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Impact of COVID-19 on Orthopaedic Care and Practice: A Rapid Review

INTRODUCTION: The COVID-19 pandemic has led to a large body of literature regarding the impact of COVID-19 on orthopaedic care and practice. This rapid review aims to synthesize this published literature to give the orthopaedic fraternity an overview about the best practices that need to be followed...

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Autores principales: Chatterji, Gautam, Patel, Yogesh, Jain, Vaibhav, Geevarughese, Nikku Mathew, Haq, Rehan Ul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer India 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7980796/
https://www.ncbi.nlm.nih.gov/pubmed/33776130
http://dx.doi.org/10.1007/s43465-021-00354-0
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author Chatterji, Gautam
Patel, Yogesh
Jain, Vaibhav
Geevarughese, Nikku Mathew
Haq, Rehan Ul
author_facet Chatterji, Gautam
Patel, Yogesh
Jain, Vaibhav
Geevarughese, Nikku Mathew
Haq, Rehan Ul
author_sort Chatterji, Gautam
collection PubMed
description INTRODUCTION: The COVID-19 pandemic has led to a large body of literature regarding the impact of COVID-19 on orthopaedic care and practice. This rapid review aims to synthesize this published literature to give the orthopaedic fraternity an overview about the best practices that need to be followed during this period. METHODOLOGY: A rapid review was conducted following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement for rapid reviews on the impact of COVID-19 on orthopaedic care and practice. A Pubmed search was done to identify all literature related to the impact of COVID-19 on orthopaedic care and practice, published between December 2019 and October 2020 using a predefined search strategy. The final review included 375 peer-reviewed articles addressing the objectives. RESULTS: The majority of articles were expert opinions ( 37.1%) and narrative reviews (13.1%). There were 17.3% retrospective studies and 2.1% prospective studies with only one randomized control trial and ten systematic reviews.  83.8% of articles had levels of evidence IV and V, 79.5% of the articles were published in core-orthopaedic journals. Maximum publications were from the United States of America (31.7%), followed by India (11.5%). European countries together contributed to  32.0% of all publications. CONCLUSION: COVID-19 has had a significant impact on all aspects of orthopaedic care and practice. The pandemic has affected outpatient clinics, emergency and elective surgery, rehabilitation, resident training, personnel management, use of personal protective equipment, telemedicine and all sub-specialities of orthopaedics. Orthopaedic practice will require the incorporation of new technologies, restructuring of health systems and reorganizing of training programs for optimal patient care. There would also be a need for frequent review of emerging literature to provide evidence-based guidelines to the orthopaedic fraternity which will not only help in mitigation of transmission of disease but also ensure continuity of optimum patient care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s43465-021-00354-0.
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spelling pubmed-79807962021-03-23 Impact of COVID-19 on Orthopaedic Care and Practice: A Rapid Review Chatterji, Gautam Patel, Yogesh Jain, Vaibhav Geevarughese, Nikku Mathew Haq, Rehan Ul Indian J Orthop Review Article INTRODUCTION: The COVID-19 pandemic has led to a large body of literature regarding the impact of COVID-19 on orthopaedic care and practice. This rapid review aims to synthesize this published literature to give the orthopaedic fraternity an overview about the best practices that need to be followed during this period. METHODOLOGY: A rapid review was conducted following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement for rapid reviews on the impact of COVID-19 on orthopaedic care and practice. A Pubmed search was done to identify all literature related to the impact of COVID-19 on orthopaedic care and practice, published between December 2019 and October 2020 using a predefined search strategy. The final review included 375 peer-reviewed articles addressing the objectives. RESULTS: The majority of articles were expert opinions ( 37.1%) and narrative reviews (13.1%). There were 17.3% retrospective studies and 2.1% prospective studies with only one randomized control trial and ten systematic reviews.  83.8% of articles had levels of evidence IV and V, 79.5% of the articles were published in core-orthopaedic journals. Maximum publications were from the United States of America (31.7%), followed by India (11.5%). European countries together contributed to  32.0% of all publications. CONCLUSION: COVID-19 has had a significant impact on all aspects of orthopaedic care and practice. The pandemic has affected outpatient clinics, emergency and elective surgery, rehabilitation, resident training, personnel management, use of personal protective equipment, telemedicine and all sub-specialities of orthopaedics. Orthopaedic practice will require the incorporation of new technologies, restructuring of health systems and reorganizing of training programs for optimal patient care. There would also be a need for frequent review of emerging literature to provide evidence-based guidelines to the orthopaedic fraternity which will not only help in mitigation of transmission of disease but also ensure continuity of optimum patient care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s43465-021-00354-0. Springer India 2021-03-20 /pmc/articles/PMC7980796/ /pubmed/33776130 http://dx.doi.org/10.1007/s43465-021-00354-0 Text en © Indian Orthopaedics Association 2021
spellingShingle Review Article
Chatterji, Gautam
Patel, Yogesh
Jain, Vaibhav
Geevarughese, Nikku Mathew
Haq, Rehan Ul
Impact of COVID-19 on Orthopaedic Care and Practice: A Rapid Review
title Impact of COVID-19 on Orthopaedic Care and Practice: A Rapid Review
title_full Impact of COVID-19 on Orthopaedic Care and Practice: A Rapid Review
title_fullStr Impact of COVID-19 on Orthopaedic Care and Practice: A Rapid Review
title_full_unstemmed Impact of COVID-19 on Orthopaedic Care and Practice: A Rapid Review
title_short Impact of COVID-19 on Orthopaedic Care and Practice: A Rapid Review
title_sort impact of covid-19 on orthopaedic care and practice: a rapid review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7980796/
https://www.ncbi.nlm.nih.gov/pubmed/33776130
http://dx.doi.org/10.1007/s43465-021-00354-0
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