The impact of the COVID-19 pandemic on hip and knee arthroplasty: A systematic review

Authors

  • Krisna Yuarno Phatama Orthopaedics and Traumatology Department, Faculty of Medicine, Universitas Brawijaya-Saiful Anwar General Hospital, Malang, East Java, Indonesia https://orcid.org/0000-0003-1050-7561
  • I Gusti Ngurah Arga Aldrian Oktafandi Orthopaedics and Traumatology Department, Faculty of Medicine, Universitas Brawijaya-Saiful Anwar General Hospital, Malang, East Java, Indonesia https://orcid.org/0000-0003-1262-987X
  • Felix Cendikiawan Orthopaedics and Traumatology Department, Faculty of Medicine, Universitas Brawijaya-Saiful Anwar General Hospital, Malang, East Java, Indonesia https://orcid.org/0000-0001-9428-4574
  • Edi Mustamsir Orthopaedics and Traumatology Department, Faculty of Medicine, Universitas Brawijaya-Saiful Anwar General Hospital, Malang, East Java, Indonesia https://orcid.org/0000-0002-8914-6166

DOI:

https://doi.org/10.46355/hipknee.v2i1.68

Keywords:

COVID-19, Hip arthroplasty, Knee arthroplasty, Surgeons, Impact

Abstract

Background: In order to ameliorate the burden the coronavirus disease 2019 (COVID-19) pandemic had on the medical resources, and to ensure the safety of orthopaedic patients and medical personnel, some hip and knee arthroplasties, as forms of elective surgeries, were suggested to be canceled or postponed. This review aims to analyze the available literature on the impact of COVID-19 pandemic on all areas surrounding hip and knee arthroplasty service. Materials and Methods: A systematic literature search was conducted in five databases from July 5th to 10th, 2020. We included studies that assessed any impacts the COVID-19 pandemic had on the patients who require hip or knee arthroplasty, hip and knee surgeons, and any other areas that are related to hip and knee arthroplasty service. We excluded studies that do not report complete clinical results, reviews, editorials, and letters.Results: After the screening, a total of nine articles were selected. Two studies evaluated the impact of COVID-19 on the hip and knee arthroplasty patients, one study on public interest in hip and knee arthroplasty, three studies on the hip and knee arthroplasty surgeons, two studies on surgical volume, and one study on industry partners. Of 360 surveyed patients, 60% felt anxious about the uncertainty of the rescheduled arthroplasty. Of 1770 surveyed surgeons, 61.9%, 54.7%, and 20.9% of them reported canceled elective inpatient procedures, outpatient procedures, and all types of surgeries, respectively.Conclusions: COVID-19 pandemic had some impacts on the patients, public interest, surgeons, industry partners, and hip and knee arthroplasty volume.

References

Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun [Internet]. 2020 May;109:102433. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0896841120300469

Livingston E, Bucher K, Rekito A. Coronavirus Disease 2019 and Influenza 2019-2020. JAMA [Internet]. 2020 Mar 24;323(12):1122. Available from: https://jamanetwork.com/journals/jama/fullarticle/2762386

American College of Surgeons. COVID-19: Recommendations for Management of Elective Surgical Procedures [Internet]. 2020 Mar [cited 2020 May 25]. Available from: https://www.facs.org/-/media/files/covid19/recommendations_for_management_of_elective_surgical_procedures.ashx

American Academy of Orthopaedic Surgeons. AAOS Guidelines for Elective Surgery - American Academy of Orthopaedic Surgeons [Internet]. 2020 [cited 2020 May 24]. Available from: https://www.aaos.org/about/covid-19-information-for-our-members/aaos-guidelines-for-elective-surgery/

Sloan M, Premkumar A, Sheth NP. Projected Volume of Primary Total Joint Arthroplasty in the U.S., 2014 to 2030. J Bone Jt Surg [Internet]. 2018 Sep;100(17):1455–60. Available from: http://journals.lww.com/10.2106/JBJS.17.01617

Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med [Internet]. 2009 Jul 21;6(7):e1000097. Available from: https://dx.plos.org/10.1371/journal.pmed.1000097

