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IMPACT OF MEASURES TO FIGHT THE PANDEMIC COVID-19 ON KNEE ARTHROPLASTIES IN BRAZIL
André Miranda Pereira1, Fábio Favarato Scopel2, Saulo Gomes DE Oliveira2
1Hospital Santa Casa de Misericórdia de Vitória, Serviço de Ortopedia, Vitória, ES, Brazil.
Acta Ortopedica Brasileira
|September 12, 2022
Summary
COVID-19 measures significantly reduced total knee arthroplasty (TKA) procedures in Brazil by over 50% in 2020. Regional variations in TKA procedure declines were observed across the country.
Area of Science:
- Orthopedic Surgery
- Public Health Policy
- Epidemiology
Background:
- The COVID-19 pandemic necessitated public health measures impacting healthcare systems globally.
- Elective surgical procedures, such as total knee arthroplasty (TKA), may have been deferred or canceled due to these measures.
- Understanding the impact on TKA is crucial for healthcare planning and recovery.
Purpose of the Study:
- To evaluate the effect of COVID-19 response measures on the volume of total knee arthroplasty (TKA) procedures performed within Brazil's Unified Health System (SUS).
Main Methods:
- A cross-sectional study utilizing publicly available secondary data from the SUS Information and Informatics Department (DATASUS).
- Analysis focused on hospital admission data for TKA procedures in Brazil during 2020.
- Data was analyzed to determine average percentage decreases in TKA procedures nationally and by region.
Main Results:
- Brazil experienced an average decrease of 51.82% in TKA procedures performed by SUS in 2020 compared to previous periods.
- Significant regional variations were noted: Center-West (65.61% decrease), South (55.06%), North (51.81%), Southeast (49.38%), and Northeast (48.02%).
- Specific states like São Paulo, Minas Gerais, and Paraná in the Southeast showed substantial declines.
Conclusions:
- The COVID-19 pandemic and associated measures led to a considerable reduction in TKA procedures across Brazil.
- The impact varied regionally, highlighting disparities in healthcare system responses and patient access to elective surgeries.
- Further research is needed to assess long-term consequences and recovery strategies for orthopedic procedures.

