Arthroplasty During COVID-19: Surveillance of AAHKS Members in the First Year of the Pandemic

Stambough, Jeffrey B.; Deen, Justin T.; Walton, Sharon; Kerr, Joshua M.; Zarski, Michael J.; Yates, Adolph J.; Andrawis, John P.

doi:10.1016/j.artd.2020.12.029

Cited by 15 publications

(18 citation statements)

References 8 publications

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“…We previously reported a 94% reduction in total knee arthroplasty (TKA) volume and 92% reduction in total hip arthroplasty volume (THA) in the United States Medicare population as COVID-19 infections were initially spreading in March, 2020[ 1 ]. Similar findings were reported when the American Association of Hip and Knee Surgeons polled their membership with 92% of surgeons no longer performing elective arthroplasty surgery and 91% of surgeons reporting a significant decrease in surgical volumes by the end of March 2020 [ 2 ].…”

Section: Introductionsupporting

confidence: 70%

Worsening Arthroplasty Utilization With Widening Racial Variance During the COVID-19 Pandemic

Stronach

Zhang²,

Haas³

et al. 2022

The Journal of Arthroplasty

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Section: Introductionsupporting

confidence: 70%

Worsening Arthroplasty Utilization With Widening Racial Variance During the COVID-19 Pandemic

Stronach

Zhang²,

Haas³

et al. 2022

The Journal of Arthroplasty

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“…Health systems were faced with difficult decisions as to how to safely resume margin-producing elective orthopedic surgery in the midst of the pandemic. Many have suggested transitioning more joint arthroplasty procedures to the outpatient setting [4,9,10], but whether this actually has taken…”

Section: Discussionmentioning

confidence: 99%

COVID-19 as a Catalyst for Same-Day Discharge Total Shoulder Arthroplasty

Menendez

Keegan

Werner

et al. 2021

JCM

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The COVID-19 pandemic caused major disruptions to the healthcare system, but its impact on the transition to same-day discharge shoulder arthroplasty remains unexplored. This study assessed the effect of COVID-19 on length of stay (LOS), same-day discharge rates, and other markers of resource use after elective total shoulder arthroplasty. A total of 508 consecutive patients undergoing elective primary total shoulder arthroplasty between 2019 and 2021 were identified and divided into 2 cohorts: “pre-COVID” (March 2019–March 2020; n = 263) and “post-COVID” (May 2020–March 2021; n = 245). No elective shoulder arthroplasties were performed at our practice between 18 March and 11 May 2020. Outcome measures included LOS, same-day discharge, discharge location, and 90-day emergency department (ED) visits, readmissions and reoperations. There were no significant differences in baseline preoperative patient characteristics. Shoulder arthroplasty performed post-COVID was associated with a shorter LOS (12 vs. 16 h, p = 0.017) and a higher rate of same-day discharge (87.3 vs. 79.1%, p = 0.013). The rate of discharge to skilled nursing facilities was similarly low between the groups (1.9 vs. 2.0%, p = 0.915). There was a significant reduction in the rate of 90-day ED visits post-COVID (7.4 vs. 13.3%, p = 0.029), while there were no differences in 90-day reoperation (2.0 vs. 1.5%, p = 0.745) or readmission rates (1.2 vs. 1.9%, p = 0.724). The COVID-19 pandemic seems to have accelerated the shift towards shorter stays and more same-day discharge shoulder arthroplasties, while reducing unexpected acute health needs (e.g., ED visits) without adversely affecting readmission and reoperation rates.

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“…There were likely more than 22,500 primary and 2000 revision TJA cases not performed each week in April and May 2020 in the United States at the height of COVID-19 elective surgery restrictions. 7 No previous study, to our knowledge, has published the effects of revision TJA volume on their healthcare system based on volume and indications with comparison to primary TJA volume.…”

Section: Discussionmentioning

confidence: 99%

“…However, recent studies have shown that there were likely more than 22,500 primary and 2000 revision TJA cases not performed each week in April and May 2020 at the height of COVID-19 elective surgery restrictions in the US. 7 …”

Section: Introductionmentioning

confidence: 99%

The effect of the COVID-19 pandemic on revision total hip and knee arthroplasty at a large academic hospital network

Robinson

Greene

Katakam

et al. 2021

Journal of Orthopaedics

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Arthroplasty During COVID-19: Surveillance of AAHKS Members in the First Year of the Pandemic

Cited by 15 publications

References 8 publications

Worsening Arthroplasty Utilization With Widening Racial Variance During the COVID-19 Pandemic

Worsening Arthroplasty Utilization With Widening Racial Variance During the COVID-19 Pandemic

COVID-19 as a Catalyst for Same-Day Discharge Total Shoulder Arthroplasty

The effect of the COVID-19 pandemic on revision total hip and knee arthroplasty at a large academic hospital network

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