Rapid Decline in Online Search Queries for Hip and Knee Arthroplasties Concurrent With the COVID-19 Pandemic
Rapid Decline in Online Search Queries for Hip and Knee Arthroplasties Concurrent With the COVID-19 Pandemic
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DOI：
10.1016/j.arth.2020.05.051
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发表时间：
2020-10-01
影响因子：
3.5
通讯作者：
Kamath, Atul F.
中科院分区：
文献类型：
--
作者：
Jella, Tarun K.;Samuel, Linsen T.;Kamath, Atul F.
背景资料：为应对冠状病毒病2019年(新冠肺炎)大流行，美国医院取消了择期手术。关节置换术(TJA)总收入的下降可能会给医院带来财务压力。我们的目标是量化新冠肺炎对公众对选择性TJA的兴趣的影响。方法：在谷歌搜索卷索引中，“膝关节置换”、“髋关节置换”和“整形外科医生”是描述TJA的最常见的术语。并对“择期手术取消”一词进行了分析。GSVI每周数据提取于2015年04月01日至2020年04月04日。进行时间序列分析，并将各州的GSVI值与新冠肺炎患病率和申领失业救济金人数进行比较。结果：自世卫组织宣布新冠肺炎为全球流行病以来，公众对选择性TJA的相对兴趣急剧下降。在2020年1月3日至2020年3月29日期间，搜索量分别下降了62.1%、52.1%和44.3%。同时观察到“选择性手术取消”一词的峰值。加利福尼亚州、新罕布夏州、缅因州和内华达州在新罕布夏州的搜索相对率较低，而申领失业救济金的人数增幅最高。结论：新浪新冠肺炎的出现与选择性新罕布夏州相关搜索的相对热度下降有关。在某些州，新冠肺炎案例量较高可能与相对搜索热度较低相对应，尽管这种相关性尚不清楚。这些结果预示着选择性TJA病例数量可能会下降，进一步给医院带来压力。需要进一步的研究，以告知利益攸关方如何最好地继续进行，并确定目前对TJA的相对兴趣减弱所产生的任何持续影响。(C)2020 Elsevier Inc.保留所有权利。
Background: In response to the coronavirus disease 2019 (COVID-19) pandemic, US hospitals have canceled elective surgeries. This decline in total joint arthroplasty (TJA) revenue may place financial strain on hospitals. Our goal was to quantify the impact of COVID-19 on the public interest in elective TJA.Methods: The Google Search Volume Index (GSVI) identified the terms "knee replacement," "hip replacement," and "orthopedic surgeon" as the most common to describe TJA. The term "elective surgery cancellation" was also analyzed. Weekly GSVI data were extracted between 04-01-2015 and 04-04-2020. Time series analysis was conducted and state GSVI values were compared with COVID-19 prevalence and unemployment claims.Results: The relative public interest in elective TJA has sharply declined since the WHO declaration of COVID-19 as a global pandemic. Between 03-01-2020 and 03-29-2020, the popularity of searches for "knee replacement", "hip replacement," and "orthopedic surgeon" dropped by 62.1%, 52.1%, and 44.3%, respectively. A concurrent spike was observed for the term "elective surgery cancellation." California, New Hampshire, Maine, and Nevada showed a low relative rate for TJA searches, and the highest increase in unemployment claims.Conclusion: The onset of COVID-19 correlates with declining relative popularity of searches related to elective TJA. Higher volume of COVID-19 cases in certain states may correspond with lower relative search popularity, although this correlation remains unclear. These results portend the possibility of a decline in elective TJA case volume, further straining hospitals. Further research is required to inform stakeholders how best to proceed and determine any sustained effects from the current diminished relative interest in TJA. (C) 2020 Elsevier Inc. All rights reserved.