Evidence map›Paper›PMID 33308925›Full record

ArticleThe surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland2021

Re-starting elective orthopaedic services in NHS Tayside during the COVID-19 pandemic.

Peter Se Davies, Robert Jh Sinnerton, Alasdair MacInnes, Alastair C Faulkner, Peter D Hutchison, Thomas Sw Greensmith, Louise Roberts, Benedict Clift

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 38% of its field
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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

8 authors at 2 institutions in 1 country.

Peter Se DaviesDepartment of Trauma and Orthopaedics, Ninewells Hospital, Dundee, UK; The University of Dundee, UK. Electronic address: petersedavies@doctors.org.uk.
Robert Jh SinnertonDepartment of Trauma and Orthopaedics, Ninewells Hospital, Dundee, UK; The University of Dundee, UK.
Alasdair MacInnesDepartment of Trauma and Orthopaedics, Ninewells Hospital, Dundee, UK; The University of Dundee, UK.
Alastair C FaulknerDepartment of Trauma and Orthopaedics, Ninewells Hospital, Dundee, UK; The University of Dundee, UK.
Peter D HutchisonDepartment of Trauma and Orthopaedics, Ninewells Hospital, Dundee, UK; The University of Dundee, UK.
Thomas Sw GreensmithDepartment of Trauma and Orthopaedics, Ninewells Hospital, Dundee, UK; The University of Dundee, UK.
Louise RobertsDepartment of Trauma and Orthopaedics, Ninewells Hospital, Dundee, UK.
Benedict CliftDepartment of Trauma and Orthopaedics, Ninewells Hospital, Dundee, UK; The University of Dundee, UK.
University of Dundee · GBNinewells Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElective orthopaedic operations were suspended at the start of the COVID-19 lockdown. Three pathways were created to allow patients to undergo urgent elective operations in NHS Tayside as soon as it was deemed safe to do so.

methodsWe examined elective orthopaedic activity in NHS Tayside during and immediately after the Scottish lockdown. Elective operations performed between 27 March 2020 and 10 August 2020 were included and compared with cases performed between 27 March and 10 August in both 2018 and 2019. Primary outcomes were 30-day mortality, 30-day complications, and nosocomial infection rates of COVID-19.

findingsFewer elective operations were performed in 2020 (258) compared with 2019 (1196) and 2018 (1261). The rate of nosocomial infection in the 2020 cohort was 0%. The 30-day mortality rate was 0%. Over 98% of patients agreed to undergo surgery after a detailed consenting process.

interpretationWe were able to re-start a safe elective orthopaedic service in the early stages of recovery from the COVID-19 pandemic, compatible with the guidelines set by the Royal College of Surgery of England and the British Orthopaedic Association. Our findings will serve to reassure regions with sufficient resources that it is acceptable to restart elective surgery for urgent priority cases. They may provide a template for planned surgical care in the event of further pandemics.

Indexed as

State MedicineAgedCommunicable Disease ControlCOVID-19Critical PathwaysElective Surgical ProceduresFemaleHumansMaleMiddle AgedOrthopedic ProceduresPatient SelectionPractice Patterns, Physicians'Procedures and Techniques UtilizationUnited KingdomCOVID-19ElectiveOrthopaedicsPathwaySARS CoV 2

Identifiers

PMID33308925
PMCPMC7676371
OpenAlexW3107380981

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.