Evidence map›Paper›PMID 33882713›Full record

ArticleBone & joint open2021

Insights into patient preferences for elective surgery during the COVID-19 pandemic.

Andrew James Hotchen, Saad A Khan, Maaz A Khan, Matthew Seah, Zain H Charface, Zarif Khan, Wasim Khan, Niel Kang, Joel Thomas Kirk Melton, Andrew W McCaskie and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Impact of the COVID-19 pandemic on orthognathic patients: What have we learned?The British journal of oral & maxillofacial surgery · 2022
    Article
  4. Article
  5. 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.

Andrew James HotchenDivision of Trauma and Orthopaedic Surgery, Department of Surgery, University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0000-0003-3520-3003
Saad A KhanSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Maaz A KhanSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Matthew SeahDivision of Trauma and Orthopaedic Surgery, Department of Surgery, University of Cambridge, Cambridge, UK.
Zain H CharfaceSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Zarif KhanSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Wasim KhanDivision of Trauma and Orthopaedic Surgery, Department of Surgery, University of Cambridge, Cambridge, UK.
Niel KangDepartment of Trauma and Orthopaedic Surgery, Addenbrooke's Hospital, Cambridge, UK.
Joel Thomas Kirk MeltonDepartment of Trauma and Orthopaedic Surgery, Addenbrooke's Hospital, Cambridge, UK.
Andrew W McCaskieDivision of Trauma and Orthopaedic Surgery, Department of Surgery, University of Cambridge, Cambridge, UK.
Stephen M McDonnellDivision of Trauma and Orthopaedic Surgery, Department of Surgery, University of Cambridge, Cambridge, UK.

Funding

Versus Arthritis 22293
6 · The paper itself

Abstract

aimsTo investigate factors that contribute to patient decisions regarding attendance for arthroplasty during the COVID-19 pandemic.

methodsA postal questionnaire was distributed to patients on the waiting list for hip or knee arthroplasty in a single tertiary centre within the UK. Patient factors that may have influenced the decision to attend for arthroplasty, global quality of life (QoL) (EuroQol five-dimension three-level (EQ-5D-3L)), and joint-specific QoL (Oxford Hip or Knee Score) were assessed. Patients were asked at which 'COVID-alert' level they would be willing to attend an NHS and a "COVID-light" hospital for arthroplasty. Independent predictors were assessed using multivariate logistic regression.

resultsOf 540 distributed questionnaires, 400 (74.1%; 236 awaiting hip arthroplasty, 164 awaiting knee arthroplasty) complete responses were received and included. Less than half (48.2%) were willing to attend for hip or knee arthroplasty while a UK COVID-19 epidemic was in circulation (COVID-alert levels 3 to 5). Patients with worse joint-specific QoL had a preference to proceed with surgery at COVID-alert levels 3 to 5 compared to levels 1 and 2 (hip arthroplasty odds ratio (OR) 1.54 (95% confidence interval (CI) 1.45 to 1.63); knee arthroplasty OR 1.16 (1.07 to 1.26)). The odds of patients with worse joint-specific QoL being willing to attend for surgery at COVID-alert levels 3 to 5 increased further if surgery in a private, "COVID-light" hospital was available (hip arthroplasty OR 3.50 (95% CI 3.26 to 3.71); knee arthroplasty OR 1.41 (95% CI 1.29 to 1.53).

conclusionPatient decisions surrounding elective surgery have been influenced by the global COVID-19 pandemic, highlighting the importance of patient involvement in ensuring optimized provision of elective surgery during these challenging times. Cite this article:

Indexed as

ArthroplastyCOVID-19Patient reported outcomes

Identifiers

PMID33882713
PMCPMC8085616

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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.