Impact of COVID-19 Pandemic on Patients' Perceptions of Safety and Need for Elective Foot and Ankle Surgery in the United States.
dc.contributor.author | Chan, Jimmy J | |
dc.contributor.author | Chen, Kevin K | |
dc.contributor.author | Choi, Peter | |
dc.contributor.author | Rojas, Edward O | |
dc.contributor.author | Schipper, Oliver N | |
dc.contributor.author | Aiyer, Amiethab | |
dc.contributor.author | de Cesar Netto, Cesar | |
dc.contributor.author | Haleem, Amgad M | |
dc.contributor.author | Kadakia, Anish R | |
dc.contributor.author | Vulcano, Ettore | |
dc.date.accessioned | 2023-05-31T03:45:59Z | |
dc.date.available | 2023-05-31T03:45:59Z | |
dc.date.issued | 2021-04 | |
dc.date.updated | 2023-05-31T03:45:58Z | |
dc.description.abstract | BackgroundWith the development of the COVID-19 pandemic, elective foot and ankle surgeries were delayed throughout the United States to divert health care resources and limit exposure. Little is known about the impact of COVID-19 on patient's willingness to proceed with elective procedures once restrictions are lifted and factors contributing to such decision.MethodsPatients across 6 US orthopedic institutions who had their elective foot and ankle surgeries cancelled secondary to the pandemic were given a questionnaire. Specifically, patients were asked about their willingness to move forward with surgery once restrictions were lifted and if not why. Pain-level and pain medication use were also assessed. Univariate analysis was used to identify factors that contribute to patient's decisions.ResultsA total of 150 patients participated in this study. Twenty-one (14%) opted not to proceed with surgery once restrictions were lifted. Forty-three percent (n = 9) listed concern for COVID infection as the reason; however, 14% of them would proceed if procedures were performed in surgery center. Twenty-nine (19% of the total cohort) patients had increased pain and 11% of patients were taking more pain meds because of the delay to their procedure. Patients who decided not to proceed with surgery reported pain reduction (3% vs 14%) and lower increase in pain medication used (5% vs 12%).ConclusionCOVID-19 has made a significant impact on the health care system. Delay of elective foot and ankle procedures impact patient quality of life and outcomes. Access to surgery centers may provide a partial solution during the pandemic.Level of evidenceLevel III. | |
dc.identifier | 10.1177_24730114211013788 | |
dc.identifier.issn | 2473-0114 | |
dc.identifier.issn | 2473-0114 | |
dc.identifier.uri | ||
dc.language | eng | |
dc.publisher | SAGE Publications | |
dc.relation.ispartof | Foot & ankle orthopaedics | |
dc.relation.isversionof | 10.1177/24730114211013788 | |
dc.subject | COVID-19 | |
dc.subject | ambulatory surgery | |
dc.subject | elective surgery | |
dc.subject | foot and ankle | |
dc.title | Impact of COVID-19 Pandemic on Patients' Perceptions of Safety and Need for Elective Foot and Ankle Surgery in the United States. | |
dc.type | Journal article | |
duke.contributor.orcid | de Cesar Netto, Cesar|0000-0001-6037-0685 | |
pubs.begin-page | 24730114211013788 | |
pubs.issue | 2 | |
pubs.organisational-group | Duke | |
pubs.organisational-group | School of Medicine | |
pubs.organisational-group | Clinical Science Departments | |
pubs.organisational-group | Orthopaedic Surgery | |
pubs.publication-status | Published | |
pubs.volume | 6 |
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