Evidence map›Paper›PMID 32342140›Full record

ReviewKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020

Returning to orthopaedic business as usual after COVID-19: strategies and options.

Francesca de Caro, Thomas Michael Hirschmann, Peter Verdonk

Abstract readReview
In one paragraph

Review in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Recommendations of protective measures for orthopedic surgeons during COVID-19 pandemic.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
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  19. The negative impact of the COVID-19 lockdown on pain and physical function in patients with end-stage hip or knee osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  20. COVID-19 coronavirus: recommended personal protective equipment for the orthopaedic and trauma surgeon.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Francesca de CaroDepartment of Orthopaedic Surgery, Istituto Di Cura Città Di Pavia, Via Parco Vecchio, 27, 27100, Pavia, Italy. info@francescadecaro.it.ORCID http://orcid.org/0000-0003-2142-5676
Thomas Michael HirschmannDepartment of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland and and University of Basel (BruderholzLiestalLaufen), 4101, Bruderholz, Switzerland.
Peter VerdonkOrthoca, Antwerp, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this manuscript is to review the available strategies in the international literature to efficiently and safely return to both normal orthopaedic surgical activities and to normal outpatient clinical activities in the aftermath of a large epidemic or pandemic. This information would be beneficial to adequately reorganize outpatient clinics and hospitals to provide the highest possible level of orthopaedic care to our patients in a safe and efficient manner.

methodsA literature search was performed for relevant research articles. In addition, the World Health Organisation (WHO), the US Centers for Disease Control (CDC), American Association of Orthopaedic Surgeons (AAOS), the EU CDC and other government health agency websites were searched for any relevant information. In particular, interest was paid to strategies and advise on managing the orthopaedic patient flow during outpatient clinics as well as surgical procedures including the necessary safety measures, while still providing a high-quality patient experience. The obtained information is provided as a narrative review.

resultsThere was not any specific literature concerning the organization of an outpatient clinic and surgical activities and the particular challenges in dealing with a high-volume practice, in the afterwave of a pandemic.

conclusionAs the COVID-19 crisis has abruptly halted most of the orthopaedic activities both in the outpatient clinic and the operating room, a progressive start-up scenario needs to be planned. The exact timing largely depends on factors outside of our control. After restrictions will be lifted, clinical and surgical volume will progressively increase. This paper offers key points and possible strategies to provide the highest level of safety to both the orthopaedic patient and the orthopaedic team including administrative staff and nurses, during the start-up phase. LEVEL OF EVIDENCE: Review, Level V.

Indexed as

BetacoronavirusAmbulatory Care FacilitiesCoronavirus InfectionsCOVID-19Disease Transmission, InfectiousEfficiency, OrganizationalHumansInfection ControlOrthopedic ProceduresOrthopedicsPandemicsPersonal Protective EquipmentPneumonia, ViralPractice Guidelines as TopicSafetySARS-CoV-2CoronavirusCOVIDOrthopaedic surgeryOutpatient clinic

Identifiers

PMID32342140
PMCPMC7185264

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.