Jella TK, Samuel LT, Acuña AJ, Emara AK, Kamath AF. Rapid Decline in Online Search Queries for Hip and Knee Arthroplasties Concurrent With the COVID-19 Pandemic. J Arthroplasty [Internet]. 2020 May; Available from: https://linkinghub.elsevier.com/retrieve/pii/S088354032030591X

D’Apolito R, Faraldi M, Ottaiano I, Zagra L. Disruption of Arthroplasty Practice in an Orthopedic Center in Northern Italy During the Coronavirus Disease 2019 Pandemic. J Arthroplasty [Internet]. 2020 Jul;35(7):S6–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0883540320304447

Bedard NA, Elkins JM, Brown TS. Effect of COVID-19 on Hip and Knee Arthroplasty Surgical Volume in the United States. J Arthroplasty [Internet]. 2020 Jul;35(7):S45–8. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0883540320304484

Brown TS, Bedard NA, Rojas EO, Anthony CA, Schwarzkopf R, Barnes CL, et al. The Effect of the COVID-19 Pandemic on Electively Scheduled Hip and Knee Arthroplasty Patients in the United States. J Arthroplasty [Internet]. 2020 Jul;35(7):S49–55. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0883540320304393

Endstrasser F, Braito M, Linser M, Spicher A, Wagner M, Brunner A. The negative impact of the COVID-19 lockdown on pain and physical function in patients with end-stage hip or knee osteoarthritis. Knee Surgery, Sport Traumatol Arthrosc [Internet]. 2020 Jun 18; Available from: http://link.springer.com/10.1007/s00167-020-06104-3

Thaler M, Khosravi I, Hirschmann MT, Kort NP, Zagra L, Epinette JA, et al. Disruption of joint arthroplasty services in Europe during the COVID-19 pandemic: an online survey within the European Hip Society (EHS) and the European Knee Associates (EKA). Knee Surgery, Sport Traumatol Arthrosc [Internet]. 2020 Jun 2;28(6):1712–9. Available from: http://link.springer.com/10.1007/s00167-020-06033-1

Athey AG, Cao L, Okazaki K, Zagra L, Castelli CC, Kendoff DO, et al. Survey of AAHKS International Members on the Impact of COVID-19 on Hip and Knee Arthroplasty Practices. J Arthroplasty [Internet]. 2020 Jul;35(7):S89–94. Available from: https://linkinghub.elsevier.com/retrieve/pii/S088354032030440X

Liebensteiner MC, Khosravi I, Hirschmann MT, Heuberer PR, Thaler M. Massive cutback in orthopaedic healthcare services due to the COVID-19 pandemic. Knee Surgery, Sport Traumatol Arthrosc [Internet]. 2020 Jun 30;28(6):1705–11. Available from: http://link.springer.com/10.1007/s00167-020-06032-2

Warth LC, Noiseux NO, Duncan ST, Daines SB, Mahoney CR. How Has COVID-19 Affected Our Orthopedic Implant Industry Partners? Implications for the Surgeon-Industry Relationship in 2020 and Beyond. J Arthroplasty [Internet]. 2020 Jul;35(7):S56-S59.e10. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0883540320304514

Kurtz SM, Ong KL, Lau E, Bozic KJ. Impact of the Economic Downturn on Total Joint Replacement Demand in the United States. J Bone Jt Surgery-American Vol [Internet]. 2014 Apr;96(8):624–30. Available from: http://journals.lww.com/00004623-201404160-00002

Lübbeke A, Silman AJ, Barea C, Prieto-Alhambra D, Carr AJ. Mapping existing hip and knee replacement registries in Europe. Health Policy (New York) [Internet]. 2018 May;122(5):548–57. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0168851018300629

Clement ND, Bardgett M, Weir D, Holland J, Gerrand C, Deehan DJ. What is the Minimum Clinically Important Difference for the WOMAC Index After TKA? Clin Orthop Relat Res [Internet]. 2018 Oct;476(10):2005–14. Available from: http://journals.lww.com/00003086-201810000-00023

