CortoClinics, Schijndel, The Netherlands.
Dept of Orthopaedic Surgery and Traumatology, Hospital La Paz, Universidad Autónoma de Madrid, Madrid, Spain.
Knee Surg Sports Traumatol Arthrosc. 2020 Sep;28(9):2723-2729. doi: 10.1007/s00167-020-06212-0. Epub 2020 Aug 18.
The COVID-19 pandemic has disrupted the health care system around the entire globe. A consensus is needed about resuming total hip and knee procedures. The European Hip Society (EHS) and the European Knee Association (EKA) formed a panel of experts that have produced a consensus statement on how the safe re-introduction of elective hip and knee arthroplasty should be undertaken.
A prospective online survey was done among members of EHS and EKA. The survey consisted of 27 questions. It includes basic information on demographics and details the participant's agreement with each recommendation. The participant could choose among three options (agree, disagree, abstain). Recommendations focussed on pre-operative, peri-operative, and post-operative handling of patients and precautions.
A total of 681 arthroplasty surgeons participated in the survey, with 479 fully completing the survey. The participants were from 44 countries and 6 continents. Apart from adhering to National and Local Guidelines, the recommendations concerned how to make elective arthroplasty safe for patients and staff.
The survey has shown good-to-excellent agreement of the participants with regards to the statements made in the recommendations for the safe return to elective arthroplasty following the first wave of the COVID-19 pandemic.
COVID-19 大流行扰乱了全球各地的医疗保健系统。需要就恢复全髋关节和膝关节手术达成共识。为此，欧洲髋关节协会（EHS）和欧洲膝关节协会（EKA）组建了一个专家小组，就如何安全地重新开展择期髋关节和膝关节置换术达成了共识声明。
对 EHS 和 EKA 的成员进行了一项前瞻性在线调查。该调查包含 27 个问题。它包括人口统计学方面的基本信息，并详细说明了参与者对每条建议的认同程度。参与者可以在三个选项（同意、不同意、弃权）中进行选择。建议主要集中在患者的术前、术中和术后处理以及预防措施方面。
共有 681 名关节置换外科医生参与了调查，其中 479 人完整地完成了调查。参与者来自 44 个国家和 6 个大洲。除了遵守国家和地方指南外，这些建议还涉及如何使择期关节置换术对患者和工作人员安全。
该调查显示，参与者对有关在 COVID-19 大流行第一波过后安全恢复择期关节置换术的建议中的陈述有很好到极好的一致性。
