Research Article
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Did We Do It Right? The Effect of Postponing Elective Orthopedic Surgeries Due to the Pandemic on the Quality of Life

Year 2022, Volume 13, Issue 3, 345 - 351, 01.07.2022
https://doi.org/10.31067/acusaglik.1066881

Abstract

Objective: To investigate the effect of the postponement of elective surgeries on the quality of life of the patients and to examine the post-operative COVID-19 rates of patients who underwent elective surgery and investigate the associated risk factors. Methods: In this retrospective study, 187 patients who underwent elective surgery between June and July 2020 and between January and May 2021 were examined. Age, gender, occupation, comorbidity, time of surgical delay, type of surgery, hospitalization, and follow-up periods were recorded. Surgeries were categorized under four headings; knee arthroscopy, arthroplasty, rotator cuff repair/impingement, and minor surgery. To examine the quality of life of all operated patients, a validated Turkish version of EQ-5D-3L was used. All patients were questioned on phone to identify the risk factors for transmission. Statistical analyzes were performed using SPSS 26.0 version. Results: Among the 187 patients evaluated in the study, 40 patients (21.4%) were diagnosed nCOV-19 during the postoperative period. Regardless of the type of surgery performed, mobility, pain/discomfort, and anxiety/depression scores were increased significantly postoperatively (p<0.05 for each). A significant relationship was found between younger age, surgery type, shorter hospitalization period, a greater number of visits to the outpatient clinic, longer follow-up period, history of nCOV-19 preoperatively, diagnosis of nCOV-19 among relatives, and the diagnosis of nCOV-19 after surgery (p<0.05 for each). Conclusion: By taking all possible precautions and avoiding identifiable risk factors, thus eliminating the risk of COVID-19 transmission as much as possible and then performing elective surgeries will significantly increase the quality of life of the patients.

References

  • 1. Gencer B, Doğan Ö. Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey. J Exp Clin Med 2022; 39(1): 128-133.
  • 2. Yavuz İA, Kahve Y, Aydin T, Gencer B, Bingöl O, Yıldırım AÖ. Comparison of the first and second waves of the COVID-19 pandemic with a normal period in terms of orthopaedic trauma: Data from a level 1 trauma centre. Acta Orthop Traumatol Turc 2021; 55(5): 391-395.
  • 3. Turgut A, Arlı H, Altundağ Ü, Hancıoğlu S, Egeli E, Kalenderer Ö. Effect of COVID-19 pandemic on the fracture demographics: Data from a tertiary care hospital in Turkey. Acta Orthop Traumatol Turc 2020; 54(4): 355-363.
  • 4. Acar AC, Er AG, Burduroğlu HC, Sülkü SN, Son YA, Akin L, et al. Projecting the course of COVID-19 in Turkey: A probabilistic modeling approach. Turk J Med Sci 2021; 51(1): 16-27.
