Disruptions in Standard Care in Patients After Arthroscopic Rotator Cuff Repair During the COVID-19 Pandemic.
Autor: | Lee D; Rothman Orthopaedic Institute, Philadelphia Pennsylvania, USA., Destine H; Rothman Orthopaedic Institute, Philadelphia Pennsylvania, USA., Gibbs BS; Rothman Orthopaedic Institute, Philadelphia Pennsylvania, USA., Lencer AJ; Rothman Orthopaedic Institute, Philadelphia Pennsylvania, USA., Paul RW; Rothman Orthopaedic Institute, Philadelphia Pennsylvania, USA., Palm J; Rothman Orthopaedic Institute, Philadelphia Pennsylvania, USA., Tjoumakaris FP; Rothman Orthopaedic Institute, Philadelphia Pennsylvania, USA. |
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Jazyk: | angličtina |
Zdroj: | Orthopaedic journal of sports medicine [Orthop J Sports Med] 2023 Apr 24; Vol. 11 (4), pp. 23259671231157380. Date of Electronic Publication: 2023 Apr 24 (Print Publication: 2023). |
DOI: | 10.1177/23259671231157380 |
Abstrakt: | Background: The coronavirus disease-2019 (COVID-19) pandemic led to disruptions in care for orthopaedic patients who underwent surgery just before the outbreak, rendering some unable to participate in standard postoperative care. Many of these patients underwent clinical follow-up and physical therapy via telehealth. Purpose: To evaluate the methods of postoperative care in patients who underwent arthroscopic rotator cuff repair (RCR) and had follow-ups during the height of the pandemic versus those who received prior standard of care. We aimed to compare the 1-year outcomes between these cohorts. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective chart review was used to identify patients who underwent primary RCR in February and March 2020 (COVID cohort) and the same period in 2019 (control cohort) at a single institution. Excluded were patients who underwent revision RCR, used workers' compensation, or were incarcerated or deceased. The included patients reported the postoperative care received, their satisfaction with care, physical therapy appointment type (in person, home based, telehealth, or self-guided), satisfaction with physical therapy, and minimum 1-year postoperative American Shoulder and Elbow Surgeons (ASES), Single Assessment Numeric Evaluation (SANE), and Penn Shoulder Score (PSS) outcomes. Results: Overall, 428 patients were included for final analysis--199 in the COVID cohort and 229 controls. Follow-up data were collected for 160 patients in the COVID group (80.4%) and 169 control patients (73.8%). In the COVID group, 110 patients (68.8%) had ≥1 clinical visit conducted via telehealth, compared with zero in the control group. There were no differences between the COVID and control groups in the ASES (84.2 ± 16.5 vs 86.5 ± 17; P = .27 ), SANE (83.9 ± 15.4 vs 84.8 ± 17.5; P = .66), PSS (84.8 ± 15.3 vs 87.1 ± 15.1; P = .22), or patient satisfaction with the care received (81.7 ± 22.6 vs 86.3 ± 23.5; P = .09). Satisfaction with physical therapy was significantly higher in the control group (88.3 ± 18.9 vs 81.9 ± 22.5; P = .01). Conclusion: Despite disruptions in care, RCR patients had comparable 1-year outcomes during the pandemic versus before the pandemic. Telehealth clinical follow-up appointments did not adversely affect patient-reported outcome measures and may be appropriate for RCR patients beyond the pandemic. Competing Interests: One or more of the authors has declared the following potential conflict of interest or source of funding: F.P.T. has received research support from Smith & Nephew and consulting fees from DePuy and has stock/stock options in Franklin/Keystone Biosciences and Trice Medical. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. (© The Author(s) 2023.) |
Databáze: | MEDLINE |
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