Resuming elective hip and knee arthroplasty after the first phase of the SARS-CoV-2 pandemic: the European Hip Society and European Knee Associates recommendations.
Identifieur interne : 000385 ( Main/Corpus ); précédent : 000384; suivant : 000386Resuming elective hip and knee arthroplasty after the first phase of the SARS-CoV-2 pandemic: the European Hip Society and European Knee Associates recommendations.
Auteurs : N P Kort ; E G Mez Barrena ; M. Bédard ; S. Donell ; J-A Epinette ; B. Gomberg ; M T Hirschmann ; P. Indelli ; Ismail Khosravi ; T. Karachalios ; M C Liebensteiner ; B. Stuyts ; R. Tandogan ; B. Violante ; L. Zagra ; M. ThalerSource :
- Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [ 1433-7347 ] ; 2020.
English descriptors
- KwdEn :
- Anthropology, Medical (MeSH), Arthroplasty, Replacement, Hip (MeSH), Arthroplasty, Replacement, Knee (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), Consensus (MeSH), Coronavirus Infections (epidemiology), Delivery of Health Care (methods), Disinfection (methods), Disinfection (standards), Elective Surgical Procedures (methods), Europe (MeSH), Hospital Units (organization & administration), Hospital Units (standards), Humans (MeSH), Operating Rooms (organization & administration), Operating Rooms (standards), Orthopedic Procedures (MeSH), Orthopedics (MeSH), Pandemics (MeSH), Personal Protective Equipment (MeSH), Pneumonia, Viral (epidemiology), SARS-CoV-2 (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- geographic : Europe.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- methods : Delivery of Health Care, Disinfection, Elective Surgical Procedures.
- organization & administration : Hospital Units, Operating Rooms.
- standards : Disinfection, Hospital Units, Operating Rooms.
- Anthropology, Medical, Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, Betacoronavirus, COVID-19, Consensus, Humans, Orthopedic Procedures, Orthopedics, Pandemics, Personal Protective Equipment, SARS-CoV-2, Surveys and Questionnaires.
Abstract
PURPOSE
The Covid-19 pandemic has disrupted health care systems all over the world. Elective surgical procedures have been postponed and/or cancelled. Consensus is, therefore, required related to the factors that need to be in place before elective surgery, including hip and knee replacement surgery, which is restarted. Entirely new pathways and protocols need to be worked out.
METHODS
A panel of experts from the European Hip Society and European Knee Association have agreed to a consensus statement on how to reintroduce elective arthroplasty surgery safely. The recommendations are based on the best available evidence and have been validated in a separate survey.
RESULTS
The guidelines are based on five themes: modification and/or reorganisation of hospital wards. Restrictions on orthopaedic wards and in operation suite(s). Additional disinfection of the environment. The role of ultra-clean operation theatres. Personal protective equipment enhancement.
CONCLUSION
Apart from the following national and local guidance, protocols need to be put in place in the patient pathway for primary arthroplasty to allow for a safe return.
DOI: 10.1007/s00167-020-06233-9
PubMed: 32844246
PubMed Central: PMC7446739
Links to Exploration step
pubmed:32844246Le document en format XML
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<author><name sortKey="Liebensteiner, M C" sort="Liebensteiner, M C" uniqKey="Liebensteiner M" first="M C" last="Liebensteiner">M C Liebensteiner</name>
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<author><name sortKey="Tandogan, R" sort="Tandogan, R" uniqKey="Tandogan R" first="R" last="Tandogan">R. Tandogan</name>
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</affiliation>
</author>
<author><name sortKey="Violante, B" sort="Violante, B" uniqKey="Violante B" first="B" last="Violante">B. Violante</name>
<affiliation><nlm:affiliation>Orthopaedic Department, Istituto Clinico Sant'Ambrogio IRCCS Galeazzi, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Zagra, L" sort="Zagra, L" uniqKey="Zagra L" first="L" last="Zagra">L. Zagra</name>
<affiliation><nlm:affiliation>Hip Department IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Thaler, M" sort="Thaler, M" uniqKey="Thaler M" first="M" last="Thaler">M. Thaler</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Resuming elective hip and knee arthroplasty after the first phase of the SARS-CoV-2 pandemic: the European Hip Society and European Knee Associates recommendations.</title>
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</affiliation>
</author>
<author><name sortKey="Bedard, M" sort="Bedard, M" uniqKey="Bedard M" first="M" last="Bédard">M. Bédard</name>
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</affiliation>
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<author><name sortKey="Donell, S" sort="Donell, S" uniqKey="Donell S" first="S" last="Donell">S. Donell</name>
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<author><name sortKey="Epinette, J A" sort="Epinette, J A" uniqKey="Epinette J" first="J-A" last="Epinette">J-A Epinette</name>
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</affiliation>
</author>
<author><name sortKey="Gomberg, B" sort="Gomberg, B" uniqKey="Gomberg B" first="B" last="Gomberg">B. Gomberg</name>
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</affiliation>
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<author><name sortKey="Hirschmann, M T" sort="Hirschmann, M T" uniqKey="Hirschmann M" first="M T" last="Hirschmann">M T Hirschmann</name>
