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

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Chen, Kevin K

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Choi, Peter

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Rojas, Edward O

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Schipper, Oliver N

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Aiyer, Amiethab

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de Cesar Netto, Cesar

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Haleem, Amgad M

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Kadakia, Anish R

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Vulcano, Ettore

dc.date.accessioned

2023-05-31T03:45:59Z

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2023-05-31T03:45:59Z

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2021-04

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2023-05-31T03:45:58Z

dc.description.abstract

Background

With 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.

Methods

Patients 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.

Results

A 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%).

Conclusion

COVID-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 evidence

Level III.
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10.1177_24730114211013788

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2473-0114

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2473-0114

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https://hdl.handle.net/10161/27429

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eng

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SAGE Publications

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Foot & ankle orthopaedics

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10.1177/24730114211013788

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COVID-19

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ambulatory surgery

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elective surgery

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foot and ankle

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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

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24730114211013788

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2

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Duke

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School of Medicine

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Clinical Science Departments

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Orthopaedic Surgery

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Published

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6

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