Evidence map›Paper›PMID 34389919›Full record

ArticleJournal of experimental orthopaedics2021

The impact of first and second wave of COVID-19 on knee and hip surgeries in Sweden.

Andrea Dell'Isola, Ali Kiadaliri, Aleksandra Turkiewicz, Velocity Hughes, Karin Magnusson, Jos Runhaar, Sita Bierma-Zeinstra, Martin Englund

Open access · goldAbstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

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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 4 institutions in 3 countries.

Andrea Dell'IsolaClinical Epidemiology Unit, Orthopedics, Department of Clinical Sciences Lund, Lund University, Wigerthuset, Remissgatan 4, 22185, Lund, Sweden. andrea.dellisola@med.lu.se.ORCID http://orcid.org/0000-0002-0319-458X
Ali KiadaliriClinical Epidemiology Unit, Orthopedics, Department of Clinical Sciences Lund, Lund University, Wigerthuset, Remissgatan 4, 22185, Lund, Sweden.
Aleksandra TurkiewiczClinical Epidemiology Unit, Orthopedics, Department of Clinical Sciences Lund, Lund University, Wigerthuset, Remissgatan 4, 22185, Lund, Sweden.
Velocity HughesClinical Epidemiology Unit, Orthopedics, Department of Clinical Sciences Lund, Lund University, Wigerthuset, Remissgatan 4, 22185, Lund, Sweden.
Karin MagnussonClinical Epidemiology Unit, Orthopedics, Department of Clinical Sciences Lund, Lund University, Wigerthuset, Remissgatan 4, 22185, Lund, Sweden.
Jos RunhaarDepartment of General Practice, Erasmus MC University Medical Center Rotterdam, Rotterdam, the Netherlands.
Sita Bierma-ZeinstraDepartment of General Practice, Erasmus MC University Medical Center Rotterdam, Rotterdam, the Netherlands.
Martin EnglundClinical Epidemiology Unit, Orthopedics, Department of Clinical Sciences Lund, Lund University, Wigerthuset, Remissgatan 4, 22185, Lund, Sweden.
Lund University · SEErasmus MC · NLNorwegian Institute of Public Health · NOStatistics Sweden · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the impact of COVID-19 in Sweden on rates of knee and hip surgeries.

methodsWe used healthcare data for the population of the southernmost region in Sweden (1.4 million inhabitants). We did an interrupted time-series analysis to estimate changes in rates and trends of joint replacements (JR), arthroscopies, and fracture surgeries for knee or hip in April-December 2020 compared to pre-COVID-19 levels adjusting for seasonal variations.

resultsWe found a drop of 54% (95% CI 42%; 68%) and 42% (95% CI 32%; 52%), respectively, in the rate of JRs and arthroscopies in April 2020 when compared to the counterfactual scenario. This was followed by an increase that brought the rates of JRs and arthroscopies back to their predicted levels also during the beginning of the second wave (November-December 2020). Acute fracture surgeries were largely unaffected, i.e. did not show any decrease as observed for the other surgeries.

conclusionsIn southern Sweden, we observed a marked decrease in elective knee and hip surgeries following the first wave of Covid-19. The rates remained close to normal during the beginning of the second wave suggesting that important elective surgeries for patients with end-stage osteoarthritis can still be offered despite an ongoing pandemic provided adequate routines and hospital resources.

Indexed as

COVID-19Elective surgeriesOrthopedics

Identifiers

PMID34389919
PMCPMC8363236
OpenAlexW3191335095

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.