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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.

Publication ,  Journal Article
Chan, JJ; Chen, KK; Choi, P; Rojas, EO; Schipper, ON; Aiyer, A; de Cesar Netto, C; Haleem, AM; Kadakia, AR; Vulcano, E
Published in: Foot Ankle Orthop
April 2021

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.

Duke Scholars

Published In

Foot Ankle Orthop

DOI

EISSN

2473-0114

Publication Date

April 2021

Volume

6

Issue

2

Start / End Page

24730114211013788

Location

United States
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Chan, J. J., Chen, K. K., Choi, P., Rojas, E. O., Schipper, O. N., Aiyer, A., … Vulcano, E. (2021). Impact of COVID-19 Pandemic on Patients' Perceptions of Safety and Need for Elective Foot and Ankle Surgery in the United States. Foot Ankle Orthop, 6(2), 24730114211013788. https://doi.org/10.1177/24730114211013788
Chan, Jimmy J., Kevin K. Chen, Peter Choi, Edward O. Rojas, Oliver N. Schipper, Amiethab Aiyer, Cesar de Cesar Netto, Amgad M. Haleem, Anish R. Kadakia, and Ettore Vulcano. “Impact of COVID-19 Pandemic on Patients' Perceptions of Safety and Need for Elective Foot and Ankle Surgery in the United States.Foot Ankle Orthop 6, no. 2 (April 2021): 24730114211013788. https://doi.org/10.1177/24730114211013788.
Chan JJ, Chen KK, Choi P, Rojas EO, Schipper ON, Aiyer A, et al. Impact of COVID-19 Pandemic on Patients' Perceptions of Safety and Need for Elective Foot and Ankle Surgery in the United States. Foot Ankle Orthop. 2021 Apr;6(2):24730114211013788.
Chan, Jimmy J., et al. “Impact of COVID-19 Pandemic on Patients' Perceptions of Safety and Need for Elective Foot and Ankle Surgery in the United States.Foot Ankle Orthop, vol. 6, no. 2, Apr. 2021, p. 24730114211013788. Pubmed, doi:10.1177/24730114211013788.
Chan JJ, Chen KK, Choi P, Rojas EO, Schipper ON, Aiyer A, de Cesar Netto C, Haleem AM, Kadakia AR, Vulcano E. Impact of COVID-19 Pandemic on Patients' Perceptions of Safety and Need for Elective Foot and Ankle Surgery in the United States. Foot Ankle Orthop. 2021 Apr;6(2):24730114211013788.

Published In

Foot Ankle Orthop

DOI

EISSN

2473-0114

Publication Date

April 2021

Volume

6

Issue

2

Start / End Page

24730114211013788

Location

United States