Insights into patient preferences for elective surgery during the COVID-19 pandemic
| Autor: | Niel Kang, Zain H. Charface, Saad A. Khan, Maaz A. Khan, Andrew McCaskie, Zarif Khan, Andrew J Hotchen, Stephen M. McDonnell, Joel Thomas Kirk Melton, Matthew Seah, Wasim S. Khan |
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| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Orthopedic surgery 030222 orthopedics medicine.medical_specialty 2019-20 coronavirus outbreak Coronavirus disease 2019 (COVID-19) business.industry medicine.medical_treatment General Engineering Attendance patient reported outcomes Patient preference Arthroplasty 03 medical and health sciences Postal questionnaire 0302 clinical medicine covid-19 Family medicine Pandemic medicine arthroplasty 030212 general & internal medicine Elective surgery business RD701-811 |
| Zdroj: | Bone & Joint Open, Vol 2, Iss 4, Pp 261-270 (2021) |
| ISSN: | 2633-1462 |
| DOI: | 10.1302/2633-1462.24.bjo-2020-0201 |
| Popis: | Aims To investigate factors that contribute to patient decisions regarding attendance for arthroplasty during the COVID-19 pandemic. Methods A postal questionnaire was distributed to patients on the waiting list for hip or knee arthroplasty in a single tertiary centre within the UK. Patient factors that may have influenced the decision to attend for arthroplasty, global quality of life (QoL) (EuroQol five-dimension three-level (EQ-5D-3L)), and joint-specific QoL (Oxford Hip or Knee Score) were assessed. Patients were asked at which ‘COVID-alert’ level they would be willing to attend an NHS and a “COVID-light” hospital for arthroplasty. Independent predictors were assessed using multivariate logistic regression. Results Of 540 distributed questionnaires, 400 (74.1%; 236 awaiting hip arthroplasty, 164 awaiting knee arthroplasty) complete responses were received and included. Less than half (48.2%) were willing to attend for hip or knee arthroplasty while a UK COVID-19 epidemic was in circulation (COVID-alert levels 3 to 5). Patients with worse joint-specific QoL had a preference to proceed with surgery at COVID-alert levels 3 to 5 compared to levels 1 and 2 (hip arthroplasty odds ratio (OR) 1.54 (95% confidence interval (CI) 1.45 to 1.63); knee arthroplasty OR 1.16 (1.07 to 1.26)). The odds of patients with worse joint-specific QoL being willing to attend for surgery at COVID-alert levels 3 to 5 increased further if surgery in a private, “COVID-light” hospital was available (hip arthroplasty OR 3.50 (95% CI 3.26 to 3.71); knee arthroplasty OR 1.41 (95% CI 1.29 to 1.53). Conclusion Patient decisions surrounding elective surgery have been influenced by the global COVID-19 pandemic, highlighting the importance of patient involvement in ensuring optimized provision of elective surgery during these challenging times. Cite this article: Bone Jt Open 2021;2(4):261–270. |
| Databáze: | OpenAIRE |
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