<affiliation><nlm:affiliation>Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, (Bruderholz, Liestal, Laufen), 4101, Bruderholz, Switzerland.</nlm:affiliation>
</affiliation>
<affiliation><nlm:affiliation>University of Basel, Basel, Switzerland.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Indelli, P" sort="Indelli, P" uniqKey="Indelli P" first="P" last="Indelli">P. Indelli</name>
<affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation>
</affiliation>
<affiliation><nlm:affiliation>International Committee American Academy Hip and Knee Surgeons (AAHKS), Rosemont, IL, USA.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Khosravi, Ismail" sort="Khosravi, Ismail" uniqKey="Khosravi I" first="Ismail" last="Khosravi">Ismail Khosravi</name>
<affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Karachalios, T" sort="Karachalios, T" uniqKey="Karachalios T" first="T" last="Karachalios">T. Karachalios</name>
<affiliation><nlm:affiliation>Orthopaedic Department, University General Hospital of Larissa, School of Health Sciences, Faculty of Medicine, University of Thessaly, Volos, Greece.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Liebensteiner, M C" sort="Liebensteiner, M C" uniqKey="Liebensteiner M" first="M C" last="Liebensteiner">M C Liebensteiner</name>
<affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Stuyts, B" sort="Stuyts, B" uniqKey="Stuyts B" first="B" last="Stuyts">B. Stuyts</name>
<affiliation><nlm:affiliation>Department of Orthopedic Surgery and Traumatology, GZA Hospitals, Antwerp, Belgium.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Tandogan, R" sort="Tandogan, R" uniqKey="Tandogan R" first="R" last="Tandogan">R. Tandogan</name>
<affiliation><nlm:affiliation>Ortoklinik and Cankaya Orthopedics, Ankara, Turkey.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Violante, B" sort="Violante, B" uniqKey="Violante B" first="B" last="Violante">B. Violante</name>
<affiliation><nlm:affiliation>Orthopaedic Department, Istituto Clinico Sant'Ambrogio IRCCS Galeazzi, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Zagra, L" sort="Zagra, L" uniqKey="Zagra L" first="L" last="Zagra">L. Zagra</name>
<affiliation><nlm:affiliation>Hip Department IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Thaler, M" sort="Thaler, M" uniqKey="Thaler M" first="M" last="Thaler">M. Thaler</name>
<affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.</nlm:affiliation>
</affiliation>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anthropology, Medical (MeSH)</term>
<term>Arthroplasty, Replacement, Hip (MeSH)</term>
<term>Arthroplasty, Replacement, Knee (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>COVID-19 (MeSH)</term>
<term>Consensus (MeSH)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Delivery of Health Care (methods)</term>
<term>Disinfection (methods)</term>
<term>Disinfection (standards)</term>
<term>Elective Surgical Procedures (methods)</term>
<term>Europe (MeSH)</term>
<term>Hospital Units (organization & administration)</term>
<term>Hospital Units (standards)</term>
<term>Humans (MeSH)</term>
<term>Operating Rooms (organization & administration)</term>
<term>Operating Rooms (standards)</term>
<term>Orthopedic Procedures (MeSH)</term>
<term>Orthopedics (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Personal Protective Equipment (MeSH)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Europe</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Delivery of Health Care</term>
<term>Disinfection</term>
<term>Elective Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Hospital Units</term>
<term>Operating Rooms</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Disinfection</term>
<term>Hospital Units</term>
<term>Operating Rooms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Anthropology, Medical</term>
<term>Arthroplasty, Replacement, Hip</term>
<term>Arthroplasty, Replacement, Knee</term>
<term>Betacoronavirus</term>
<term>COVID-19</term>
<term>Consensus</term>
<term>Humans</term>
<term>Orthopedic Procedures</term>
<term>Orthopedics</term>
<term>Pandemics</term>
<term>Personal Protective Equipment</term>
<term>SARS-CoV-2</term>
<term>Surveys and Questionnaires</term>
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<front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b>
</p>
<p>The Covid-19 pandemic has disrupted health care systems all over the world. Elective surgical procedures have been postponed and/or cancelled. Consensus is, therefore, required related to the factors that need to be in place before elective surgery, including hip and knee replacement surgery, which is restarted. Entirely new pathways and protocols need to be worked out.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>A panel of experts from the European Hip Society and European Knee Association have agreed to a consensus statement on how to reintroduce elective arthroplasty surgery safely. The recommendations are based on the best available evidence and have been validated in a separate survey.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The guidelines are based on five themes: modification and/or reorganisation of hospital wards. Restrictions on orthopaedic wards and in operation suite(s). Additional disinfection of the environment. The role of ultra-clean operation theatres. Personal protective equipment enhancement.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Apart from the following national and local guidance, protocols need to be put in place in the patient pathway for primary arthroplasty to allow for a safe return.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32844246</PMID>
