Evidence map›Paper›PMID 32952467›Full record

ArticleHSS journal : the musculoskeletal journal of Hospital for Special Surgery2020

Patient Perceptions of COVID-19-Related Surgical Delay: An Analysis of Patients Awaiting Total Hip and Knee Arthroplasty.

Jacob M Wilson, Andrew M Schwartz, Helyn E Grissom, Jeffrey S Holmes, Kevin X Farley, Thomas L Bradbury, George N Guild

Erratum issuedAbstract read
In one paragraph

Article in HSS journal : the musculoskeletal journal of Hospital for Special Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
  2. Article
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  4. Impact of COVID-19 on Opioid Prescribing, Consumption, Pain, and Outcomes after Surgery.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
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  15. Development and Service Evaluation of anMalaysian orthopaedic journal · 2022
    Article
  16. Assessing Public Interest in Elective Surgery During the COVID-19 Pandemic: A Google Trends Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Article
  17. COVID-19 pandemic and elective spinal surgery cancelations - what happens to the patients?The spine journal : official journal of the North American Spine Society · 2021
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Jacob M WilsonEmory University School of Medicine, 201 Dowman Dr., Atlanta, GA 30322 USA.ORCID 0000-0002-5044-7084
Andrew M SchwartzEmory University School of Medicine, 201 Dowman Dr., Atlanta, GA 30322 USA.
Helyn E GrissomEmory University School of Medicine, 201 Dowman Dr., Atlanta, GA 30322 USA.
Jeffrey S HolmesEmory University School of Medicine, 201 Dowman Dr., Atlanta, GA 30322 USA.
Kevin X FarleyEmory University School of Medicine, 201 Dowman Dr., Atlanta, GA 30322 USA.
Thomas L BradburyEmory University School of Medicine, 201 Dowman Dr., Atlanta, GA 30322 USA.
George N GuildEmory University School of Medicine, 201 Dowman Dr., Atlanta, GA 30322 USA.

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
J: NRSA Training CoreTL1TR002382 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Vasiliki Michopoulos · 2017 to 2026
$8.5M
NCATS NIH HHS TL1 TR002382NCATS NIH HHS UL1 TR002378
6 · The paper itself

Abstract

backgroundCOVID-19 has caused unprecedented delays in elective orthopedic surgery. Understanding patients' perceptions of the disruptions in care and their willingness to reengage the healthcare system are crucial to planning the resumption of elective care. QUESTIONS/PURPOSES: The purpose of this study was to elicit patient perceptions about delays in total joint arthroplasty during the COVID-19 pandemic.

methodsWe identified a consecutive series of patients who experienced COVID-19-driven delays to scheduled total hip or knee arthroplasty at an urban, academic medical center in the Southeastern United States. A 20-item survey was administered via telephone. Answers were recorded and descriptive statistics were performed. A

resultsOf 111 patients (64% of those identified) who met inclusion criteria and completed the survey, 96% said they felt that they were treated fairly and 90% said that the surgical delay was in their best interest; 68% reported emotional distress from the delay, but 45% reported a desire to wait longer for the pandemic to subside. Lower joint-function scores, higher pain levels, higher pain catastrophizing scores, and longer latency from personally deciding to pursue surgery were associated with the reported need for immediate surgery.

conclusionOverall, patients reported that they understood the need for elective surgical delays during the COVID-19 pandemic. However, the psychological implications they reported were not negligible. Patient preference for immediate reengagement with the healthcare system was dichotomous, with many patients favoring precautionarily furthering the delay. Understanding these preferences will help optimize elective orthopedic care during unprecedented times.

Indexed as

arthroplastycoronavirusCOVID-19perceptionsprioritytotal hiptotal knee

Identifiers

PMID32952467
PMCPMC7491018

What OpenQuestion holds

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Registered trials

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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.