The Effect of COVID-19 on Orthopedic Practices and Surgeons in Louisiana

Abstract

This study was performed to analyze the effect that coronavirus 2019 (COVID-19) has had on orthopedic surgeons' practices, their patients, and orthopedic surgeons themselves through a survey distributed to members of the Louisiana Orthopaedic Association (LOA). An anonymous 22-question online survey was created and distributed to 323 LOA members. Of the 323 recipients of the survey, 99 (30.7%) responded. As a part of a multiple response set, in which respondents could choose more than one answer, the majority reported delayed care for routine orthopedic injuries (81 of 97, 83.5%). Almost every surgeon (n=95, 96.0%) reported stopping or delaying elective surgery because of COVID-19 and an increase in pain/disability/deformity in patients due to delay in elective procedures (73 of 97, 75.3%) and delay in seeking care (66 of 97, 68.0%). The majority reported an increased use of telehealth visits (68 of 97, 70.1%), a decrease in patient volume (88 of 97, 90.7%), and a reduction in income (79 of 98, 80.6%) during the past 6 months. A majority of surgeons (58 of 98, 59.2%) reported that they had applied for government assistance or took out loans. Via a multiple response set, respondents indicated that as a result of the pandemic, telehealth will become more widespread (64 of 98, 65.3%) and hospitals will exert a stronger influence over health care (64 of 98, 65.3%). The COVID-19 pandemic has had lasting effects on orthopedic surgeons in Louisiana and their practices, with a substantial decrease in the number of patients treated (90.5%), surgical volume, and revenue (80.6%). Orthopedic surgeons affected by the pandemic could use these data to further understand future challenges with patient care and changing orthopedic practice dynamics during this unique time. [ Orthopedics . 2020;43(6):351–355.]

Keeping the Lights On: The Impact of the COVID-19 Pandemic on Elective Total Joint Arthroplasty Utilization in the United States

“…Paul et al demonstrated the financial losses to orthopaedic surgeons, noting that the highest impacted states included Alabama, Georgia, and Missouri( 27 ). In a survey of Louisiana Orthopaedic Association members, Kale et al demonstrated that a majority of surgeons had applied for government assistance or took out loans during COVID-19 to support practice, personnel, and overhead costs( 28 ).…”

Effect of Institution and COVID-19 on Access to Adult Arthroplasty Surgery

“…[ [21] , [22] , [23] , [24] ] Prior authors have documented up to 80% of US Orthopedic surgeons experiencing a decline in surgical volume following the onset of the pandemic. [ 25 ] Similarly, in Europe in April of 2020, it has been estimated that 92.6% of joint replacements were cancelled. [ 26 ] Again, the findings of the current study are consistent with prior reports, with both institutions having clear reductions in surgical volume and increases in wait times immediately following the onset of the pandemic.…”

Indirect effects of peaks in COVID admissions on access to surgery in the English NHS, differential effects by operation type, ethnicity and socio-economic status: a database study

“…Previous studies have been limited by examining disruptions in surgical care of people from single centres or regions and mainly related to cancers, 14 patient experiences, 15 and single routine or emergency procedures. 16-18…”