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Restarting elective orthopaedic surgery as COVID-19 lockdown restrictions are reduced : have patient perceptions

Warran Wignadasan1, Abdulrahman Mohamed1, Babar Kayani2

  • 1Department of Trauma and Orthopaedic Surgery, University College London Hospitals NHS Foundation Trust, London, UK.

Bone & Joint Open
|October 20, 2021
PubMed

Insights

Patient willingness to undergo elective orthopaedic surgery has increased significantly since the first COVID-19 wave. This shift in perception allows for the resumption of essential hip and knee procedures.

Area of Science:

  • Orthopaedic Surgery
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic significantly disrupted elective orthopaedic services worldwide.
  • Initial studies indicated patient hesitancy towards lower limb procedures during the first pandemic peak.

Purpose of the Study:

  • To evaluate changes in patient perception regarding elective orthopaedic surgery after the second wave of the COVID-19 pandemic.
  • To determine if patients are more willing to proceed with scheduled hip or knee surgeries.

Main Methods:

  • A prospective study involving 100 patients on the waiting list for elective hip or knee surgery.
  • Data collected included patient demographics, American Society of Anesthesiologists (ASA) grade, and COVID-19 risk.
  • The primary outcome was patient consent to proceed with surgery, with subgroup analyses performed.

Main Results:

  • 88% of patients consented to proceed with their scheduled orthopaedic procedure.
  • Patients with lower ASA grades (I and II) showed higher willingness to undergo surgery compared to ASA grade III.
  • Patients waitlisted for injections exhibited the lowest consent rate (73.7%).

Conclusions:

  • Patient willingness to undergo elective orthopaedic surgery has notably increased post-second COVID-19 wave.
  • This suggests a positive shift in patient perception towards resuming elective procedures.
  • Continued strict COVID-19 precautions are essential as elective orthopaedic services expand.
Abstract

Keywords:
COVID-19Patient perception to surgeryRestarting elective surgerySurgical waiting list

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