Patient Perception Regarding the Safety of Elective Joint Arthroplasty Surgery During the COVID-19 Pandemic

Background: Total joint arthroplasty (TJA) practices have been dramatically impacted by the COVID-19 pandemic. To date, no study has assessed trends in patient perceptions regarding the safety of elective TJA. Methods: A single-institution, prospective cohort study was conducted between May 11th and...

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Autores principales:	Xiao T. Chen, MD, Brian C. Chung, BS, Ian A. Jones, BA, Alexander B. Christ, MD, Daniel A. Oakes, MD, Paul K. Gilbert, MD, Donald B. Longjohn, MD, Jay R. Lieberman, MD, Nathanael D. Heckmann, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	COVID-19 Coronavirus Hip Knee THA TKA Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/bb2dea045d7a41f188ea8803bc9aa663
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spelling	oai:doaj.org-article:bb2dea045d7a41f188ea8803bc9aa6632021-11-14T04:33:54ZPatient Perception Regarding the Safety of Elective Joint Arthroplasty Surgery During the COVID-19 Pandemic2352-344110.1016/j.artd.2021.07.015https://doaj.org/article/bb2dea045d7a41f188ea8803bc9aa6632021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352344121001345https://doaj.org/toc/2352-3441Background: Total joint arthroplasty (TJA) practices have been dramatically impacted by the COVID-19 pandemic. To date, no study has assessed trends in patient perceptions regarding the safety of elective TJA. Methods: A single-institution, prospective cohort study was conducted between May 11th and August 10th, 2020. All patients who underwent elective hip and knee arthroplasty were contacted via telephone or emailed surveys. Two-hundred and thirty-five consecutive patients were screened, and 158 agreed to participate. The average age was 65.9 ± 11.5 years, with 51.0% of patients being female. The percentage of participants who underwent total knee, total hip, and unicompartmental knee arthroplasty was 41.4%, 37.6%, and 21.0%, respectively. Survey components assessed demographic data, level of concern and specific concerns about the pandemic, and factors increasing patient comfort in proceeding with surgery. Results: Older age (P = .029) and female sex (P = .004) independently predicted higher concern on multivariate analysis. Race (P = .343), surgical site (knee vs hip, P = .58), and procedure type (primary vs revision, P = .26) were not significantly related to degree of concern. Most participants (71.5%) disagreed that the pandemic would negatively affect the outcome of their surgery. Patient concern mirrored statewide COVID-19 cases and deaths, rather than local municipal trends. The most cited reassuring factors were preoperative COVID-19 testing, personal protective equipment usage by hospital staff, and surgeon support. Conclusions: Patient concern regarding the safety of elective TJA may follow broader policy-level events rather than local trends. Surgeons should note that universal preoperative COVID-19 testing, adequate personal protective equipment, and surgeon support were reassuring to patients. Level of Evidence: Level IV Therapeutic.Xiao T. Chen, MDBrian C. Chung, BSIan A. Jones, BAAlexander B. Christ, MDDaniel A. Oakes, MDPaul K. Gilbert, MDDonald B. Longjohn, MDJay R. Lieberman, MDNathanael D. Heckmann, MDElsevierarticleCOVID-19CoronavirusHipKneeTHATKAOrthopedic surgeryRD701-811ENArthroplasty Today, Vol 11, Iss , Pp 113-121 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 Coronavirus Hip Knee THA TKA Orthopedic surgery RD701-811
spellingShingle	COVID-19 Coronavirus Hip Knee THA TKA Orthopedic surgery RD701-811 Xiao T. Chen, MD Brian C. Chung, BS Ian A. Jones, BA Alexander B. Christ, MD Daniel A. Oakes, MD Paul K. Gilbert, MD Donald B. Longjohn, MD Jay R. Lieberman, MD Nathanael D. Heckmann, MD Patient Perception Regarding the Safety of Elective Joint Arthroplasty Surgery During the COVID-19 Pandemic
description	Background: Total joint arthroplasty (TJA) practices have been dramatically impacted by the COVID-19 pandemic. To date, no study has assessed trends in patient perceptions regarding the safety of elective TJA. Methods: A single-institution, prospective cohort study was conducted between May 11th and August 10th, 2020. All patients who underwent elective hip and knee arthroplasty were contacted via telephone or emailed surveys. Two-hundred and thirty-five consecutive patients were screened, and 158 agreed to participate. The average age was 65.9 ± 11.5 years, with 51.0% of patients being female. The percentage of participants who underwent total knee, total hip, and unicompartmental knee arthroplasty was 41.4%, 37.6%, and 21.0%, respectively. Survey components assessed demographic data, level of concern and specific concerns about the pandemic, and factors increasing patient comfort in proceeding with surgery. Results: Older age (P = .029) and female sex (P = .004) independently predicted higher concern on multivariate analysis. Race (P = .343), surgical site (knee vs hip, P = .58), and procedure type (primary vs revision, P = .26) were not significantly related to degree of concern. Most participants (71.5%) disagreed that the pandemic would negatively affect the outcome of their surgery. Patient concern mirrored statewide COVID-19 cases and deaths, rather than local municipal trends. The most cited reassuring factors were preoperative COVID-19 testing, personal protective equipment usage by hospital staff, and surgeon support. Conclusions: Patient concern regarding the safety of elective TJA may follow broader policy-level events rather than local trends. Surgeons should note that universal preoperative COVID-19 testing, adequate personal protective equipment, and surgeon support were reassuring to patients. Level of Evidence: Level IV Therapeutic.
format	article
author	Xiao T. Chen, MD Brian C. Chung, BS Ian A. Jones, BA Alexander B. Christ, MD Daniel A. Oakes, MD Paul K. Gilbert, MD Donald B. Longjohn, MD Jay R. Lieberman, MD Nathanael D. Heckmann, MD
author_facet	Xiao T. Chen, MD Brian C. Chung, BS Ian A. Jones, BA Alexander B. Christ, MD Daniel A. Oakes, MD Paul K. Gilbert, MD Donald B. Longjohn, MD Jay R. Lieberman, MD Nathanael D. Heckmann, MD
author_sort	Xiao T. Chen, MD
title	Patient Perception Regarding the Safety of Elective Joint Arthroplasty Surgery During the COVID-19 Pandemic
title_short	Patient Perception Regarding the Safety of Elective Joint Arthroplasty Surgery During the COVID-19 Pandemic
title_full	Patient Perception Regarding the Safety of Elective Joint Arthroplasty Surgery During the COVID-19 Pandemic
title_fullStr	Patient Perception Regarding the Safety of Elective Joint Arthroplasty Surgery During the COVID-19 Pandemic
title_full_unstemmed	Patient Perception Regarding the Safety of Elective Joint Arthroplasty Surgery During the COVID-19 Pandemic
title_sort	patient perception regarding the safety of elective joint arthroplasty surgery during the covid-19 pandemic
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/bb2dea045d7a41f188ea8803bc9aa663
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Patient Perception Regarding the Safety of Elective Joint Arthroplasty Surgery During the COVID-19 Pandemic

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