  • 5. Ojeda-Thies C, Cuarental-García J, García-Gómez E, Salazar-Zamorano CH, Alberti-Maroño J, Ramos-Pascua LR. Hip fracture care and mortality among patients treated in dedicated COVID-19 and non-COVID-19 circuits. Eur Geriatr Med 2021; 12(4): 749-757.
  • 6. Farrow L, Gardner WT, Tang CC, Low R, Forget P, Ashcroft GP. Impact of COVID-19 on opioid use in those awaiting hip and knee arthroplasty: a retrospective cohort study. BMJ Qual Saf. 2021 Sep 14doi:10.1136/bmjqs-2021-013450. [Epub ahead-of-print]
  • 7. Clement ND, Scott CEH, Murray JRD, Howie CR, Deehan DJ; IMPACT-Restart Collaboration. The number of patients "worse than death" while waiting for a hip or knee arthroplasty has nearly doubled during the COVID-19 pandemic. Bone Joint J. 2021; 103-B(4): 672-680.
  • 8. Scott CEH, MacDonald DJ, Howie CR. “Worse than death” and waiting for a Joint arthroplasty. Bone Joint J 2019; 101-B(8): 941–950.
  • 9. Madanipour S, Al-Obaedi O, Ayub A, Iranpour F, Subramanian P. Resuming elective hip and knee arthroplasty in the COVID-19 era: a unique insight into patient risk aversion and sentiment. Ann R Coll Surg Engl 2021; 103(2): 104-109.
  • 10. Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001; 33(5): 337-343.
  • 11. Eser E, Dinç G, Cambaz S, Ozyurt B, Nesanır N, Şerifhan M. EURO-QoL (EQ-5D) Community standards and psychometric properties of the EQ-5D index: Sample of Manisa urban society. In: Eser E, Aydemir Ö, Pala T, editors. 2. Congress on Quality of Life in Health; 2007 April 5-7; Izmir, Türkiye; 2007. p 78.
  • 12. Clement ND, Hall AJ, Kader N, IMPACT Restart Collaboration, Ollivere B, Oussedik S, et al. The rate of COVID-19 and associated mortality after elective hip and knee arthroplasty prior to cessation of elective services in UK. Bone Joint J 2021; 103-B(4): 681-688.
  • 13. Wignadasan W, Mohamed A, Kayani B, Magan A, Plastow R, Haddad FS. Restarting elective orthopaedic surgery as COVID-19 lockdown restrictions are reduced: have patient perceptions towards surgery changed? Bone Jt Open 2021; 2(10): 865-870.
  • 14. Hampton M, Riley E, Garneti N, Anderson A, Wembridge K. The orthopaedic waiting list crisis: two sides of the story. Bone Jt Open 2021; 2(7): 530-534.
  • 15. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; 382: 727-733
  • 16. Yapp LZ, Clarke JV, Moran M, Simpson AHRW, Scott CEH. National operating volume for primary hip and knee arthroplasty in the COVID-19 era: a study utilizing the Scottish arthroplasty project dataset. Bone Jt Open 2021; 2(3): 203-210.
  • 17. West J, Everden S, Nikitas N. A case of COVID-19 reinfection in the UK. Clin Med (Lond). 2021; 21(1): e52-e53.
  • 18. Chang JS, Wignadasan W, Pradhan R, Kontoghiorghe C, Kayani B, Haddad FS. Elective orthopaedic surgery with a designated COVID-19-free pathway results in low perioperative viral transmission rates. Bone Jt Open 2020; 1(9): 562-567.
  • 19. Amstutz HC, Le Duff MJ. Effects of physical activity on long-term survivorship after metal-on-metal hip resurfacing arthroplasty: Is it safe to return to sports? Bone Joint J 2019; 101-B(10): 1186–1191.