Kraus VB, Sprow K, Powell KE, Buchner D, Bloodgood B, Piercy K, et al. Effects of Physical Activity in Knee and Hip Osteoarthritis. Med Sci Sport Exerc [Internet]. 2019 Jun;51(6):1324–39. Available from: http://journals.lww.com/00005768-201906000-00027

Morcos MW, Teeter MG, Somerville LE, Lanting B. Correlation between hip osteoarthritis and the level of physical activity as measured by wearable technology and patient-reported questionnaires. J Orthop [Internet]. 2020 Jul;20:236–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0972978X1930618X

Ahmed MZ, Ahmed O, Aibao Z, Hanbin S, Siyu L, Ahmad A. Epidemic of COVID-19 in China and associated Psychological Problems. Asian J Psychiatr [Internet]. 2020 Jun;51:102092. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1876201820302033

O’Connor CM, Anoushiravani AA, DiCaprio MR, Healy WL, Iorio R. Economic Recovery After the COVID-19 Pandemic: Resuming Elective Orthopedic Surgery and Total Joint Arthroplasty. J Arthroplasty [Internet]. 2020 Jul;35(7):S32–6. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0883540320304253

Oikonomou N, Tountas Y. The Greek economic crisis: a primary health-care perspective. Lancet [Internet]. 2011 Jan;377(9759):28–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0140673610623367

Angelico R, Trapani S, Manzia TM, Lombardini L, Tisone G, Cardillo M. The COVIDâ€19 outbreak in Italy: Initial implications for organ transplantation programs. Am J Transplant [Internet]. 2020 Jul 17;20(7):1780–4. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/ajt.15904

Connor MJ, Winkler M, Miah S. COVID-19 pandemic - is virtual urology clinic the answer to keeping the cancer pathway moving? BJU Int [Internet]. 2020 Apr 24; Available from: http://doi.wiley.com/10.1111/bju.15061

Lisi G, Campanelli M, Spoletini D, Carlini M. The possible impact of COVIDâ€19 on colorectal surgery in Italy. Color Dis [Internet]. 2020 Jun 20;22(6):641–2. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/codi.15054

Anoushiravani AA, O’Connor CM, DiCaprio MR, Iorio R. Economic Impacts of the COVID-19 Crisis. J Bone Jt Surg [Internet]. 2020 Jun 3;102(11):937–41. Available from: https://journals.lww.com/10.2106/JBJS.20.00557

Guo X, Wang J, Hu D, Wu L, Gu L, Wang Y, et al. Survey of COVID-19 Disease Among Orthopaedic Surgeons in Wuhan, People’s Republic of China. J Bone Jt Surg [Internet]. 2020 May;102(10):847–54. Available from: http://journals.lww.com/10.2106/JBJS.20.00417

Centers for Medicare & Medicaid Services. Non-Emergent, Elective Medical Services, and Treatment Recommendations [Internet]. 2020 Apr [cited 2020 May 25]. Available from: https://www.cms.gov/files/document/cms-non-emergent-elective-medical-recommendations.pdf

Downloads

Published

2021-02-20

How to Cite

Phatama, K. Y., Oktafandi, I. G. N. A. A., Cendikiawan, F., & Mustamsir, E. (2021). The impact of the COVID-19 pandemic on hip and knee arthroplasty: A systematic review. The Hip and Knee Journal, 2(1), 40–49. https://doi.org/10.46355/hipknee.v2i1.68

Issue

Vol. 2 No. 1 (2021): February

Section

Research Articles

License

License and Copyright Agreement

In submitting the manuscript to the journal, the authors certify that:

  • They are authorized by their co-authors to enter into these arrangements.
  • That it is not under consideration for publication elsewhere,
  • That its publication has been approved by all the author(s) and by the responsible authorities – tacitly or explicitly – of the institutes where the work has been carried out.
  • They secure the right to reproduce any material that has already been published or copyrighted elsewhere.
  • They agree to the following license and copyright agreement.

Copyright

Authors who publish with The Hip & Knee Journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.