Assessing the Attitudes, Awareness, and Behavioral Alterations of Patients Awaiting Total Hip Arthroplasty During the COVID-19 Crisis.
COVID-19
arthroplasty
coronavirus
elective surgery
public health
Journal
Geriatric orthopaedic surgery & rehabilitation
ISSN: 2151-4585
Titre abrégé: Geriatr Orthop Surg Rehabil
Pays: United States
ID NLM: 101558150
Informations de publication
Date de publication:
2020
2020
Historique:
received:
21
07
2020
revised:
06
10
2020
accepted:
08
10
2020
entrez:
11
11
2020
pubmed:
12
11
2020
medline:
12
11
2020
Statut:
epublish
Résumé
COVID-19 has placed a huge burden on healthcare systems which has led to widespread cancellation elective surgical care. Ireland is recovering from the first wave of COVID-19 and as such the expeditious return of elective surgical care is important. This is the first study to examine the attitudes of patients to undergoing total joint arthroplasty during the COVID-19 crisis. A prospective qualitative study was undertaken in our institution during the week 13/05/2020-20/05/2020. 65 patients completed a questionnaire assessing attitudes, awareness, and behavioral changes associated with COVID-19, a Charlson Comorbidity Index, modified-Harris Hip Score, and a Short Form-12 score. 86% of patients felt that they were at little to no risk of COVID-19 infection. The majority of patients were happy to proceed with surgery at the current level of COVID-19 related threat (86%). Patients with higher mHHS were more likely to postpone their operation than those with lower mHHS scores. Our cohort had low patient reported outcome measures in both mHHS and SF-12, indicating the significant burden of hip osteoarthritis on both physical and mental health. Patients reported a significant disease-related impairment of physical function and subsequent deterioration in mental health as a result of hip osteoarthritis. Patients with worse hip function, as measured by the mHHS are more willing to proceed with surgery than those with superior hip function. This offers a potential mechanism by which to triage patients once elective surgical pathways reopen in the coming months.
Sections du résumé
BACKGROUND
BACKGROUND
COVID-19 has placed a huge burden on healthcare systems which has led to widespread cancellation elective surgical care. Ireland is recovering from the first wave of COVID-19 and as such the expeditious return of elective surgical care is important. This is the first study to examine the attitudes of patients to undergoing total joint arthroplasty during the COVID-19 crisis.
METHODS
METHODS
A prospective qualitative study was undertaken in our institution during the week 13/05/2020-20/05/2020. 65 patients completed a questionnaire assessing attitudes, awareness, and behavioral changes associated with COVID-19, a Charlson Comorbidity Index, modified-Harris Hip Score, and a Short Form-12 score.
RESULTS
RESULTS
86% of patients felt that they were at little to no risk of COVID-19 infection. The majority of patients were happy to proceed with surgery at the current level of COVID-19 related threat (86%). Patients with higher mHHS were more likely to postpone their operation than those with lower mHHS scores. Our cohort had low patient reported outcome measures in both mHHS and SF-12, indicating the significant burden of hip osteoarthritis on both physical and mental health.
CONCLUSION
CONCLUSIONS
Patients reported a significant disease-related impairment of physical function and subsequent deterioration in mental health as a result of hip osteoarthritis. Patients with worse hip function, as measured by the mHHS are more willing to proceed with surgery than those with superior hip function. This offers a potential mechanism by which to triage patients once elective surgical pathways reopen in the coming months.
Identifiants
pubmed: 33173605
doi: 10.1177/2151459320969377
pii: 10.1177_2151459320969377
pmc: PMC7588755
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2151459320969377Informations de copyright
© The Author(s) 2020.
Déclaration de conflit d'intérêts
Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Références
J Rheumatol. 2008 Jan;35(1):159-65
pubmed: 17937459
J Arthroplasty. 2020 Jul;35(7S):S49-S55
pubmed: 32376163
J Arthroplasty. 2020 Jul;35(7S):S45-S48
pubmed: 32381441
J Bone Joint Surg Am. 2014 Aug 20;96(16):1387-94
pubmed: 25143499
JB JS Open Access. 2018 Aug 15;3(3):e0007
pubmed: 30533590
Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S200-7
pubmed: 22588745
Ann R Coll Surg Engl. 2003 Jul;85(4):269-71
pubmed: 12855032
Med Care. 1996 Mar;34(3):220-33
pubmed: 8628042
Clin Orthop Relat Res. 2018 Jun;476(6):1166-1175
pubmed: 29489471
Knee Surg Sports Traumatol Arthrosc. 2020 Jun;28(6):1712-1719
pubmed: 32361927
Knee Surg Sports Traumatol Arthrosc. 2020 Aug;28(8):2435-2443
pubmed: 32556438
Ann Intern Med. 2020 Jul 21;173(2):100-109
pubmed: 32271861