Female and Younger Orthopaedic Sport Medicine Patients Are More Negatively Affected by COVID-19–Related Health Care Closures

PURPOSE: To determine whether sex or age influence whether coronavirus disease 2019 (COVID-19) health care closures affect the health, recovery, and access to resources of preoperative and postoperative orthopaedic sports medicine patients. METHODS: Electronic questionnaires assessing physical and emotional health, the value of virtual care, and access to resources were distributed to patients with postponed (PP) orthopaedic restorative surgeries and those within 3 months’ postoperative (PO), at the time of the COVID-19 health care closures. The EQ-5D-3L was included as a standardized measure of general health. Chi-square tests compared responses between sexes and age groups. Unpaired t-tests compared the EQ visual analog scale (VAS) by sex, and a one-way analysis of variance (ANOVA) compared the EQ VAS by age. RESULTS: Females in the PO group were more likely to report that their recovery was delayed (49.5% vs 36%) and that closures had negatively affected their recovery (P = .013). Females in the PP group reported more symptoms of pain/discomfort on the EQ-5D-3L (P = .023). In the PP group, patients aged 25 to 44 years were most likely to identify pain as a concern (P = .54). In the PO group, patients younger than 45 years reported a significantly lower mean EQ VAS health state (P = .017). For the final analysis, there were 115 subjects in the PP group and 198 in the PO group. CONCLUSION: This study demonstrated significant sex- and age-specific differences in health and recovery among orthopaedic sports medicine patients as a result of the COVID-19 health care closures. Females reported significantly more pain, anxiety, and delay in their rehabilitation, while younger patients reported greater negative impacts and worse overall health state.