The Impact of the COVID-19 Pandemic on the Neck of the Femur and Hip Fracture Surgery Volumes in the Lazio Region

Mataloni, Francesca; Pinnarelli, Luigi; Colais, Paola; Savastano, Jacopo; Fusco, Danilo; Davoli, Marina

doi:10.3390/ijerph19084704

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…In Italy, both orthopaedic surgery and oncological procedures plunged during the first wave and throughout 2020 [4,15,16] and surgery for fractures of the neck of the femur and hip replacement were still lower than expected at the end of 2021 [17]. The results of this study confirm what previous data have shown and, by extending the follow-up to 2021, provides an up-todate picture of the mid-term effects of the COVID-19 pandemic on elective planned surgery.…”

Section: Interpretation and Comparison With Other Studiessupporting

confidence: 80%

Equity in the recovery of elective and oncological surgery volumes after the COVID-19 lockdown: a multicentre cohort study in Italy

Di Girolamo,

Onorati,

Landriscina

et al. 2024

Int J Equity Health

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Background The COVID-19 pandemic has had, and still has, a profound impact on national health systems, altering trajectories of care and exacerbating existing inequalities in health. Postponement of surgeries and cancellation of elective surgical procedures have been reported worldwide. In Italy, the lock-down measures following the COVID-19 pandemic caused cancellations of surgical procedures and important backlogs; little is known about potential social inequalities in the recovery process that occurred during the post-lockdown period. This study aims at evaluating whether all population social strata benefited equally from the surgical volumes’ recovery in four large Italian regions. Methods This multicentre cohort study covers a population of approximately 11 million people. To assess if social inequalities exist in the recovery of eight indicators of elective and oncological surgery, we estimated Risk Ratios (RR) through Poisson models, comparing the incidence proportions of events recorded during COVID-19 (2020-21) with those in pre-pandemic years (2018-19) for each pandemic period and educational level. Results Compared to 2018-19, volumes of elective surgery showed a U-shape with the most significant drops during the second wave or the vaccination phase. The recovery was socially unequal. At the end of 2021, incidence proportions among highly educated people generally exceeded the expected ones; RRs were 1.31 (95%CI 1.21–1.42), 1.24 (95%CI 1.17–1.23), 1.17 (95%CI 1.08–1.26) for knee and hip replacement and prostatic surgery, respectively. Among low educated patients, RR remained always < 1. Oncological surgery indicators showed a similar social gradient. Whereas volumes were preserved among the highly educated, the low educated were still lagging behind at the end of 2021. Conclusions Surgical procedures generally returned to pre-pandemic levels but the low educated experienced the slowest recovery. An equity-oriented appraisal of trends in healthcare provision should be included in pandemic preparedness plans, to ensure that social inequalities are promptly recognised and tackled.

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Section: Interpretation and Comparison With Other Studiessupporting

confidence: 80%

Equity in the recovery of elective and oncological surgery volumes after the COVID-19 lockdown: a multicentre cohort study in Italy

Di Girolamo,

Onorati,

Landriscina

et al. 2024

Int J Equity Health

View full text Add to dashboard Cite

show abstract

“…Curtailments were reported for oncological procedures too, with reductions spanning from 8% during the whole 2020 in the Netherlands to 4% during the second wave in Austria 13,14 . In Italy, both orthopaedic surgery and oncological procedures plunged during the rst wave and throughout 2020 4,15,16 and surgery for fractures of the neck of the femur and hip replacement were still lower than expected at the end of 2021 17 . The results of this study con rm what previous data have shown and, by extending the follow-up to 2021, provides an up-to-date picture of the mid-term effects of the COVID-19 pandemic on elective planned surgery.…”

Section: Interpretation and Comparison With Other Studiesmentioning

confidence: 97%

Equity in the recovery of elective and oncological surgery volumes after the COVID-19 lockdown: a multicentre cohort study in Italy

Chiara,

Roberta,

Tania

et al. 2023

Preprint

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Background: The COVID-19 pandemic has had, and still has, a profound impact on national health systems, altering trajectories of care and exacerbating existing disparities in health. Postponement of surgeries and cancellation of elective surgical procedures have been reported worldwide. In Italy, the lock-down measures following the COVID-19 pandemic caused cancellations of surgical procedures and important backlogs; little is known about potential social inequalities in the recovery process that occurred during the post-lockdown period. This study aims at evaluating whether all population social strata benefited equally from the surgical volumes’ recovery in four large Italian regions. Methods: This multicentre cohort study covers a population of approximately 11 million people. To assess if social inequalities exist in the recovery of eight indicators of elective and oncological surgery, we estimated Risk Ratios (RR) through Poisson models, comparing the incidence proportions of events recorded during COVID-19 (2020-21) with those in pre-pandemic years (2018-19) for each pandemic period and educational level. Results: Compared to 2018-19, volumes of elective surgery showed a U-shape with the most significant drops during the second wave or the vaccination phase. The recovery was socially unequal. At the end of 2021, incidence proportions among highly educated people generally exceeded the expected ones; RRs were 1.31 (95%CI 1.21-1.42), 1.24 (95%CI 1.17-1.23), 1.17 (95%CI 1.08-1.26) for knee and hip replacement and prostatic surgery, respectively. Among low educated patients, RR remained always <1. Oncological surgery indicators showed a similar social gradient. Whereas volumes were preserved among the highly educated, the low educated were still lagging behind at the end of 2021. Conclusions: Surgical procedures generally returned to pre-pandemic levels but the low educated experienced the slowest recovery. An equity-oriented appraisal of trends in healthcare provision should be included in pandemic preparedness plans, to ensure that social inequalities are promptly recognised and tackled.

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Changes of hip fracture in older patients before and after the COVID-19 pandemic: a retrospective multicentre study in Japan

Tanaka,

Osawa,

Takegami

et al. 2024

BMC Musculoskelet Disord

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The Impact of the COVID-19 Pandemic on the Neck of the Femur and Hip Fracture Surgery Volumes in the Lazio Region

Cited by 3 publications

References 20 publications

Equity in the recovery of elective and oncological surgery volumes after the COVID-19 lockdown: a multicentre cohort study in Italy

Equity in the recovery of elective and oncological surgery volumes after the COVID-19 lockdown: a multicentre cohort study in Italy

Equity in the recovery of elective and oncological surgery volumes after the COVID-19 lockdown: a multicentre cohort study in Italy

Changes of hip fracture in older patients before and after the COVID-19 pandemic: a retrospective multicentre study in Japan

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