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The influence of the COVID-19 pandemic on total hip and knee arthroplasty in Ontario: a population-level analysis
BACKGROUND: The effects of the COVID-19 pandemic on elective orthopedic surgery have yet to be reported at the population level in Canada. We sought to detail the effect of the pandemic on patients who underwent total hip arthroplasty (THA) and total knee arthroplasty (TKA), and on surgeons with res...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
CMA Impact Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10521810/ https://www.ncbi.nlm.nih.gov/pubmed/37734851 http://dx.doi.org/10.1503/cjs.016122 |
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author | Sniderman, Jhase Khoshbin, Amir Wolfstadt, Jesse |
author_facet | Sniderman, Jhase Khoshbin, Amir Wolfstadt, Jesse |
author_sort | Sniderman, Jhase |
collection | PubMed |
description | BACKGROUND: The effects of the COVID-19 pandemic on elective orthopedic surgery have yet to be reported at the population level in Canada. We sought to detail the effect of the pandemic on patients who underwent total hip arthroplasty (THA) and total knee arthroplasty (TKA), and on surgeons with respect to surgical volume, wait times and health care quality. METHOD: We compared patient length of hospital stay, revisions, readmissions and emergency department presentations between pre-pandemic (April 2019 to February 2020) and postpandemic (April 2020 to February 2021) cohorts of patients who underwent inpatient THAs or TKAs. Wait times for THA and TKA in Ontario were similarly collected. RESULTS: Case volumes for THA and TKA decreased by 30% during the pandemic. There were significantly fewer medically complex cases during this time period (p < 0.001). Length of hospital stay was reduced from 2.2 to 1.8 days (p < 0.001). Patients were less likely to visit the emergency department within 30 days of surgery (p < 0.001). Patients who underwent TKA were also more likely to be discharged directly home (p = 0.025). There was no difference in rate of revision surgery or readmission within 30 days. The proportion of patients meeting the standard benchmark wait time in Ontario was significantly lower (p < 0.001). The corresponding wait time to treatment increased significantly (p < 0.001). CONCLUSION: The effects of the COVID-19 pandemic on elective THA and TKA case volumes and wait times was significant. Patients having surgery during the pandemic were less medically complex, had shorter length of hospital stays and had significantly less health care utilization. |
format | Online Article Text |
id | pubmed-10521810 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | CMA Impact Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105218102023-09-27 The influence of the COVID-19 pandemic on total hip and knee arthroplasty in Ontario: a population-level analysis Sniderman, Jhase Khoshbin, Amir Wolfstadt, Jesse Can J Surg Research BACKGROUND: The effects of the COVID-19 pandemic on elective orthopedic surgery have yet to be reported at the population level in Canada. We sought to detail the effect of the pandemic on patients who underwent total hip arthroplasty (THA) and total knee arthroplasty (TKA), and on surgeons with respect to surgical volume, wait times and health care quality. METHOD: We compared patient length of hospital stay, revisions, readmissions and emergency department presentations between pre-pandemic (April 2019 to February 2020) and postpandemic (April 2020 to February 2021) cohorts of patients who underwent inpatient THAs or TKAs. Wait times for THA and TKA in Ontario were similarly collected. RESULTS: Case volumes for THA and TKA decreased by 30% during the pandemic. There were significantly fewer medically complex cases during this time period (p < 0.001). Length of hospital stay was reduced from 2.2 to 1.8 days (p < 0.001). Patients were less likely to visit the emergency department within 30 days of surgery (p < 0.001). Patients who underwent TKA were also more likely to be discharged directly home (p = 0.025). There was no difference in rate of revision surgery or readmission within 30 days. The proportion of patients meeting the standard benchmark wait time in Ontario was significantly lower (p < 0.001). The corresponding wait time to treatment increased significantly (p < 0.001). CONCLUSION: The effects of the COVID-19 pandemic on elective THA and TKA case volumes and wait times was significant. Patients having surgery during the pandemic were less medically complex, had shorter length of hospital stays and had significantly less health care utilization. CMA Impact Inc. 2023-09-21 /pmc/articles/PMC10521810/ /pubmed/37734851 http://dx.doi.org/10.1503/cjs.016122 Text en © 2023 CMA Impact Inc. or its licensors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY-NC-ND 4.0) licence, which permits use, distribution and reproduction in any medium, provided that the original publication is properly cited, the use is noncommercial (i.e., research or educational use) and no modifications or adaptations are made. See: https://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Research Sniderman, Jhase Khoshbin, Amir Wolfstadt, Jesse The influence of the COVID-19 pandemic on total hip and knee arthroplasty in Ontario: a population-level analysis |
title | The influence of the COVID-19 pandemic on total hip and knee arthroplasty in Ontario: a population-level analysis |
title_full | The influence of the COVID-19 pandemic on total hip and knee arthroplasty in Ontario: a population-level analysis |
title_fullStr | The influence of the COVID-19 pandemic on total hip and knee arthroplasty in Ontario: a population-level analysis |
title_full_unstemmed | The influence of the COVID-19 pandemic on total hip and knee arthroplasty in Ontario: a population-level analysis |
title_short | The influence of the COVID-19 pandemic on total hip and knee arthroplasty in Ontario: a population-level analysis |
title_sort | influence of the covid-19 pandemic on total hip and knee arthroplasty in ontario: a population-level analysis |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10521810/ https://www.ncbi.nlm.nih.gov/pubmed/37734851 http://dx.doi.org/10.1503/cjs.016122 |
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