Orthopedic Treatment in the Era of COVID-19: Perspectives from a National Survey in Thailand

Surut Jianmongkol, Kamolsak Sukhonthamarn, Chaiyos Vinitpairot
{"title":"Orthopedic Treatment in the Era of COVID-19: Perspectives from a National Survey in Thailand","authors":"Surut Jianmongkol, Kamolsak Sukhonthamarn, Chaiyos Vinitpairot","doi":"10.56929/jseaortho-2024-0207","DOIUrl":null,"url":null,"abstract":"Purpose: The coronavirus disease 2019 (COVID-19) pandemic has affected the management of patients with non-emergent orthopedic conditions, resulting in postponed surgical intervention(s) and changes in hospital services. Specific guidelines have been issued for emergency orthopedic cases; however, no definitive guidelines have been proposed for the management of elective or non-urgent conditions during the pandemic. As such, physicians have been obliged to make decisions based on their judgment. This study aimed to analyze data regarding changes in general orthopedic practices during the pandemic, especially those pertaining to surgery, clinical procedures, follow-up periods, referrals, and protective equipment.\nMethods: This study investigated the impact of the COVID-19 pandemic on the management of non-urgent orthopedic conditions by outpatient orthopedists. A questionnaire was developed and shared with nationwide orthopedic social media groups and through e-mails.\nResults Of the 200 orthopedic surgeons invited to participate, 129 (64.5%) responded. Results revealed that 65.9% of the surgeons preferred conservative treatment to surgery among patients with the appropriate indications. Additionally, follow-up periods were extended in 69.0% of patients, and 70.5% were prescribed more medication. The N-95 mask and home delivery system for medications were the two most desirable protective equipment and innovations that surgeons needed (79.1% and 69.8% of respondents, respectively).\nConclusions: The COVID-19 pandemic has led to changes in general orthopedic practices in outpatient clinics, such as a preference for more conservative treatment than surgery, extension of appointment periods, prescription of medicine for a longer period, and use of drug delivery to patients’ homes.","PeriodicalId":333749,"journal":{"name":"Journal of Southeast Asian Orthopaedics","volume":"27 12","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Southeast Asian Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.56929/jseaortho-2024-0207","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: The coronavirus disease 2019 (COVID-19) pandemic has affected the management of patients with non-emergent orthopedic conditions, resulting in postponed surgical intervention(s) and changes in hospital services. Specific guidelines have been issued for emergency orthopedic cases; however, no definitive guidelines have been proposed for the management of elective or non-urgent conditions during the pandemic. As such, physicians have been obliged to make decisions based on their judgment. This study aimed to analyze data regarding changes in general orthopedic practices during the pandemic, especially those pertaining to surgery, clinical procedures, follow-up periods, referrals, and protective equipment. Methods: This study investigated the impact of the COVID-19 pandemic on the management of non-urgent orthopedic conditions by outpatient orthopedists. A questionnaire was developed and shared with nationwide orthopedic social media groups and through e-mails. Results Of the 200 orthopedic surgeons invited to participate, 129 (64.5%) responded. Results revealed that 65.9% of the surgeons preferred conservative treatment to surgery among patients with the appropriate indications. Additionally, follow-up periods were extended in 69.0% of patients, and 70.5% were prescribed more medication. The N-95 mask and home delivery system for medications were the two most desirable protective equipment and innovations that surgeons needed (79.1% and 69.8% of respondents, respectively). Conclusions: The COVID-19 pandemic has led to changes in general orthopedic practices in outpatient clinics, such as a preference for more conservative treatment than surgery, extension of appointment periods, prescription of medicine for a longer period, and use of drug delivery to patients’ homes.
COVID-19 时代的骨科治疗:泰国全国调查的视角
目的:2019 年冠状病毒病(COVID-19)大流行影响了对非急诊骨科患者的管理,导致手术治疗推迟和医院服务的改变。已针对骨科急诊病例发布了具体指南,但尚未针对大流行期间择期或非急诊病例的管理提出明确指南。因此,医生不得不根据自己的判断做出决定。本研究旨在分析大流行期间普通骨科诊疗方法变化的相关数据,尤其是与手术、临床程序、随访期、转诊和防护设备相关的数据:本研究调查了 COVID-19 大流行对骨科门诊医生处理非急诊骨科疾病的影响。我们编制了一份调查问卷,并通过电子邮件与全国骨科社交媒体群共享。结果 在受邀参与调查的 200 名骨科医生中,有 129 人(64.5%)做出了回应。结果显示,65.9%的外科医生倾向于对有适当适应症的患者采取保守治疗,而不是手术治疗。此外,69.0%的患者的随访时间延长,70.5%的患者获得了更多的药物处方。N-95口罩和家庭送药系统是外科医生最需要的两种防护设备和创新技术(分别占受访者的79.1%和69.8%):结论:COVID-19 大流行导致普通骨科门诊的诊疗方法发生了变化,如更倾向于保守治疗而非手术治疗、延长预约时间、延长处方用药时间以及使用送药上门服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信