ArticleInternational orthopaedics2020
Economic implications of decreased elective orthopaedic and musculoskeletal surgery volume during the coronavirus disease 2019 pandemic.
Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 37 citations in OpenAlex.
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- The Impact of the Coronavirus Disease 2019 Pandemic on US Total Knee and Hip Arthroplasty Procedures in 2020.Arthroplasty today · 2024Article
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- How Have Patient Out-of-pocket Costs for Common Outpatient Orthopaedic Foot and Ankle Surgical Procedures Changed Over Time? A Retrospective Study From 2010 to 2020.Clinical orthopaedics and related research · 2024Article
- Impact of COVID-19 lock-down period on orthopedic and trauma surgical activity in a northern Italian hospital.Frontiers in medicine · 2024Article
- The impact of COVID-19 on surgical cases at a large quaternary referral hospital.Proceedings (Baylor University. Medical Center) · 2024Article
- The Referrer Matters. Musculoskeletal Surgical Conversion Rates: A Systematic Review With Meta-Analysis.Health services insights · 2024Article
- Elective surgery scheduling under uncertainty in demand for intensive care unit and inpatient beds during epidemic outbreaks.Computers & industrial engineering · 2023Article
- The Persistent Backlog of Knee and Shoulder Orthopedic Sport Surgery Case Volume Following the COVID-19 Pandemic.The archives of bone and joint surgery · 2023Article
- The Impact of the COVID-19 Pandemic on Orthopaedic Knee Procedures: A National Multicentered Analysis.Cureus · 2022Article
- How does the hospital make a safe and stable elective surgery plan during COVID-19 pandemic?Computers & industrial engineering · 2022Article
- Impact of COVID-19 on gynecologic and obstetrical services at two large health systems.PloS one · 2022Article
- Impact of COVID-19 on the practice of orthopaedics and trauma-an epidemiological study of the full pandemic year of a tertiary care centre of New Delhi.International orthopaedics · 2021Observational
- Changes in a Single Institution's Orthopedic Hospitalization Service in Japan Owing to COVID-19 in 2020.Cureus · 2021Article
- Private Equity in Orthopaedics: An Analysis of Practice Acquisitions, 2016 to 2023.JB & JS open accessArticle
- Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn order to reduce viral spread, elective surgery was cancelled in most US hospitals for an extended period during the COVID-19 pandemic. The purpose of this study was to estimate national hospital reimbursement and net income losses due to elective orthopaedic surgery cancellation during the COVID-19 pandemic.
methodsThe National Inpatient Sample (NIS) and the Nationwide Ambulatory Surgery Sample (NASS) were used to identify all elective orthopaedic and musculoskeletal (MSK) surgery performed in the inpatient setting and in hospital owned outpatient surgery departments throughout the USA. Total cost, reimbursement, and net income were estimated for all elective orthopaedic surgery and were compared with elective operations from other specialties.
resultsElective MSK surgery accounted for $65.6-$71.1 billion in reimbursement and $15.6-$21.1 billion in net income per year to the US hospital system, equivalent to $5.5-$5.9 billion in reimbursement and $1.3-$1.8 billion in net income per month. When compared with elective surgery from all other specialties, elective MSK surgery accounted for 39% of hospital reimbursement and 35% of hospital net income. Compared with all hospital encounters for all specialties, elective MSK surgery accounted for 13% of reimbursement and 23% of net income. Estimated hospital losses from cancellation of elective MSK surgery during 8 weeks of the COVID-19 pandemic were $10.9-$11.9 billion in reimbursement and $2.6-3.5 billion in net income.
conclusionCancellation of elective MSK surgery for 8 weeks during the COVID-19 pandemic has substantial economic implications on the US hospital system.
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