Testa Edward J, Albright J Alex, Kutschke Michael, Dacey Sydney, McCrae Brian, Meghani Ozair, Owens Brett D
Department of Orthopaedic Surgery, Brown University, Warren Alpert School of Medicine, Providence, Rhode Island, U.S.A.
Arthrosc Sports Med Rehabil. 2022 Aug;4(4):e1347-e1352. doi: 10.1016/j.asmr.2022.04.019. Epub 2022 May 19.
To compare the surgical case volume for orthopaedic sports medicine fellows in the most recent classes with one another and in years preceding the pandemic.
The Accreditation Council for Graduate Medical Education case log reports of key procedures for orthopaedic sports medicine fellows during academic years 2018-2019, 2019-2020, and 2020-2021 were extracted. Comparisons between these years in adult, pediatric, and total case volumes were performed using a 2-sample -test to detect significant changes in the average number of key procedures completed between consecutive years.
There was a significant decrease in the total number of cases completed by fellows during the 2020 academic year ( = .043) compared with 2019, immediately followed by a significant increase in case volume in 2021 ( < .001) (2019, 339 ± 123; 2020, 316.2 ± 108; 2021, 356.5 ± 117). There was a significant increase in adult case volume from 2020 to 2021 (2020, 295.7 ± 106; 2021, 332.9 ± 117; < .001), whereas no trends were noted in pediatric case volume. Between the prepandemic year of 2019 and the first year of the pandemic, significant decreases were noted in case volume for several procedures, including multiligamentous knee injuries, knee instability and pediatric hip arthroscopy. From the first to the second years of the pandemic (2019-2020 to 2020-2021), significant increases were observed in case volume for rotator cuff, acromioclavicular instability, elbow instability, knee cartilage, and meniscal surgeries.
Orthopaedic sports medicine fellows experienced significant decreases in volume for several key case categories between the year preceding the coronavirus disease 2019 pandemic and the first academic year during the pandemic. There were subsequent increases in cases between the first year of the pandemic and the second year, which may be associated with resuming elective surgical cases.
IV, retrospective database analysis.
比较最近几届骨科运动医学专科住院医师的手术病例数量，并与疫情前的年份进行对比。
提取毕业后医学教育认证委员会关于2018 - 2019学年、2019 - 2020学年和2020 - 2021学年骨科运动医学专科住院医师关键手术的病例日志报告。使用双样本t检验对这些年份的成人、儿科和总病例数量进行比较，以检测连续年份之间完成的关键手术平均数量的显著变化。
与2019年相比，2020学年住院医师完成的病例总数显著减少（P = 0.043），随后2021年病例数量显著增加（P < 0.001）（2019年，339 ± 123；2020年，316.2 ± 108；2021年，356.5 ± 117）。从2020年到2021年成人病例数量显著增加（2020年，295.7 ± 106；2021年，332.9 ± 117；P < 0.001），而儿科病例数量未发现趋势。在2019年疫情前一年和疫情第一年之间，包括多韧带膝关节损伤、膝关节不稳定和儿科髋关节镜检查在内的几种手术的病例数量显著减少。从疫情第一年到第二年（2019 - 2020年至2020 - 2021年），肩袖、肩锁关节不稳定、肘关节不稳定、膝关节软骨和半月板手术的病例数量显著增加。
在2019年冠状病毒病疫情前一年和疫情期间的第一个学年之间，骨科运动医学专科住院医师的几个关键病例类别数量显著减少。在疫情第一年和第二年之间病例随后有所增加，这可能与恢复择期手术病例有关。
IV，回顾性数据库分析。
