries and increased severity of these lesions.…”

Section: Introductionmentioning

confidence: 99%

Trends in Pediatric Anterior Cruciate Ligament Reconstruction: The Effect of COVID-19

Kiani

Yellin

Houlihan

et al. 2022

Journal of Athletic Training

View full text Add to dashboard Cite

Context: The number of pediatric anterior cruciate ligament reconstructions (ACLRs) occurring yearly increased almost 6-fold from 2004 to 2014. Interestingly, there are limited recent data on rates of ACL injury and reconstruction in children and adolescents, especially in the context of COVID-19. Objective: Given the impact of the COVID-19 pandemic on youth sports seasons and the postponement of many elective surgeries, we sought to examine the changes in rates of ACLR during this period. Design: Retrospective cohort study. Setting: This study used the Pediatric Health Information System (PHIS) database to identify eligible patients at PHIS-participating hospitals nationwide from January 2016 to June 2021, with March 1, 2020 considered the “start” of the COVID-19 pandemic. Patients or Other Participants: Using CPT codes, patients 18 years old and younger who underwent ACLR surgery were identified. Interventions: None. Main Outcome Measures: Patient demographics and overall rates of surgery pre- and intra-pandemic were compared. Data were analyzed using bivariate, mixed model, and time series analyses. Results: A total of 24,843 ACLRs were identified during this time period. In total, 1,853 fewer surgeries were performed after March 2020 than expected given pre-pandemic trends. Examining demographics, intra-pandemic, there was an increase in the proportion of patients who identified as White and with private insurance and a decrease in the proportion who identified as Black and with public insurance. There was also a significant shift in the proportion of ACLRs by region, with increased surgeries performed in the Midwest and decreased in the Northeast. In the model adjusted for hospital-level variability, only race and insurance status remained significant. Conclusions: Based on pre-pandemic trends, there were fewer patients than projected who underwent ACLR once the pandemic began, likely due to a combination of decreased rates of injury and delayed surgery.

show abstract

“…Along with these challenges, there remains uncertainty for both board-certified orthopaedic sports medicine surgeons and future trainees regarding how programs can adhere to a high level of fellowship training, quality of life, and patient care in the possible event of future restrictions on elective procedures and sports participation. 4 Furthermore, it is essential to acknowledge how patient outcomes may be affected by virtual visits, delays in surgical interventions, and the balance of sports restriction with psychosocial and physical health. 4 Although the COVID-19 pandemic continues to evolve, this article seeks to report on current evidence-based strategies and developments across several critical aspects of sports medicine training and patient care.…”

Section: Iintroductionmentioning

confidence: 99%