Evidence map›Paper›PMID 32844246›Full record

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

Resuming elective hip and knee arthroplasty after the first phase of the SARS-CoV-2 pandemic: the European Hip Society and European Knee Associates recommendations.

N P Kort, E Gómez Barrena, M Bédard, S Donell, J-A Epinette, B Gomberg, M T Hirschmann, P Indelli, Ismail Khosravi, T Karachalios and 6 more

Abstract readPractice Guideline
In one paragraph

Guideline 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 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

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

  1. Pooled it
  2. Guideline
  3. 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
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  10. Review
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  15. Observational
  16. The Effect of the COVID-19 Pandemic on Total Hip and Knee Arthroplasty Surgical Volume in 2020 in Poland.International journal of environmental research and public health · 2021
    Article
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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

16 authors.

N P KortCortoClinics, Schijndel, The Netherlands.
E Gómez BarrenaDepartment of Orthopaedic Surgery and Traumatology, Hospital La Paz, Universidad Autónoma de Madrid, Madrid, Spain.
M BédardDépartement de Chirurgie Orthopédique, CHU de Québec-Université Laval, Quebec City, QC, Canada.
S DonellNorwich Medical School, University of East Anglia, Norwich, UK. s.donell@uea.ac.uk.
J-A EpinetteCenter for Research and Documentation in Arthroplasty, Lille, France.
B GombergOA Centers for Orthopaedics, Portland, ME, USA.
M T HirschmannDepartment of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, (Bruderholz, Liestal, Laufen), 4101, Bruderholz, Switzerland.
P IndelliDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Ismail KhosraviDepartment of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
T KarachaliosOrthopaedic Department, University General Hospital of Larissa, School of Health Sciences, Faculty of Medicine, University of Thessaly, Volos, Greece.
M C LiebensteinerDepartment of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
B StuytsDepartment of Orthopedic Surgery and Traumatology, GZA Hospitals, Antwerp, Belgium.
R TandoganOrtoklinik and Cankaya Orthopedics, Ankara, Turkey.
B ViolanteOrthopaedic Department, Istituto Clinico Sant'Ambrogio IRCCS Galeazzi, Milan, Italy.
L ZagraHip Department IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
M ThalerDepartment of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Covid-19 pandemic has disrupted health care systems all over the world. Elective surgical procedures have been postponed and/or cancelled. Consensus is, therefore, required related to the factors that need to be in place before elective surgery, including hip and knee replacement surgery, which is restarted. Entirely new pathways and protocols need to be worked out.

methodsA panel of experts from the European Hip Society and European Knee Association have agreed to a consensus statement on how to reintroduce elective arthroplasty surgery safely. The recommendations are based on the best available evidence and have been validated in a separate survey.

resultsThe guidelines are based on five themes: modification and/or reorganisation of hospital wards. Restrictions on orthopaedic wards and in operation suite(s). Additional disinfection of the environment. The role of ultra-clean operation theatres. Personal protective equipment enhancement.

conclusionApart from the following national and local guidance, protocols need to be put in place in the patient pathway for primary arthroplasty to allow for a safe return.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeAnthropology, MedicalBetacoronavirusConsensusCoronavirus InfectionsCOVID-19Delivery of Health CareDisinfectionElective Surgical ProceduresEuropeHospital UnitsHumansOperating RoomsOrthopedic ProceduresOrthopedicsCOVID-19HipKneePrimary joint arthroplastyRecommendationsSafety

Identifiers

PMID32844246
PMCPMC7446739

What OpenQuestion holds

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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.