Hsu Chia-Hao, Huang Hsuan-Ti, Chen Chung-Hwan, Fu Yin-Chih, Chou Pei-Hsi, Hsu Nin-Chieh
Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, No. 100, Shiquan 1st Rd., Sanmin District, Kaohsiung 80708, Taiwan.
Department of Orthopedics, Kaohsiung Municipal Ta-Tung Hospital, No. 68, Jhonghua 3rd Rd., Cianjin District, Kaohsiung 80145, Taiwan.
J Clin Med. 2022 May 25;11(11):2983. doi: 10.3390/jcm11112983.
This study aimed to systematically review the literature on the impact of the coronavirus disease (COVID-19) pandemic on the orthopedics field by focusing on multiple aspects, including orthopedic training and application, performance, work loading, change of practice, research work, and other psychological factors. Published articles were searched using the PubMed database. Articles were selected in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Of 58 studies published between 1 January 2020 and 1 October 2021, 57 peer-reviewed original articles were included. Nearly 90% of students experienced an impact of the pandemic on application. The impact on training stemmed from redeployment rates of 20.9-23.1%. The rate of emergency or outpatient visits decreased from 18% to 58.6%. The rates of all surgeries or emergency surgeries decreased by 15.6-49.4%, while the rates of elective surgeries decreased by 43.5-100%. The rate of work loading ranged from 33% to 66%. Approximately 50-100% of surgeons had a change of practice. A total of 40.5% of orthopedic surgeons experienced mild psychological pressure. Approximately 64% had stopped research participant recruitment. Most of the included studies were conducted in Europe, followed by Asia and North America. It is suggested orthopedic surgeons prepare more sufficient, flexible, and reservable staffing measures, proper preventive strategies and surgical scheduling algorithms, and set up dedicated venues and equipment for routine telemedicine with staff training for virtual teaching or consultations in case of future impacts on orthopedics.
本研究旨在通过关注多个方面，包括骨科培训与应用、工作表现、工作量、实践变化、研究工作以及其他心理因素，系统回顾关于冠状病毒病（COVID-19）大流行对骨科领域影响的文献。使用PubMed数据库搜索已发表的文章。根据系统评价和Meta分析的首选报告项目指南选择文章。在2020年1月1日至2021年10月1日期间发表的58项研究中，纳入了57篇经同行评审的原创文章。近90%的学生经历了大流行对应用的影响。对培训的影响源于20.9%-23.1%的人员重新调配率。急诊或门诊就诊率从18%降至58.6%。所有手术或急诊手术的发生率下降了15.6%-49.4%，而择期手术的发生率下降了43.5%-100%。工作量发生率在33%至66%之间。约50%-100%的外科医生改变了实践方式。共有40.5%的骨科医生经历了轻度心理压力。约64%的人停止了研究参与者招募。大多数纳入研究在欧洲进行，其次是亚洲和北美。建议骨科医生准备更充分、灵活且可储备的人员配备措施、适当的预防策略和手术安排算法，并设立专门的场所和设备用于常规远程医疗，并对工作人员进行虚拟教学或咨询培训，以防未来对骨科产生影响。
