Evidence map›Paper›PMID 32582381›Full record

ArticleJournal of children's orthopaedics2020

How the COVID-19 pandemic is affecting paediatric orthopaedics practice: a preliminary report.

Alejandro Peiro-Garcia, Laura Corominas, Alexandre Coelho, Lidia DeSena-DeCabo, Ferran Torner-Rubies, Cesar G Fontecha

Abstract read
In one paragraph

Article in Journal of children's orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
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  12. Impact of COVID-19 pandemic on clubfoot program at tertiary care institute.Journal of clinical orthopaedics and trauma · 2022
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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.

Alejandro Peiro-GarciaDepartment of Pediatric Orthopaedic Surgery. Hospital Sant Joan de Deu, Barcelona, Spain.
Laura CorominasDepartment of Pediatric Orthopaedic Surgery. Hospital Sant Joan de Deu, Barcelona, Spain.
Alexandre CoelhoDepartment of Pediatric Orthopaedic Surgery. Hospital Sant Joan de Deu, Barcelona, Spain.
Lidia DeSena-DeCaboDepartment of Pediatric Orthopaedic Surgery. Hospital Sant Joan de Deu, Barcelona, Spain.
Ferran Torner-RubiesDepartment of Pediatric Orthopaedic Surgery. Hospital Sant Joan de Deu, Barcelona, Spain.
Cesar G FontechaDepartment of Pediatric Orthopaedic Surgery. Hospital Sant Joan de Deu, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSince the state of alarm was decreed in Spain on 14 March 2020, the coronavirus disease 2019 (COVID-19) pandemic has had an extraordinary impact in paediatric hospitals. This study shows the effect of the pandemic on our practice in paediatric orthopaedics in a referral third level paediatric hospital.

methodsWe performed a single-centre retrospective review of the official census from a third level paediatric hospital from 14 March to 14 April for the years 2018, 2019 and 2020.

resultsThe patients seen in our clinic during this period in 2020 decreased in by 82% (p < 0.001) compared with 2018 and 2019, however, the number of telemedicine consultations increased by 90.21% (p < 0.001). The total number of patients attending the clinic (including onsite and virtual) was reduced by 54.25% (p < 0.001). The total surgeries performed plummeted by 81% in this period in 2020 (p < 0.001) due to a reduction in elective cases of 94.6% (p < 0.001). No significant decrease was found in the number of urgent surgical cases per day in 2020 (p = 0.34). Finally, the number of orthopaedic patients admitted to our emergency department dropped by 78.6% during the state of alarm (p < 0.001).

conclusionAccording to our results, the pandemic has significantly affected our daily practice by decreasing elective surgeries and onsite clinics, but other activities have increased. As we have implemented telemedicine and new technologies to adapt to this setback, we should take advantage of the situation to change our practice in the future to better allocate our health resources and to anticipate outbreaks. Published without peer review. LEVEL OF EVIDENCE: IV.

Indexed as

COVID-19emergenciespaediatric orthopaedicspandemicstelemedicine

Identifiers

PMID32582381
PMCPMC7302411

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.