Year 2022, Volume 13, Issue 3, 345 - 351, 01.07.2022
https://doi.org/10.31067/acusaglik.1066881

Abstract

References

  • 1. Gencer B, Doğan Ö. Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey. J Exp Clin Med 2022; 39(1): 128-133.
  • 2. Yavuz İA, Kahve Y, Aydin T, Gencer B, Bingöl O, Yıldırım AÖ. Comparison of the first and second waves of the COVID-19 pandemic with a normal period in terms of orthopaedic trauma: Data from a level 1 trauma centre. Acta Orthop Traumatol Turc 2021; 55(5): 391-395.
  • 3. Turgut A, Arlı H, Altundağ Ü, Hancıoğlu S, Egeli E, Kalenderer Ö. Effect of COVID-19 pandemic on the fracture demographics: Data from a tertiary care hospital in Turkey. Acta Orthop Traumatol Turc 2020; 54(4): 355-363.
  • 4. Acar AC, Er AG, Burduroğlu HC, Sülkü SN, Son YA, Akin L, et al. Projecting the course of COVID-19 in Turkey: A probabilistic modeling approach. Turk J Med Sci 2021; 51(1): 16-27.
  • 5. Ojeda-Thies C, Cuarental-García J, García-Gómez E, Salazar-Zamorano CH, Alberti-Maroño J, Ramos-Pascua LR. Hip fracture care and mortality among patients treated in dedicated COVID-19 and non-COVID-19 circuits. Eur Geriatr Med 2021; 12(4): 749-757.
  • 6. Farrow L, Gardner WT, Tang CC, Low R, Forget P, Ashcroft GP. Impact of COVID-19 on opioid use in those awaiting hip and knee arthroplasty: a retrospective cohort study. BMJ Qual Saf. 2021 Sep 14doi:10.1136/bmjqs-2021-013450. [Epub ahead-of-print]
  • 7. Clement ND, Scott CEH, Murray JRD, Howie CR, Deehan DJ; IMPACT-Restart Collaboration. The number of patients "worse than death" while waiting for a hip or knee arthroplasty has nearly doubled during the COVID-19 pandemic. Bone Joint J. 2021; 103-B(4): 672-680.
  • 8. Scott CEH, MacDonald DJ, Howie CR. “Worse than death” and waiting for a Joint arthroplasty. Bone Joint J 2019; 101-B(8): 941–950.
  • 9. Madanipour S, Al-Obaedi O, Ayub A, Iranpour F, Subramanian P. Resuming elective hip and knee arthroplasty in the COVID-19 era: a unique insight into patient risk aversion and sentiment. Ann R Coll Surg Engl 2021; 103(2): 104-109.
  • 10. Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001; 33(5): 337-343.
  • 11. Eser E, Dinç G, Cambaz S, Ozyurt B, Nesanır N, Şerifhan M. EURO-QoL (EQ-5D) Community standards and psychometric properties of the EQ-5D index: Sample of Manisa urban society. In: Eser E, Aydemir Ö, Pala T, editors. 2. Congress on Quality of Life in Health; 2007 April 5-7; Izmir, Türkiye; 2007. p 78.
  • 12. Clement ND, Hall AJ, Kader N, IMPACT Restart Collaboration, Ollivere B, Oussedik S, et al. The rate of COVID-19 and associated mortality after elective hip and knee arthroplasty prior to cessation of elective services in UK. Bone Joint J 2021; 103-B(4): 681-688.
  • 13. Wignadasan W, Mohamed A, Kayani B, Magan A, Plastow R, Haddad FS. Restarting elective orthopaedic surgery as COVID-19 lockdown restrictions are reduced: have patient perceptions towards surgery changed? Bone Jt Open 2021; 2(10): 865-870.
  • 14. Hampton M, Riley E, Garneti N, Anderson A, Wembridge K. The orthopaedic waiting list crisis: two sides of the story. Bone Jt Open 2021; 2(7): 530-534.
  • 15. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; 382: 727-733
  • 16. Yapp LZ, Clarke JV, Moran M, Simpson AHRW, Scott CEH. National operating volume for primary hip and knee arthroplasty in the COVID-19 era: a study utilizing the Scottish arthroplasty project dataset. Bone Jt Open 2021; 2(3): 203-210.
  • 17. West J, Everden S, Nikitas N. A case of COVID-19 reinfection in the UK. Clin Med (Lond). 2021; 21(1): e52-e53.
  • 18. Chang JS, Wignadasan W, Pradhan R, Kontoghiorghe C, Kayani B, Haddad FS. Elective orthopaedic surgery with a designated COVID-19-free pathway results in low perioperative viral transmission rates. Bone Jt Open 2020; 1(9): 562-567.
  • 19. Amstutz HC, Le Duff MJ. Effects of physical activity on long-term survivorship after metal-on-metal hip resurfacing arthroplasty: Is it safe to return to sports? Bone Joint J 2019; 101-B(10): 1186–1191.

Details

Primary Language English
Subjects Orthopedics
Journal Section Research Article
Authors

Batuhan GENCER> (Primary Author)
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI
0000-0003-0041-7378
Türkiye


Ahmet ÇULCU>
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI
0000-0003-1645-3410
Türkiye


Orhan MERT This is me
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI
0000-0001-6634-1797
Türkiye


Özgür DOĞAN>
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI
0000-0002-5913-0411
Türkiye

Publication Date July 1, 2022
Application Date February 2, 2022
Acceptance Date February 25, 2022
Published in Issue Year 2022, Volume 13, Issue 3

Cite

EndNote %0 Acıbadem Üniversitesi Sağlık Bilimleri Dergisi Did We Do It Right? The Effect of Postponing Elective Orthopedic Surgeries Due to the Pandemic on the Quality of Life %A Batuhan Gencer , Ahmet Çulcu , Orhan Mert , Özgür Doğan %T Did We Do It Right? The Effect of Postponing Elective Orthopedic Surgeries Due to the Pandemic on the Quality of Life %D 2022 %J Acıbadem Üniversitesi Sağlık Bilimleri Dergisi %P 1309-470X-1309-5994 %V 13 %N 3 %R doi: 10.31067/acusaglik.1066881 %U 10.31067/acusaglik.1066881