The Effect of the COVID-19 Pandemic on Electively Scheduled Hip and Knee Arthroplasty Patients in the United States
The Effect of the COVID-19 Pandemic on Electively Scheduled Hip and Knee Arthroplasty Patients in the United States
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DOI：
10.1016/j.arth.2020.04.052
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发表时间：
2020-07-01
影响因子：
3.5
通讯作者：
Parvizi, Javad
中科院分区：
文献类型：
--
作者：
Brown, Timothy S.;Bedard, Nicholas A.;Parvizi, Javad
背景：为应对COVID-19大流行，美国的医院被建议停止进行择期手术。这一停工导致大量髋关节和膝关节置换术被取消。这对患者的身心和经济健康的影响是unknown.Methods：一项调查是由AAHKS研究委员会评估疼痛，焦虑，身体功能，和经济能力的患者进行延迟手术。6家机构对2020年3月至7月期间360例择期髋膝关节置换术患者进行了调查。结果：患者最焦虑的是不确定何时可以重新安排手术。尽管85%的患者理解并同意公共卫生措施以遏制感染，但近90%的患者计划尽快重新安排。患者的年龄和地理区域影响他们的焦虑。年轻的患者更有可能有财务问题和对工作安全的担忧。东北部的患者更担心在未来住院期间感染COVID-19。结论：患有髋关节和膝关节炎疼痛的患者继续与终末期疾病的疼痛作斗争。他们对COVID-19大流行感到焦虑。很少有患者认为他们会受到经济限制，90%的患者希望尽快进行手术。患者的年龄和身体位置会影响他们未来手术焦虑的原因。(C)2020爱思唯尔公司All rights reserved.
Background: In response to the COVID-19 pandemic, hospitals in the United States were recommended to stop performing elective procedures. This stoppage has led to the cancellation of a large number of hip and knee arthroplasties. The effect of this on patients' physical mental and economic health is unknown.Methods: A survey was developed by the AAHKS Research Committee to assess pain, anxiety, physical function, and economic ability of patients to undergo a delayed operation. Six institutions conducted the survey to 360 patients who had to have elective hip and knee arthroplasty cancelled between March and July of 2020.Results: Patients were most anxious about the uncertainty of when their operation could be rescheduled. Although 85% of patients understood and agreed with the public health measures to curb infections, almost 90% of patients plan to reschedule as soon as possible. Age and geographic region of the patients affected their anxiety. Younger patients were more likely to have financial concerns and concerns about job security. Patients in the Northeast were more concerned about catching COVID-19 during a future hospitalization.Conclusions: Patients suffering from the pain of hip and knee arthritis continue to struggle with pain from their end-stage disease. They have anxiety about the COVID-19 pandemic. Few patients feel they will be limited financially and 90% want to have surgery as soon as possible. Age and physical location of the patients affect their causes for anxiety around their future surgery. (C) 2020 Elsevier Inc. All rights reserved.