Article: Pain and function deteriorate in patients awaiting total joint arthroplasty that has been postponed due to the COVID-19 pandemic.
2021 Volume 12, Issue 3, Page(s) 152–168
Abstract: Background: Elective total joint arthroplasty (TJA) procedures have been postponed as part ... to undergo elective surgery despite the COVID-19 pandemic. Section 2 and Section 3 assessed the patients' ... on the current state of surgery during the COVID-19 pandemic and associated risks. Thereafter, patients were ...
| Abstract | Background: Elective total joint arthroplasty (TJA) procedures have been postponed as part of the coronavirus disease 2019 (COVID-19) response to avert healthcare system collapse. Total hip arthroplasty (THA) and total knee arthroplasty (TKA) procedures comprise the highest volume of elective procedures performed at health care facilities worldwide. Aim: To determine the demand for TJA despite the pandemic and the impact of surgery postponement on physical and mental health. Methods: We conducted a prospective cross-sectional telephonic interview-based study on patients awaiting THA and TKA at an academic institution in South Africa. The questionnaire consisted of four sections. The first section recorded baseline demographic data and medical co-morbidities, the length of time spent awaiting TJA, and the patients' desire to undergo elective surgery despite the COVID-19 pandemic. Section 2 and Section 3 assessed the patients' current physical and mental health, respectively, as a consequence of deferred surgical intervention. The last section established the patients' perception of the healthcare system's response to the COVID-19 pandemic and necessity to postpone elective surgery. Patients received counseling and education on the current state of surgery during the COVID-19 pandemic and associated risks. Thereafter, patients were once again asked about their desire to undergo TJA during the COVID-19 pandemic. Results: We included 185 patients (65.95% female; mean age: 50.28 years) awaiting TJA for a mean of 26.42 ± 30.1 mo. Overall, 88.65% of patients wanted TJA despite the COVID-19 pandemic. Patients awaiting TJA for 1-3 years were 3.3-fold more likely to want surgery than those waiting < 1 year ( Conclusion: There is deterioration in health for patients, who have had elective procedures postponed during the COVID-19 pandemic. Waiting lists should be prioritized for urgency with the re-initiation of elective surgery. |
|---|---|
| Language | English |
| Publishing date | 2021-03-18 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 2649712-8 |
| ISSN | 2218-5836 |
| ISSN | 2218-5836 |
| DOI | 10.5312/wjo.v12.i3.152 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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