Recommendations for resuming elective hip and knee arthroplasty in the setting of the SARS-CoV-2 pandemic: the European Hip Society and European Knee Associates Survey of Members.
Identifieur interne : 000419 ( Main/Curation ); précédent : 000418; suivant : 000420Recommendations for resuming elective hip and knee arthroplasty in the setting of the SARS-CoV-2 pandemic: the European Hip Society and European Knee Associates Survey of Members.
Auteurs : N P Kort [Pays-Bas] ; E G Mez Barrena [Espagne] ; M. Bédard [Canada] ; S. Donell [Royaume-Uni] ; J-A Epinette [France] ; B. Gomberg [États-Unis] ; M T Hirschmann [Suisse] ; P. Indelli [États-Unis] ; Ismail Khosravi [Autriche] ; T. Karachalios [Grèce] ; M C Liebensteiner [Autriche] ; B. Stuyts [Belgique] ; R. Tandogan [Turquie] ; B. Violante [Italie] ; L. Zagra [Italie] ; M. Thaler [Autriche]Source :
- Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [ 1433-7347 ] ; 2020.
Descripteurs français
- KwdFr :
- Arthroplastie prothétique de genou (MeSH), Arthroplastie prothétique de hanche (MeSH), Betacoronavirus (MeSH), Chirurgiens orthopédistes (MeSH), Consensus (MeSH), Enquêtes et questionnaires (MeSH), Europe (MeSH), Guides de bonnes pratiques cliniques comme sujet (MeSH), Humains (MeSH), Infections à coronavirus (épidémiologie), Interventions chirurgicales non urgentes (méthodes), Pandémies (MeSH), Pneumopathie virale (épidémiologie), Prestations des soins de santé (méthodes), Études prospectives (MeSH).
- MESH :
- méthodes : Interventions chirurgicales non urgentes, Prestations des soins de santé.
- épidémiologie : Infections à coronavirus, Pneumopathie virale.
- Arthroplastie prothétique de genou, Arthroplastie prothétique de hanche, Betacoronavirus, Chirurgiens orthopédistes, Consensus, Enquêtes et questionnaires, Europe, Guides de bonnes pratiques cliniques comme sujet, Humains, Pandémies, Études prospectives.
English descriptors
- KwdEn :
- Arthroplasty, Replacement, Hip (MeSH), Arthroplasty, Replacement, Knee (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), Consensus (MeSH), Coronavirus Infections (epidemiology), Delivery of Health Care (methods), Elective Surgical Procedures (methods), Europe (MeSH), Humans (MeSH), Orthopedic Surgeons (MeSH), Pandemics (MeSH), Pneumonia, Viral (epidemiology), Practice Guidelines as Topic (MeSH), Prospective Studies (MeSH), SARS-CoV-2 (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- geographic : Europe.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- methods : Delivery of Health Care, Elective Surgical Procedures.
- Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, Betacoronavirus, COVID-19, Consensus, Humans, Orthopedic Surgeons, Pandemics, Practice Guidelines as Topic, Prospective Studies, SARS-CoV-2, Surveys and Questionnaires.
Abstract
PURPOSE
The COVID-19 pandemic has disrupted the health care system around the entire globe. A consensus is needed about resuming total hip and knee procedures. The European Hip Society (EHS) and the European Knee Association (EKA) formed a panel of experts that have produced a consensus statement on how the safe re-introduction of elective hip and knee arthroplasty should be undertaken.
METHODS
A prospective online survey was done among members of EHS and EKA. The survey consisted of 27 questions. It includes basic information on demographics and details the participant's agreement with each recommendation. The participant could choose among three options (agree, disagree, abstain). Recommendations focussed on pre-operative, peri-operative, and post-operative handling of patients and precautions.
RESULTS
A total of 681 arthroplasty surgeons participated in the survey, with 479 fully completing the survey. The participants were from 44 countries and 6 continents. Apart from adhering to National and Local Guidelines, the recommendations concerned how to make elective arthroplasty safe for patients and staff.
