Tijerina Jonathan D, Cohen Samuel A, Parham Matthew J, Debbaut Christopher, Cohen Landon, Stevanovic Milan, Lefebvre Rachel
Bascom Palmer Eye Institute, University of Miami Hospital, Miami, USA.
Surgery, Stanford University School of Medicine, Palo Alto, USA.
Cureus. 2020 Dec 17;12(12):e12123. doi: 10.7759/cureus.12123.
Introduction Precautions issued by organizations such as the American Academy of Orthopaedic Surgeons (AAOS) recommending against any elective, or non-essential, surgical procedures have significantly affected healthcare resource utilization by the public during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. In this study, we demonstrate the value of the Google Trends (GT) interface to characterize and monitor in real-time the response in public interest toward various elective orthopedic procedures. Methods Search volume databases were generated from January 2015 to May 2020 for keywords related to anterior cruciate ligament (ACL) reconstruction, elbow arthroplasty, hip arthroplasty, knee arthroplasty, and rotator cuff repair. To measure the immediate effects on public interest, the percent change was calculated from the AAOS, and Centers for Medicare and Medicaid Services (CMS) defined a 30-day pre-recommendations period to a 30-day post-recommendations period. To measure long-term effects, mean search volumes from January 1, 2015, to February 29, 2020, were compared to mean search volumes from March 1, 2020, to May 21, 2020. Results In the 30-day period following statements by the AAOS and CMS, interest in all search terms except "partial knee arthroplasty" decreased as follows: "ACL reconstruction" (-32.7%); "ACL repair" (-22.6%); "anterior cruciate ligament reconstruction" (-39.8%); "elbow arthroplasty" (-17.2%); "elbow joint replacement" (-15.1%); "total elbow arthroplasty" (-40.0%); "hip arthroplasty" (-23.0%); "hip replacement" (-41.2%); "total hip arthroplasty" (-23.0%); "knee arthroplasty" (-43.0%); "total knee arthroplasty" (-33.3%); "rotator cuff repair" (-34.2%); "rotator cuff surgery" (-50.6%); "shoulder arthroplasty" (-26.7%). Discussion GT data have previously demonstrated utility in characterizing and anticipating shifts in real-world healthcare utilization, making it an invaluable tool for physicians to anticipate and address the emerging needs of our patient population. Our study further illustrates the value of GT in localizing rapidly recovering interest in several of the most common elective orthopedic surgeries, enabling surgeons with up-to-date actionable data to guide the management of practices and healthcare facilities as the US slowly emerges from precautions endorsed during the COVID-19 pandemic.
引言 美国矫形外科医师学会（AAOS）等组织发布的预防措施建议不要进行任何择期或非必要的外科手术，这在严重急性呼吸综合征冠状病毒2（SARS-CoV-2）大流行期间显著影响了公众对医疗资源的利用。在本研究中，我们展示了谷歌趋势（GT）界面在实时表征和监测公众对各种择期骨科手术的兴趣反应方面的价值。方法 生成了2015年1月至2020年5月与前交叉韧带（ACL）重建、肘关节置换术、髋关节置换术、膝关节置换术和肩袖修复相关关键词的搜索量数据库。为了衡量对公众兴趣的即时影响，计算了从AAOS发布建议前30天到发布建议后30天的百分比变化。为了衡量长期影响，将2015年1月1日至2020年2月29日的平均搜索量与2020年3月1日至5月21日的平均搜索量进行了比较。结果 在AAOS和医疗保险与医疗补助服务中心（CMS）发布声明后的30天内，除“部分膝关节置换术”外，所有搜索词的兴趣均下降，如下所示：“ACL重建”（-32.7%）；“ACL修复”（-22.6%）；“前交叉韧带重建”（-39.8%）；“肘关节置换术”（-17.2%）；“肘关节置换”（-15.1%）；“全肘关节置换术”（-40.0%）；“髋关节置换术”（-23.0%）；“髋关节置换”（-41.2%）；“全髋关节置换术”置换术”（-23.0%）；“膝关节置换术”（-43.0%）；“全膝关节置换术”（-33.3%）；“肩袖修复”（-34.2%）；“肩袖手术”（-50.6%）；“肩关节置换术”（-26.7%）。讨论 GT数据此前已证明在表征和预测实际医疗利用的变化方面具有实用性，使其成为医生预测和满足患者群体新出现需求的宝贵工具。我们的研究进一步说明了GT在定位对几种最常见择期骨科手术迅速恢复的兴趣方面的价值，使外科医生能够获得最新的可操作数据，以指导随着美国慢慢摆脱COVID-19大流行期间认可的预防措施，诊所和医疗机构的管理。
