Araştırma Makalesi
How Has the COVID-19 Pandemic Revised the Daily Practices of Orthopedics and Traumatology Physicians in Turkey?
Öz
Aim
The rapid spread of COVID-19 infection around the world has integrated some precautions and restrictions. In this new period, disruptions and re-prioritizations were experienced in medical practices. The aim of this study is to reveal the changes in the outpatient clinics and surgical services in the practice of Orthopedics and Traumatology in Turkey from the perspective of both residents and specialist physicians with a survey study.
Materials and Methods
In order to evaluate the changes, a survey was prepared which had consisted 42 and 45 questions for residents and specialist working in Turkey, respectively. The survey was published online between December 6, 2020 and January 31, 2021. Data analysis were performed by dividing into 4 subgroups: 1) Demographic information, 2) Changes in internal tasking and working conditions, 3) Variety of services provided and changes in patient applications, 4) Changes in the health care delivery process.
Results
From all over Turkey 62 residents and 230 specialists participated in the survey. 80.4% (185) of the specialists participating in the study and 96.8% (60) of the residents were working in the pandemic hospital. During the pandemic, it was determined that the working hours of physicians were reduced by almost half, and also there was a decrease in the variety and quantity of elective cases. Furthermore, it was observed that the number of applications to emergency services and outpatients clinics decreased during this period. In addition to increased neglected trauma cases, increment of treatment rejection rates are among the observed results.
Conclusion
During the pandemic period, it is observed that there are significant disruptions in orthopedics and traumatology health care delivery and training processes. In the light of experiences, it is crucial to prepare health service action plans for other possible pandemic situations or new waves of COVID-19 due to mutations.
Anahtar Kelimeler
Kaynakça
- 1- Awad ME, Rumley JCL, Vazquez JA, Devine JG. Perioperative Considerations in Urgent Surgical Care of Suspected and Confirmed COVID-19 Orthopaedic Patients: Operating Room Protocols and Recommendations in the Current COVID-19 Pandemic. J Am Acad Orthop Surg. 2020;28(11):451-463. doi:10.5435/JAAOS-D-20-00227
- 2- Rajan N, Joshi GP. COVID-19: Role of Ambulatory Surgery Facilities in This Global Pandemic. Anesth Analg. 2020;131(1):31-36. doi:10.1213/ANE.0000000000004847
- 3- Randelli PS, Compagnoni R. Management of orthopaedic and traumatology patients during the Coronavirus disease (COVID-19) pandemic in northern Italy. Knee Surg Sports Traumatol Arthrosc. 2020;28(6):1683-1689. doi:10.1007/s00167-020-06023-3
- 4- Spina S, Marrazzo F, Migliari M, Stucchi R, Sforza A, Fumagalli R. The response of Milan's Emergency Medical System to the COVID-19 outbreak in Italy. Lancet. 2020;395(10227):e49-e50. doi:10.1016/S0140-6736(20)30493-1
- 5- Tabrizi A, Afshar A. The COVID-19 Outbreak: An Experience for Iranian Health Systems and Orthopedics Association. Arch Iran Med. 2020;23(8):570-571. Published 2020 Aug 1. doi:10.34172/aim.2020.63
- 6- Zhang J, Yam M, Chua IT. Adapting to the "New Normal" in Orthopaedic Trauma During COVID-19. Ann Acad Med Singap. 2020;49(8):611-615.
- 7- Randau TM, Jaenisch M, Haffer H, et al. Collateral effect of COVID-19 on orthopedic and trauma surgery. PLoS One. 2020;15(9):e0238759. Published 2020 Sep 8. doi:10.1371/journal.pone.0238759
- 8- García de Cortázar Antolín U, Arrieta Salinas M, Escobar Sánchez D, Caba Doussoux P. Encuesta acerca del impacto de la COVID-19 en los servicios de Cirugía Ortopédica y Traumatología de España [Survey about the impact of COVID-19 on the traumatology and orthopedic surgery departments in Spain]. J Healthc Qual Res. 2021;36(5):253-262. doi:10.1016/j.jhqr.2021.06.002
- 9- Ranuccio F, Tarducci L, Familiari F, Mastroianni V, Giuzio E. Disruptive Effect of COVID-19 on Orthopaedic Daily Practice: A Cross-Sectional Survey. J Bone Joint Surg Am. 2020;102(14):e77. doi:10.2106/JBJS.20.00604
- 10- Dolci A, Marongiu G, Leinardi L, Lombardo M, Dessì G, Capone A. The Epidemiology of Fractures and Muskulo-Skeletal Traumas During COVID-19 Lockdown: A Detailed Survey of 17.591 Patients in a Wide Italian Metropolitan Area. Geriatr Orthop Surg Rehabil. 2020;11:2151459320972673. Published 2020 Nov 11. doi:10.1177/2151459320972673
- 11- Jain VK, Upadhyaya GK, Iyengar KP, Patralekh MK, Lal H, Vaishya R. Impact of COVID-19 on Clinical Practices during Lockdown: A pan India Survey of Orthopaedic Surgeons. Malays Orthop J. 2021;15(1):55-62. doi:10.5704/MOJ.2103.009
