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dc.contributor.authorClement, Nick D
dc.contributor.authorScott, Chloe E H
dc.contributor.authorMurray, James R D
dc.contributor.authorHowie, Colin R
dc.contributor.authorDeehan, David J
dc.contributor.authorIMPACT Restart Collaboration
dc.date.accessioned2022-03-25T11:30:08Z
dc.date.available2022-03-25T11:30:08Z
dc.date.issued2021-04-01
dc.identifier.citationClement , N D , Scott , C E H , Murray , J R D , Howie , C R , Deehan , D J & IMPACT Restart Collaboration 2021 , ' The number of patients "worse than death" while waiting for a hip or knee arthroplasty has nearly doubled during the COVID-19 pandemic : a UK nationwide survey ' , The Bone & Joint Journal , vol. 103-B , no. 4 , pp. 672-680 . https://doi.org/10.1302/0301-620X.103B.BJJ-2021-0104.R1en
dc.identifier.issn2049-4394
dc.identifier.otherPURE: 273469983
dc.identifier.otherPURE UUID: 5045e0f5-df18-4b81-92ab-c6c2bd2f657c
dc.identifier.otherPubMed: 33752468
dc.identifier.otherScopus: 85103683548
dc.identifier.urihttps://hdl.handle.net/10023/25105
dc.description.abstractAIMS: The aim of this study was to assess the quality of life of patients on the waiting list for a total hip (THA) or knee arthroplasty (KA) during the COVID-19 pandemic. Secondary aims were to assess whether length of time on the waiting list influenced quality of life and rate of deferral of surgery. METHODS: During the study period (August and September 2020) 843 patients (THA n = 394, KA n = 449) from ten centres in the UK reported their EuroQol five dimension (EQ-5D) scores and completed a waiting list questionnaire (2020 group). Patient demographic details, procedure, and date when listed were recorded. Patients scoring less than zero for their EQ-5D score were defined to be in a health state "worse than death" (WTD). Data from a retrospective cohort (January 2014 to September 2017) were used as the control group. RESULTS: The 2020 group had a significantly worse EQ-5D score compared to the control group for both THA (p < 0.001) and KA (p < 0.001). Over one-third (35.0%, n = 138/394) of patients waiting for a THA and nearly a quarter (22.3%, n = 100/449) for KA were in a health state WTD, which was significantly greater than the control group (odds ratio 2.30 (95% confidence interval (CI) 1.83 to 2.93) and 2.08 (95% CI 1.61 to 2.70), respectively; p < 0.001). Over 80% (n = 680/843) of the 2020 group felt that their quality of life had deteriorated while waiting. Each additional month spent on the waiting list was independently associated with a decrease in quality of life (EQ-5D: -0.0135, p = 0.004). There were 117 (13.9%) patients who wished to defer their surgery and the main reason for this was health concerns for themselves and or their family (99.1%, n = 116/117). CONCLUSION: Over one-third of patients waiting for THA and nearly one-quarter waiting for a KA were in a state WTD, which was approaching double that observed prior to the pandemic. Increasing length of time on the waiting list was associated with decreasing quality of life. Level of evidence: Level III retrospective case control study.
dc.format.extent9
dc.language.isoeng
dc.relation.ispartofThe Bone & Joint Journalen
dc.rightsCopyright © 2021 The British Editorial Society of Bone & Joint Surgery. This work has been made available online in accordance with publisher policies or with permission. Permission for further reuse of this content should be sought from the publisher or the rights holder. This is the author created accepted manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1302/0301-620X.103B.BJJ-2021-0104.R1en
dc.subjectWaiting listen
dc.subjectWorse than deathen
dc.subjectArthroplastyen
dc.subjectCOVID-19en
dc.subjectQuality of lifeen
dc.subjectRD Surgeryen
dc.subject3rd-DASen
dc.subjectACen
dc.subject.lccRDen
dc.titleThe number of patients "worse than death" while waiting for a hip or knee arthroplasty has nearly doubled during the COVID-19 pandemic : a UK nationwide surveyen
dc.typeJournal articleen
dc.description.versionPostprinten
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.identifier.doihttps://doi.org/10.1302/0301-620X.103B.BJJ-2021-0104.R1
dc.description.statusPeer revieweden
dc.date.embargoedUntil2022-03-23


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