CONCLUSION
The survey has shown good-to-excellent agreement of the participants with regards to the statements made in the recommendations for the safe return to elective arthroplasty following the first wave of the COVID-19 pandemic.
DOI: 10.1007/s00167-020-06212-0
PubMed: 32809121
PubMed Central: PMC7433681
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Donell</name><affiliation wicri:level="1"><nlm:affiliation>Norwich Medical School, University of East Anglia, Norwich, UK. s.donell@uea.ac.uk.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Norwich Medical School, University of East Anglia, Norwich</wicri:regionArea></affiliation></author><author><name sortKey="Epinette, J A" sort="Epinette, J A" uniqKey="Epinette J" first="J-A" last="Epinette">J-A Epinette</name><affiliation wicri:level="1"><nlm:affiliation>Center for Research and Documentation in Arthroplasty, Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Center for Research and Documentation in Arthroplasty, Lille</wicri:regionArea></affiliation></author><author><name sortKey="Gomberg, B" sort="Gomberg, B" uniqKey="Gomberg B" first="B" last="Gomberg">B. 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Indelli</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>International Committee American Academy Hip and Knee Surgeons (AAHKS), Rosemont, IL, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>International Committee American Academy Hip and Knee Surgeons (AAHKS), Rosemont, IL</wicri:regionArea></affiliation></author><author><name sortKey="Khosravi, Ismail" sort="Khosravi, Ismail" uniqKey="Khosravi I" first="Ismail" last="Khosravi">Ismail Khosravi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck</wicri:regionArea></affiliation></author><author><name sortKey="Karachalios, T" sort="Karachalios, T" uniqKey="Karachalios T" first="T" last="Karachalios">T. Karachalios</name><affiliation wicri:level="1"><nlm:affiliation>Orthopaedic Department, School of Health Sciences, Faculty of Medicine, University General Hospital of Larissa, University of Thessalia, Thessalia, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Orthopaedic Department, School of Health Sciences, Faculty of Medicine, University General Hospital of Larissa, University of Thessalia, Thessalia</wicri:regionArea></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 wicri:level="1"><nlm:affiliation>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck</wicri:regionArea></affiliation></author><author><name sortKey="Stuyts, B" sort="Stuyts, B" uniqKey="Stuyts B" first="B" last="Stuyts">B. Stuyts</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopedic Surgery and Traumatology, GZA Hospitals, Antwerp, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Orthopedic Surgery and Traumatology, GZA Hospitals, Antwerp</wicri:regionArea></affiliation></author><author><name sortKey="Tandogan, R" sort="Tandogan, R" uniqKey="Tandogan R" first="R" last="Tandogan">R. Tandogan</name><affiliation wicri:level="1"><nlm:affiliation>Ortoklinik and Cankaya Orthopedics, Ankara, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Ortoklinik and Cankaya Orthopedics, Ankara</wicri:regionArea></affiliation></author><author><name sortKey="Violante, B" sort="Violante, B" uniqKey="Violante B" first="B" last="Violante">B. Violante</name><affiliation wicri:level="1"><nlm:affiliation>Orthopaedic Department, Istituto Clinico Sant'Ambrogio IRCCS Galeazzi, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Orthopaedic Department, Istituto Clinico Sant'Ambrogio IRCCS Galeazzi, Milan</wicri:regionArea></affiliation></author><author><name sortKey="Zagra, L" sort="Zagra, L" uniqKey="Zagra L" first="L" last="Zagra">L. Zagra</name><affiliation wicri:level="1"><nlm:affiliation>Hip Department IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Hip Department IRCCS Istituto Ortopedico Galeazzi, Milan</wicri:regionArea></affiliation></author><author><name sortKey="Thaler, M" sort="Thaler, M" uniqKey="Thaler M" first="M" last="Thaler">M. 