Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA.
Department of Orthopedics, Washington University, St. Louis, MO.
J Arthroplasty. 2020 Jul;35(7S):S49-S55. doi: 10.1016/j.arth.2020.04.052. Epub 2020 Apr 22.
In response to the COVID-19 pandemic, hospitals in the United States were recommended to stop performing elective procedures. This stoppage has led to the cancellation of a large number of hip and knee arthroplasties. The effect of this on patients' physical mental and economic health is unknown.
A survey was developed by the AAHKS Research Committee to assess pain, anxiety, physical function, and economic ability of patients to undergo a delayed operation. Six institutions conducted the survey to 360 patients who had to have elective hip and knee arthroplasty cancelled between March and July of 2020.
Patients were most anxious about the uncertainty of when their operation could be rescheduled. Although 85% of patients understood and agreed with the public health measures to curb infections, almost 90% of patients plan to reschedule as soon as possible. Age and geographic region of the patients affected their anxiety. Younger patients were more likely to have financial concerns and concerns about job security. Patients in the Northeast were more concerned about catching COVID-19 during a future hospitalization.
Patients suffering from the pain of hip and knee arthritis continue to struggle with pain from their end-stage disease. They have anxiety about the COVID-19 pandemic. Few patients feel they will be limited financially and 90% want to have surgery as soon as possible. Age and physical location of the patients affect their causes for anxiety around their future surgery.
为应对 COVID-19 大流行，美国的医院被建议停止进行择期手术。这一停摆导致大量髋关节和膝关节置换手术被取消。这对患者的身心健康和经济健康的影响尚不清楚。
AAHKS 研究委员会制定了一项调查，以评估不得不取消择期髋关节和膝关节置换手术的 360 名患者的疼痛、焦虑、身体功能和经济能力。六家机构对 2020 年 3 月至 7 月期间接受调查的患者进行了调查。
患者最担心的是手术何时可以重新安排的不确定性。尽管 85%的患者理解并同意遏制感染的公共卫生措施，但近 90%的患者计划尽快重新安排手术。患者的年龄和地理位置影响了他们的焦虑程度。年轻患者更有可能担心财务问题和工作保障。东北部的患者更担心在未来住院期间感染 COVID-19。
患有髋关节和膝关节关节炎的患者仍在忍受晚期疾病带来的疼痛，同时还面临着 COVID-19 大流行的焦虑。很少有患者觉得自己在经济上会受到限制，90%的患者希望尽快接受手术。患者的年龄和身体位置影响了他们对未来手术的焦虑原因。
