The Effect of the COVID-19 Pandemic on Hip and Knee Arthroplasty Patients in the United States: A Multicenter Update to the Previous Survey

Timothy S. Brown; Nicholas A. Bedard; Edward O. Rojas; Christopher A. Anthony; Ran Schwarzkopf; Jeffrey B. Stambough; Sumon Nandi; Hernan Prieto; Javad Parvizi; Stefano A. Bini; Carlos A. Higuera; Nicholas S. Piuzzi; Michael Blankstein; Samuel S. Wellman; Matthew J. Dietz; Jason M. Jennings; Vinod Dasa; AAHKS Research Committee

doi:10.1016/j.artd.2020.11.025

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The Effect of the COVID-19 Pandemic on Hip and Knee Arthroplasty Patients in the United States: A Multicenter Update to the Previous Survey

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The Effect of the COVID-19 Pandemic on Hip and Knee Arthroplasty Patients in the United States: A Multicenter Update to the Previous Survey

Timothy S. Brown, Nicholas A. Bedard, Edward O. Rojas, Christopher A. Anthony, Ran Schwarzkopf, Jeffrey B. Stambough, Sumon Nandi, Hernan Prieto, Javad Parvizi, Stefano A. Bini, …

Arthroplasty today, Vol.7, pp.268-272

02/01/2021

DOI: 10.1016/j.artd.2020.11.025

PMID: 33294537

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Abstract

In March 2020, elective total hip and knee arthroplasty (THA and TKA) were suspended across the United States in response to the COVID-19 pandemic. We had previously published the results of a survey to the affected patients from 6 institutions. We now present the results of a larger distribution of this survey, through May and June 2020, to electively scheduled patients representing different regions of the United States. Fifteen centers identified through the American Association of Hip and Knee Surgeons Research Committee participated in a survey study of THA and TKA patients. Patients scheduled for primary elective THA or TKA but canceled due to the COVID-19 elective surgery stoppage (3/2020-5/2020) were included in the study. Descriptive statistics along with subgroup analysis with Wilcoxon rank were performed. In total, surveys were distributed to 2135 patients and completed by 848 patients (40%) from 15 institutions. Most patients (728/848, 86%) had their surgery postponed or canceled by the surgeon or hospital. Unknown length of surgical delay remained the highest source of anxiety among survey participants. Male patients were more likely to be willing to proceed with surgery in spite of COVID-19. There were minimal regional differences in responses. Only 61 patients (7%) stated they will continue to delay surgery for fear of contracting COVID-19 while in the hospital. Similar to the previous study, the most anxiety-provoking thought was the uncertainty, over if and when the canceled joint replacement surgery could be rescheduled. Patients suffering from the daily pain of hip and knee arthritis who have been scheduled for elective arthroplasty remain eager to have their operation as soon as elective surgery is allowed to resume.

COVID-19

Pandemic

SARS-CoV-2

Surgery cancellation

Total hip arthroplasty

Total knee arthroplasty

Details

Title: Subtitle: The Effect of the COVID-19 Pandemic on Hip and Knee Arthroplasty Patients in the United States: A Multicenter Update to the Previous Survey
Creators: Timothy S. Brown - University of Iowa Hospitals and Clinics
Nicholas A. Bedard - University of Iowa
Edward O. Rojas - University of Iowa
Christopher A. Anthony - Washington University in St. Louis
Ran Schwarzkopf - Division of Orthopedics, Adult Joint Reconstruction NYU Langone, New York, NY, USA
Jeffrey B. Stambough - University of Arkansas for Medical Sciences
Sumon Nandi - University of Maryland, Baltimore
Hernan Prieto - University of Florida
Javad Parvizi - Thomas Jefferson University
Stefano A. Bini - University of California, San Francisco
Carlos A. Higuera - Cleveland Clinic
Nicholas S. Piuzzi - Cleveland Clinic Florida
Michael Blankstein - University of Vermont Medical Center
Samuel S. Wellman - Duke Medical Center
Matthew J. Dietz - West Virginia University
Jason M. Jennings - Colorado Joint Replacement
Vinod Dasa - Louisiana State University Health Sciences Center New Orleans
AAHKS Research Committee
Resource Type: Journal article
Publication Details: Arthroplasty today, Vol.7, pp.268-272
DOI: 10.1016/j.artd.2020.11.025
PMID: 33294537
NLM abbreviation: Arthroplast Today
ISSN: 2352-3441
eISSN: 2352-3441
Publisher: Elsevier Inc
Number of pages: 5
Language: English
Date published: 02/01/2021
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9985219304502771

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