Massive cutback in orthopaedic healthcare services due to the COVID-19 pandemic
Massive cutback in orthopaedic healthcare services due to the COVID-19 pandemic
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DOI：
10.1007/s00167-020-06032-2
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发表时间：
2020-04-30
影响因子：
3.8
通讯作者：
Thaler, M.
中科院分区：
文献类型：
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作者：
Liebensteiner, M. C.;Khosravi, I;Thaler, M.
目的 由于缺乏证据，本研究的目的是调查目前由于 2019 年冠状病毒病大流行 (COVID-19) 可能导致的骨科医疗保健削减。方法 对德语关节镜协会 (Gesellschaft Fur Arthroskopie und Gelenkchirurgie, AGA) 的骨科医生进行了在线调查。该调查包括涉及四个主题的 20 个问题：4 个问题涉及参与者的出身和手术经历，12 个问题涉及骨科医疗保健的潜在削减，4 个问题涉及疫情对特定外科医生的影响。结果 在 4234 名联系的骨科医生中，有 1399 名做出了回应。关于关节镜手术，10% 至 30% 的参与者表示这些手术仍在进行中，实际百分比取决于具体的关节和手术。只有 6.2% 的参与者表示他们的中心仍在进行选择性全关节置换术。此外，身体康复和外科医生的术后随访也受到严重影响。结论 由于 COVID-19，奥地利、德国和瑞士的骨科医疗保健服务正在大幅削减。据报道，肩袖修复和十字韧带重建等关节镜手术大幅减少，选择性全关节置换术几乎完全停止。长期后果尚无法预测。所描述的骨科医疗保健服务中断必须被视为历史性的。
Purpose Due to the lack of evidence, it was the aim of the study to investigate current possible cutbacks in orthopaedic healthcare due to the coronavirus disease 2019 pandemic (COVID-19). Methods An online survey was performed of orthopaedic surgeons in the German-speaking Arthroscopy Society (Gesellschaft fur Arthroskopie und Gelenkchirurgie, AGA). The survey consisted of 20 questions concerning four topics: four questions addressed the origin and surgical experience of the participant, 12 questions dealt with potential cutbacks in orthopaedic healthcare and 4 questions addressed the influence of the pandemic on the particular surgeon. Results Of 4234 contacted orthopaedic surgeons, 1399 responded. Regarding arthroscopic procedures between 10 and 30% of the participants stated that these were still being performed-with actual percentages depending on the specific joint and procedure. Only 6.2% of the participants stated that elective total joint arthroplasty was still being performed at their centre. In addition, physical rehabilitation and surgeons' postoperative follow-ups were severely affected. Conclusion Orthopaedic healthcare services in Austria, Germany, and Switzerland are suffering a drastic cutback due to COVID-19. A drastic reduction in arthroscopic procedures like rotator cuff repair and cruciate ligament reconstruction and an almost total shutdown of elective total joint arthroplasty were reported. Long-term consequences cannot be predicted yet. The described disruption in orthopaedic healthcare services has to be viewed as historic.