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    The Effect of the COVID-19 Pandemic on Hip and Knee Arthroplasty Patients in the United States: A Multicenter Update to the Previous Survey

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    Author
    Brown, T.S.
    Bedard, N.A.
    Rojas, E.O.
    Anthony, C.A.
    Schwarzkopf, R.
    Stambough, J.B.
    Nandi, S.
    Prieto, H.
    Parvizi, J.
    Bini, S.A.
    Higuera, C.A.
    Piuzzi, N.S.
    Blankstein, M.
    Wellman, S.S.
    Dietz, M.J.
    Jennings, J.M.
    Dasa, V.
    AAHKS Research Committee
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    Date
    2020-12-03
    Journal
    Arthroplasty Today
    Publisher
    Elsevier Inc.
    Type
    Article
    
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    https://doi.org/10.1016/j.artd.2020.11.025
    Abstract
    Background: In March 2020, elective total hip and knee arthroplasty (THA and TKA) were suspended across the United States in response to the COVID-19 pandemic. We had previously published the results of a survey to the affected patients from 6 institutions. We now present the results of a larger distribution of this survey, through May and June 2020, to electively scheduled patients representing different regions of the United States. Methods: Fifteen centers identified through the American Association of Hip and Knee Surgeons Research Committee participated in a survey study of THA and TKA patients. Patients scheduled for primary elective THA or TKA but canceled due to the COVID-19 elective surgery stoppage (3/2020-5/2020) were included in the study. Descriptive statistics along with subgroup analysis with Wilcoxon rank were performed. Results: In total, surveys were distributed to 2135 patients and completed by 848 patients (40%) from 15 institutions. Most patients (728/848, 86%) had their surgery postponed or canceled by the surgeon or hospital. Unknown length of surgical delay remained the highest source of anxiety among survey participants. Male patients were more likely to be willing to proceed with surgery in spite of COVID-19. There were minimal regional differences in responses. Only 61 patients (7%) stated they will continue to delay surgery for fear of contracting COVID-19 while in the hospital. Conclusion: Similar to the previous study, the most anxiety-provoking thought was the uncertainty, over if and when the canceled joint replacement surgery could be rescheduled. Patients suffering from the daily pain of hip and knee arthritis who have been scheduled for elective arthroplasty remain eager to have their operation as soon as elective surgery is allowed to resume. Copyright 2021
    Keyword
    COVID-19
    Pandemic
    SARS-CoV-2
    Surgery cancellation
    Total hip arthroplasty
    Total knee arthroplasty
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/15252
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.artd.2020.11.025
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    UMB Open Access Articles
    UMB Coronavirus Publications

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