Evidence map›Paper›PMID 32356047›Full record

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

Massive cutback in orthopaedic healthcare services due to the COVID-19 pandemic.

M C Liebensteiner, I Khosravi, M T Hirschmann, P R Heuberer, Board of the AGA-Society of Arthroscopy and Joint-Surgery, M Thaler

Abstract read
In one paragraph

Article 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 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 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

54 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Preparation for the next COVID-19 wave: The European Hip Society and European Knee Associates recommendations.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Guideline
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. The German Arthroscopy Registry DART: what has happened after 5 years?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  19. Milder impact of the COVID-19 pandemic on the practice of orthopaedic surgery in Greece and Cyprus than other European countries.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  20. Article
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

6 authors.

M C LiebensteinerDepartment of Orthopaedic Surgery, Medical University of Innsbruck, Innrain 52, 6020, Innsbruck, Austria.
I KhosraviDepartment of Orthopaedic Surgery, Medical University of Innsbruck, Innrain 52, 6020, Innsbruck, Austria. ismail.khosravi@tirol-kliniken.at.
M T HirschmannDepartment of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, (Bruderholz, Liestal, Laufen), 4101, Bruderholz, Switzerland.
P R HeubererSchulterzentrum Wien, HealthPi Medical Center, Wollzeile 1-3, Vienna, Austria.
Board of the AGA-Society of Arthroscopy and Joint-Surgery
M ThalerDepartment of Orthopaedic Surgery, Medical University of Innsbruck, Innrain 52, 6020, Innsbruck, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDue 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).

methodsAn online survey was performed of orthopaedic surgeons in the German-speaking Arthroscopy Society (Gesellschaft für 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.

resultsOf 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.

conclusionOrthopaedic 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. LEVEL OF EVIDENCE: V.

Indexed as

AftercareArthroplastyArthroscopyAustriaBetacoronavirusCoronavirus InfectionsCOVID-19Delivery of Health CareElective Surgical ProceduresGermanyHealth Care SurveysHumansInternetMaleOrthopedic ProceduresOrthopedicsArthroplastyArthroscopyCoronavirus disease 2019COVID-19Health-careLigament reconstructionOrthopaedicRotator cuffSARS-CoV-2Severe acute respiratory syndrome coronavirus 2

Identifiers

PMID32356047
PMCPMC7192059

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.