<DateCompleted><Year>2020</Year>
<Month>09</Month>
<Day>10</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>12</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1433-7347</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>28</Volume>
<Issue>9</Issue>
<PubDate><Year>2020</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</Title>
<ISOAbbreviation>Knee Surg Sports Traumatol Arthrosc</ISOAbbreviation>
</Journal>
<ArticleTitle>Resuming elective hip and knee arthroplasty after the first phase of the SARS-CoV-2 pandemic: the European Hip Society and European Knee Associates recommendations.</ArticleTitle>
<Pagination><MedlinePgn>2730-2746</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00167-020-06233-9</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The Covid-19 pandemic has disrupted health care systems all over the world. Elective surgical procedures have been postponed and/or cancelled. Consensus is, therefore, required related to the factors that need to be in place before elective surgery, including hip and knee replacement surgery, which is restarted. Entirely new pathways and protocols need to be worked out.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A panel of experts from the European Hip Society and European Knee Association have agreed to a consensus statement on how to reintroduce elective arthroplasty surgery safely. The recommendations are based on the best available evidence and have been validated in a separate survey.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The guidelines are based on five themes: modification and/or reorganisation of hospital wards. Restrictions on orthopaedic wards and in operation suite(s). Additional disinfection of the environment. The role of ultra-clean operation theatres. Personal protective equipment enhancement.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Apart from the following national and local guidance, protocols need to be put in place in the patient pathway for primary arthroplasty to allow for a safe return.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kort</LastName>
<ForeName>N P</ForeName>
<Initials>NP</Initials>
<AffiliationInfo><Affiliation>CortoClinics, Schijndel, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Barrena</LastName>
<ForeName>E Gómez</ForeName>
<Initials>EG</Initials>
<AffiliationInfo><Affiliation>Department of Orthopaedic Surgery and Traumatology, Hospital La Paz, Universidad Autónoma de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bédard</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Département de Chirurgie Orthopédique, CHU de Québec-Université Laval, Quebec City, QC, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Donell</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Norwich Medical School, University of East Anglia, Norwich, UK. s.donell@uea.ac.uk.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Epinette</LastName>
<ForeName>J-A</ForeName>
<Initials>JA</Initials>
<AffiliationInfo><Affiliation>Center for Research and Documentation in Arthroplasty, Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gomberg</LastName>
<ForeName>B</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>OA Centers for Orthopaedics, Portland, ME, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hirschmann</LastName>
<ForeName>M T</ForeName>
<Initials>MT</Initials>
<AffiliationInfo><Affiliation>Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, (Bruderholz, Liestal, Laufen), 4101, Bruderholz, Switzerland.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>University of Basel, Basel, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Indelli</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>International Committee American Academy Hip and Knee Surgeons (AAHKS), Rosemont, IL, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Khosravi</LastName>
<ForeName>Ismail</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Karachalios</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Orthopaedic Department, University General Hospital of Larissa, School of Health Sciences, Faculty of Medicine, University of Thessaly, Volos, Greece.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Liebensteiner</LastName>
<ForeName>M C</ForeName>
<Initials>MC</Initials>
<AffiliationInfo><Affiliation>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Stuyts</LastName>
<ForeName>B</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Department of Orthopedic Surgery and Traumatology, GZA Hospitals, Antwerp, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tandogan</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Ortoklinik and Cankaya Orthopedics, Ankara, Turkey.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Violante</LastName>
<ForeName>B</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Orthopaedic Department, Istituto Clinico Sant'Ambrogio IRCCS Galeazzi, Milan, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zagra</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Hip Department IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Thaler</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.</Affiliation>
</AffiliationInfo>
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