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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
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dc.contributor.author | Clement, Nick D | |
dc.contributor.author | Scott, Chloe E H | |
dc.contributor.author | Murray, James R D | |
dc.contributor.author | Howie, Colin R | |
dc.contributor.author | Deehan, David J | |
dc.contributor.author | IMPACT Restart Collaboration | |
dc.date.accessioned | 2022-03-25T11:30:08Z | |
dc.date.available | 2022-03-25T11:30:08Z | |
dc.date.issued | 2021-04-01 | |
dc.identifier | 273469983 | |
dc.identifier | 5045e0f5-df18-4b81-92ab-c6c2bd2f657c | |
dc.identifier | 33752468 | |
dc.identifier | 85103683548 | |
dc.identifier.citation | Clement , 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.R1 | en |
dc.identifier.issn | 2049-4394 | |
dc.identifier.uri | https://hdl.handle.net/10023/25105 | |
dc.description.abstract | AIMS: 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.extent | 9 | |
dc.format.extent | 647470 | |
dc.language.iso | eng | |
dc.relation.ispartof | The Bone & Joint Journal | en |
dc.subject | Waiting list | en |
dc.subject | Worse than death | en |
dc.subject | Arthroplasty | en |
dc.subject | COVID-19 | en |
dc.subject | Quality of life | en |
dc.subject | RD Surgery | en |
dc.subject | 3rd-DAS | en |
dc.subject | AC | en |
dc.subject.lcc | RD | en |
dc.title | 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 | en |
dc.type | Journal article | en |
dc.contributor.institution | University of St Andrews. School of Medicine | en |
dc.identifier.doi | 10.1302/0301-620X.103B.BJJ-2021-0104.R1 | |
dc.description.status | Peer reviewed | en |
dc.date.embargoedUntil | 2022-03-23 |
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