- 12- Liebensteiner MC, Khosravi I, Hirschmann MT, Heuberer PR; Board of the AGA-Society of Arthroscopy and Joint-Surgery, Thaler M. Massive cutback in orthopaedic healthcare services due to the COVID-19 pandemic. Knee Surg Sports Traumatol Arthrosc. 2020;28(6):1705-1711. doi:10.1007/s00167-020-06032-2
- 13- Thaler M, Khosravi I, Hirschmann MT, 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 Surg Sports Traumatol Arthrosc. 2020;28(6):1712-1719. doi:10.1007/s00167-020-06033-1
- 14- 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. doi:10.5152/j.aott.2020.20209
- 15- Brown TS, Bedard NA, Rojas EO, et al. The Effect of the COVID-19 Pandemic on Electively Scheduled Hip and Knee Arthroplasty Patients in the United States. J Arthroplasty. 2020;35(7S):S49-S55. doi:10.1016/j.arth.2020.04.052
Yıl 2022,
Cilt: 13 Sayı: 4, 520 - 527, 01.10.2022
Öz
Kaynakça
- 1- Awad ME, Rumley JCL, Vazquez JA, Devine JG. Perioperative Considerations in Urgent Surgical Care of Suspected and Confirmed COVID-19 Orthopaedic Patients: Operating Room Protocols and Recommendations in the Current COVID-19 Pandemic. J Am Acad Orthop Surg. 2020;28(11):451-463. doi:10.5435/JAAOS-D-20-00227
- 2- Rajan N, Joshi GP. COVID-19: Role of Ambulatory Surgery Facilities in This Global Pandemic. Anesth Analg. 2020;131(1):31-36. doi:10.1213/ANE.0000000000004847
- 3- Randelli PS, Compagnoni R. Management of orthopaedic and traumatology patients during the Coronavirus disease (COVID-19) pandemic in northern Italy. Knee Surg Sports Traumatol Arthrosc. 2020;28(6):1683-1689. doi:10.1007/s00167-020-06023-3
- 4- Spina S, Marrazzo F, Migliari M, Stucchi R, Sforza A, Fumagalli R. The response of Milan's Emergency Medical System to the COVID-19 outbreak in Italy. Lancet. 2020;395(10227):e49-e50. doi:10.1016/S0140-6736(20)30493-1
- 5- Tabrizi A, Afshar A. The COVID-19 Outbreak: An Experience for Iranian Health Systems and Orthopedics Association. Arch Iran Med. 2020;23(8):570-571. Published 2020 Aug 1. doi:10.34172/aim.2020.63
- 6- Zhang J, Yam M, Chua IT. Adapting to the "New Normal" in Orthopaedic Trauma During COVID-19. Ann Acad Med Singap. 2020;49(8):611-615.
- 7- Randau TM, Jaenisch M, Haffer H, et al. Collateral effect of COVID-19 on orthopedic and trauma surgery. PLoS One. 2020;15(9):e0238759. Published 2020 Sep 8. doi:10.1371/journal.pone.0238759
- 8- García de Cortázar Antolín U, Arrieta Salinas M, Escobar Sánchez D, Caba Doussoux P. Encuesta acerca del impacto de la COVID-19 en los servicios de Cirugía Ortopédica y Traumatología de España [Survey about the impact of COVID-19 on the traumatology and orthopedic surgery departments in Spain]. J Healthc Qual Res. 2021;36(5):253-262. doi:10.1016/j.jhqr.2021.06.002
- 9- Ranuccio F, Tarducci L, Familiari F, Mastroianni V, Giuzio E. Disruptive Effect of COVID-19 on Orthopaedic Daily Practice: A Cross-Sectional Survey. J Bone Joint Surg Am. 2020;102(14):e77. doi:10.2106/JBJS.20.00604
- 10- Dolci A, Marongiu G, Leinardi L, Lombardo M, Dessì G, Capone A. The Epidemiology of Fractures and Muskulo-Skeletal Traumas During COVID-19 Lockdown: A Detailed Survey of 17.591 Patients in a Wide Italian Metropolitan Area. Geriatr Orthop Surg Rehabil. 2020;11:2151459320972673. Published 2020 Nov 11. doi:10.1177/2151459320972673
- 11- Jain VK, Upadhyaya GK, Iyengar KP, Patralekh MK, Lal H, Vaishya R. Impact of COVID-19 on Clinical Practices during Lockdown: A pan India Survey of Orthopaedic Surgeons. Malays Orthop J. 2021;15(1):55-62. doi:10.5704/MOJ.2103.009
- 12- Liebensteiner MC, Khosravi I, Hirschmann MT, Heuberer PR; Board of the AGA-Society of Arthroscopy and Joint-Surgery, Thaler M. Massive cutback in orthopaedic healthcare services due to the COVID-19 pandemic. Knee Surg Sports Traumatol Arthrosc. 2020;28(6):1705-1711. doi:10.1007/s00167-020-06032-2
- 13- Thaler M, Khosravi I, Hirschmann MT, 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 Surg Sports Traumatol Arthrosc. 2020;28(6):1712-1719. doi:10.1007/s00167-020-06033-1
- 14- 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. doi:10.5152/j.aott.2020.20209
- 15- Brown TS, Bedard NA, Rojas EO, et al. The Effect of the COVID-19 Pandemic on Electively Scheduled Hip and Knee Arthroplasty Patients in the United States. J Arthroplasty. 2020;35(7S):S49-S55. doi:10.1016/j.arth.2020.04.052
Toplam 15 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Ortopedi |
| Bölüm | Research Article |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ekim 2022 |
| Gönderilme Tarihi | 20 Mayıs 2022 |
| Yayımlandığı Sayı | Yıl 2022Cilt: 13 Sayı: 4 |
