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新冠病毒肺炎与择期关节置换术:患者的观点与考量

COVID-19 and elective joint arthroplasty: Patient perspectives and considerations.

作者信息

Dittman Lauren E, Johnson Joshua D, Trousdale Robert T

机构信息

Mayo Clinic, Department of Orthopedic Surgery, 200 First Street SW, Rochester, MN, 55905, USA.

出版信息

J Orthop. 2021 May-Jun;25:179-185. doi: 10.1016/j.jor.2021.05.009. Epub 2021 May 7.

DOI:10.1016/j.jor.2021.05.009
PMID:33976477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8102437/
Abstract

This study gauged patient perspectives regarding elective joint arthroplasty during the COVID-19 pandemic. Eligible patients undergoing consultation for primary hip or knee arthroplasty received a survey with questions regarding opinions towards COVID-19 and on undergoing elective procedures during the pandemic. Of the 112 respondents, 78% believed that their condition warranted surgery despite COVID-19 circumstances. There were no differences in desire for surgery based on age, smoking history or comorbidities. Patients older than 65 years were significantly more concerned with skilled nursing facility placement. This survey suggests that the majority of patients are comfortable pursuing elective joint arthroplasty despite the pandemic.

摘要

本研究评估了患者在新冠疫情期间对择期关节置换术的看法。符合条件的接受初次髋关节或膝关节置换术咨询的患者收到了一份调查问卷,其中包含关于对新冠疫情的看法以及在疫情期间接受择期手术的问题。在112名受访者中,78%的人认为尽管处于新冠疫情环境下,他们的病情仍需要手术。基于年龄、吸烟史或合并症,患者对手术的渴望没有差异。65岁以上的患者对熟练护理机构安置更为关注。这项调查表明,尽管处于疫情期间,大多数患者仍愿意接受择期关节置换术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/730e/8138674/654e850e6643/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/730e/8138674/3112626d6f6e/gr1a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/730e/8138674/13fa1fe3b0a2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/730e/8138674/1978e7f71bec/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/730e/8138674/654e850e6643/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/730e/8138674/3112626d6f6e/gr1a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/730e/8138674/13fa1fe3b0a2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/730e/8138674/1978e7f71bec/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/730e/8138674/654e850e6643/gr4.jpg

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本文引用的文献

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Hip Int. 2020 Sep;30(5):492-499. doi: 10.1177/1120700020941232. Epub 2020 Jul 7.
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SARS-CoV-2 Impact on Elective Orthopaedic Surgery: Implications for Post-Pandemic Recovery.SARS-CoV-2 对择期骨科手术的影响:对大流行后恢复期的影响。
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The negative impact of the COVID-19 lockdown on pain and physical function in patients with end-stage hip or knee osteoarthritis.
新冠疫情期间COVID-19对医疗保健的总体影响:多学科视角
Health Sci Rep. 2021 Oct 1;4(4):e386. doi: 10.1002/hsr2.386. eCollection 2021 Dec.
COVID-19 封锁对晚期髋或膝关节骨关节炎患者疼痛和身体功能的负面影响。
Knee Surg Sports Traumatol Arthrosc. 2020 Aug;28(8):2435-2443. doi: 10.1007/s00167-020-06104-3. Epub 2020 Jun 18.
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Triaging Total Hip Arthroplasty During the COVID-19 Pandemic.在新冠疫情期间对全髋关节置换术进行分诊
Curr Rev Musculoskelet Med. 2020 Aug;13(4):416-424. doi: 10.1007/s12178-020-09642-y.
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Effect of COVID-19 on Hip and Knee Arthroplasty Surgical Volume in the United States.COVID-19 对美国髋关节和膝关节置换手术量的影响。
J Arthroplasty. 2020 Jul;35(7S):S45-S48. doi: 10.1016/j.arth.2020.04.060. Epub 2020 Apr 24.
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J Arthroplasty. 2020 Jul;35(7S):S49-S55. doi: 10.1016/j.arth.2020.04.052. Epub 2020 Apr 22.
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Educating Surgeons to Educate Patients About the COVID-19 Pandemic.培训外科医生以教育患者了解 COVID-19 大流行。
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Presymptomatic SARS-CoV-2 Infections and Transmission in a Skilled Nursing Facility.在一家专业护理机构中出现的 SARS-CoV-2 感染前驱期和传播。
N Engl J Med. 2020 May 28;382(22):2081-2090. doi: 10.1056/NEJMoa2008457. Epub 2020 Apr 24.
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