Evidence map›Paper›PMID 33215138›Full record

ArticleBone & joint open2020

Safety evaluation of a strategy to restart elective orthopaedic surgery during the de-escalation phase of the COVID-19 pandemic.

Wajiha Zahra, Joseph W Dixon, Negin Mirtorabi, Daniel J Rolton, Edward R Tayton, Peter C Hale, Warren J Fisher, Richard J Barnes, Simon A Tunstill, Shabnam Iyer and 1 more

Abstract read
In one paragraph

Article in Bone & joint open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
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  12. A solid and strong beginning.Bone & joint open · 2020
    Article
  13. Article
  14. Impact of COVID-19 on research.Bone & joint research · 2020
    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

11 authors.

Wajiha ZahraRoyal Berkshire NHS Foundation Trust, Royal Berkshire Hospital, Reading, UK.
Joseph W DixonRoyal Berkshire NHS Foundation Trust, Royal Berkshire Hospital, Reading, UK.
Negin MirtorabiRoyal Berkshire NHS Foundation Trust, Royal Berkshire Hospital, Reading, UK.
Daniel J RoltonRoyal Berkshire NHS Foundation Trust, Royal Berkshire Hospital, Reading, UK.
Edward R TaytonRoyal Berkshire NHS Foundation Trust, Royal Berkshire Hospital, Reading, UK.
Peter C HaleCircle Reading Hospital, Reading, UK.
Warren J FisherRoyal Berkshire NHS Foundation Trust, Royal Berkshire Hospital, Reading, UK.
Richard J BarnesRoyal Berkshire NHS Foundation Trust, Royal Berkshire Hospital, Reading, UK.
Simon A TunstillRoyal Berkshire NHS Foundation Trust, Royal Berkshire Hospital, Reading, UK.
Shabnam IyerRoyal Berkshire NHS Foundation Trust, Royal Berkshire Hospital, Reading, UK.
Tom C B PollardRoyal Berkshire NHS Foundation Trust, Royal Berkshire Hospital, Reading, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo evaluate safety outcomes and patient satisfaction of the re-introduction of elective orthopaedic surgery on 'green' (non-COVID-19) sites during the COVID-19 pandemic.

methodsA strategy consisting of phased relaxation of clinical comorbidity criteria was developed. Patients from the orthopaedic waiting list were selected according to these criteria and observed recommended preoperative isolation protocols. Surgery was performed at green sites (two local private hospitals) under the COVID-19 NHS contract. The first 100 consecutive patients that met the Phase 1 criteria and underwent surgery were included. In hospital and postoperative complications with specific enquiry as to development of COVID-19 symptoms or need and outcome for COVID-19 testing at 14 days and six weeks was recorded. Patient satisfaction was surveyed at 14 days postoperatively.

resultsThere were 54 females and 46 males (mean age 44 years, mean body mass index (BMI) 25.6 kg/m

conclusionIn an environment with appropriate infrastructure, patient selection, isolation, screening, and testing, elective orthopaedic surgery is safe during the COVID-19 pandemic, and associated with high patient satisfaction. Further follow-up is required to establish that safety is maintained as the clinical restrictions are eased with the phased approach described.Cite this article:

Indexed as

COVID-19electiveorthopaedic surgery

Identifiers

PMID33215138
PMCPMC7667222

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.