ArticleBone & joint open2021
National operating volume for primary hip and knee arthroplasty in the COVID-19 era: a study utilizing the Scottish arthroplasty project dataset.
Article in Bone & joint open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The functional and psychological impact of delayed hip and knee arthroplasty: a systematic review and meta-analysis of 89,996 patients.Scientific reports · 2024Pooled it
- The Impact of the Coronavirus Disease 2019 Pandemic on US Total Knee and Hip Arthroplasty Procedures in 2020.Arthroplasty today · 2024Article
- Trends in incidence and average waiting time for arthroplasty from 1998-2021: an observational study of 282,367 patients from the Scottish arthroplasty project.Annals of the Royal College of Surgeons of England · 2024Observational
- The total joint arthroplasty care patterns in China during the COVID-19 pandemic: a multicenter cohort study.Frontiers in public health · 2024Article
- Negative health impacts of navigating the healthcare system for musculoskeletal conditions: A scoping review protocol.PloS one · 2024Article
- Artificial intelligence in planned orthopaedic care.SICOT-J · 2024Article
- An Investigation for Future Practice of Elective Hip and Knee Arthroplasties during COVID-19 in Romania.Medicina (Kaunas, Lithuania) · 2023Article
- PRIMARY TOTAL HIP ARTHROPLASTIES UNDER BRAZILIAN PUBLIC HEALTH SYSTEM (2012-2021).Acta ortopedica brasileira · 2023Article
- The impact of restricted provision of publicly funded elective hip and knee joints replacement during the COVID-19 pandemic in England.PloS one · 2023Article
- No time to waste; the impact of the COVID-19 pandemic on hip, knee, and shoulder arthroplasty surgeries in the Netherlands and Denmark.Bone & joint open · 2022Article
- Prioritisation of patients awaiting hip and knee arthroplasty: Lower pre-operative EQ-5D is associated with greater improvement in quality of life and joint function.Musculoskeletal care · 2022Article
- Preoperative health-related quality of life is independently associated with postoperative mortality risk following total hip or knee arthroplasty : seven to eight years' follow-up.Bone & joint open · 2022Article
- Prioritization of THose aWaiting hip and knee ArthroplastY(PATHWAY): protocol for development of a stakeholder led clinical prioritization tool.Bone & joint open · 2022Article
- Meaningful values of the EQ-5D-3L in patients undergoing primary knee arthroplasty.Bone & joint research · 2022Article
- The combined effect of policy changes and the covid-19 pandemic on the same day discharge and complications following total hip arthroplasty: a nationwide analysis.Arthroplasty (London, England) · 2022Article
- Using Artificial Intelligence to Revolutionise the Patient Care Pathway in Hip and Knee Arthroplasty (ARCHERY): Protocol for the Development of a Clinical Prediction Model.JMIR research protocols · 2022Article
- 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 · 2021Article
Corrections and comments
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
aimsThe COVID-19 pandemic led to a national suspension of "non-urgent" elective hip and knee arthroplasty. The study aims to measure the effect of the COVID-19 pandemic on total hip arthroplasty (THA) and total knee arthroplasty (TKA) volume in Scotland. Secondary objectives are to measure the success of restarting elective services and model the time required to bridge the gap left by the first period of suspension.
methodsA retrospective observational study using the Scottish Arthroplasty Project dataset. All patients undergoing elective THAs and TKAs during the period 1 January 2008 to 31 December 2020 were included. A negative binomial regression model using historical case-volume and mid-year population estimates was built to project the future case-volume of THA and TKA in Scotland. The median monthly case volume was calculated for the period 2008 to 2019 (baseline) and compared to the actual monthly case volume for 2020. The time taken to eliminate the deficit was calculated based upon the projected monthly workload and with a potential workload between 100% to 120% of baseline.
resultsCompared to the period 2008 to 2019, primary TKA and THA volume fell by 61.1% and 53.6%, respectively. Since restarting elective services, Scottish hospitals have achieved approximately 40% to 50% of baseline monthly activity. With no changes in current workload, by 2021 there would be a reduction of 9,180 and 10,170 for THA and TKA, respectively. Conversely, working at 120% baseline monthly output, it would take over four years to eliminate the deficit for both TKA and THA.
conclusionThis national study demonstrates the significant impact that COVID-19 pandemic has had on overall THA and TKA volume. In the six months after resuming elective services, Scottish hospitals averaged less than 50% normal monthly output. Loss of operating capacity will increase treatment delays and likely worsen overall morbidity. Cite this article:
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