Evidence map›Paper›PMID 35037765›Full record

ArticleBone & joint open2022

The safe resumption of elective orthopaedic services following the first wave of the COVID-19 pandemic : a review of 2,316 consecutive cases and implications for recovery following further waves.

Vipin Asopa, Amit Sagi, Habeeb Bishi, Fanuelle Getachew, Irrum Afzal, Yiannis Vyrides, David Sochart, Vipul Patel, Deiary Kader

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

Article in Bone & joint open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
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

9 authors at 1 institution in 2 countries.

Vipin AsopaSouth West London Elective Orthopaedic Centre, Epsom and St. Helier University Hospitals NHS Trust, Epsom, UK.
Amit SagiSouth West London Elective Orthopaedic Centre, Epsom and St. Helier University Hospitals NHS Trust, Epsom, UK.
Habeeb BishiSouth West London Elective Orthopaedic Centre, Epsom and St. Helier University Hospitals NHS Trust, Epsom, UK.
Fanuelle GetachewSouth West London Elective Orthopaedic Centre, Epsom and St. Helier University Hospitals NHS Trust, Epsom, UK.
Irrum AfzalSouth West London Elective Orthopaedic Centre, Epsom and St. Helier University Hospitals NHS Trust, Epsom, UK.
Yiannis VyridesSouth West London Elective Orthopaedic Centre, Epsom and St. Helier University Hospitals NHS Trust, Epsom, UK.
David SochartSouth West London Elective Orthopaedic Centre, Epsom and St. Helier University Hospitals NHS Trust, Epsom, UK.
Vipul PatelSouth West London Elective Orthopaedic Centre, Epsom and St. Helier University Hospitals NHS Trust, Epsom, UK.
Deiary KaderSouth West London Elective Orthopaedic Centre, Epsom and St. Helier University Hospitals NHS Trust, Epsom, UK.
Epsom and St Helier University Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThere is little published on the outcomes after restarting elective orthopaedic procedures following cessation of surgery due to the COVID-19 pandemic. During the pandemic, the reported perioperative mortality in patients who acquired SARS-CoV-2 infection while undergoing elective orthopaedic surgery was 18% to 20%. The aim of this study is to report the surgical outcomes, complications, and risk of developing COVID-19 in 2,316 consecutive patients who underwent elective orthopaedic surgery in the latter part of 2020 and comparing it to the same, pre-pandemic, period in 2019.

methodsA retrospective service evaluation of patients who underwent elective surgical procedures between 16 June 2020 and 12 December 2020 was undertaken. The number and type of cases, demographic details, American society of Anesthesiologists (ASA) grade, BMI, 30-day readmission rates, mortality, and complications at one- and six-week intervals were obtained and compared with patients who underwent surgery during the same six-month period in 2019.

resultsA total of 2,316 patients underwent surgery in 2020 compared to 2,552 in the same period in 2019. There were no statistical differences in sex distribution, BMI, or ASA grade. The 30-day readmission rate and six-week validated complication rates were significantly lower for the 2020 patients compared to those in 2019 (p < 0.05). No deaths were reported at 30 days in the 2020 group as opposed to three in the 2019 group (p < 0.05). In 2020 one patient developed COVID-19 symptoms five days following foot and ankle surgery. This was possibly due to a family contact immediately following discharge from hospital, and the patient subsequently made a full recovery.

conclusionElective surgery was safely resumed following the cessation of operating during the COVID-19 pandemic in 2020. Strict adherence to protocols resulted in 2,316 elective surgical procedures being performed with lower complications, readmissions, and mortality compared to 2019. Furthermore, only one patient developed COVID-19 with no evidence that this was a direct result of undergoing surgery. Level of evidence: III Cite this article:

Indexed as

AnesthesiologistsArthroplastyBMIComplicationsDe-skillingelective orthopaedic surgeryElective orthopaedic surgeryfoot and ankle surgeryhipMortalityorthopaedic proceduresReadmissionSARS-CoV-2SARS-CoV-2 infectionsurgical outcomest-test

Identifiers

PMID35037765
PMCPMC9047075
OpenAlexW4205782072

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.