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Bédard</name><affiliation wicri:level="1"><nlm:affiliation>Département de Chirurgie Orthopédique, CHU de Québec-Université Laval, Quebec City, QC, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Département de Chirurgie Orthopédique, CHU de Québec-Université Laval, Quebec City, QC</wicri:regionArea></affiliation></author><author><name sortKey="Donell, S" sort="Donell, S" uniqKey="Donell S" first="S" last="Donell">S. Donell</name><affiliation wicri:level="1"><nlm:affiliation>Norwich Medical School, University of East Anglia, Norwich, UK. s.donell@uea.ac.uk.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Norwich Medical School, University of East Anglia, Norwich</wicri:regionArea></affiliation></author><author><name sortKey="Epinette, J A" sort="Epinette, J A" uniqKey="Epinette J" first="J-A" last="Epinette">J-A Epinette</name><affiliation wicri:level="1"><nlm:affiliation>Center for Research and Documentation in Arthroplasty, Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Center for Research and Documentation in Arthroplasty, Lille</wicri:regionArea></affiliation></author><author><name sortKey="Gomberg, B" sort="Gomberg, B" uniqKey="Gomberg B" first="B" last="Gomberg">B. Gomberg</name><affiliation wicri:level="1"><nlm:affiliation>OA Centers for Orthopaedics, Portland, ME, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>OA Centers for Orthopaedics, Portland, ME</wicri:regionArea></affiliation></author><author><name sortKey="Hirschmann, M T" sort="Hirschmann, M T" uniqKey="Hirschmann M" first="M T" last="Hirschmann">M T Hirschmann</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, (Bruderholz, Liestal, Laufen), 4101, Bruderholz, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, (Bruderholz, Liestal, Laufen), 4101, Bruderholz</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>University of Basel, Basel, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>University of Basel, Basel</wicri:regionArea></affiliation></author><author><name sortKey="Indelli, P" sort="Indelli, P" uniqKey="Indelli P" first="P" last="Indelli">P. Indelli</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>International Committee American Academy Hip and Knee Surgeons (AAHKS), Rosemont, IL, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>International Committee American Academy Hip and Knee Surgeons (AAHKS), Rosemont, IL</wicri:regionArea></affiliation></author><author><name sortKey="Khosravi, Ismail" sort="Khosravi, Ismail" uniqKey="Khosravi I" first="Ismail" last="Khosravi">Ismail Khosravi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck</wicri:regionArea></affiliation></author><author><name sortKey="Karachalios, T" sort="Karachalios, T" uniqKey="Karachalios T" first="T" last="Karachalios">T. Karachalios</name><affiliation wicri:level="1"><nlm:affiliation>Orthopaedic Department, School of Health Sciences, Faculty of Medicine, University General Hospital of Larissa, University of Thessalia, Thessalia, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Orthopaedic Department, School of Health Sciences, Faculty of Medicine, University General Hospital of Larissa, University of Thessalia, Thessalia</wicri:regionArea></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 wicri:level="1"><nlm:affiliation>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck</wicri:regionArea></affiliation></author><author><name sortKey="Stuyts, B" sort="Stuyts, B" uniqKey="Stuyts B" first="B" last="Stuyts">B. Stuyts</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopedic Surgery and Traumatology, GZA Hospitals, Antwerp, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Orthopedic Surgery and Traumatology, GZA Hospitals, Antwerp</wicri:regionArea></affiliation></author><author><name sortKey="Tandogan, R" sort="Tandogan, R" uniqKey="Tandogan R" first="R" last="Tandogan">R. Tandogan</name><affiliation wicri:level="1"><nlm:affiliation>Ortoklinik and Cankaya Orthopedics, Ankara, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Ortoklinik and Cankaya Orthopedics, Ankara</wicri:regionArea></affiliation></author><author><name sortKey="Violante, B" sort="Violante, B" uniqKey="Violante B" first="B" last="Violante">B. Violante</name><affiliation wicri:level="1"><nlm:affiliation>Orthopaedic Department, Istituto Clinico Sant'Ambrogio IRCCS Galeazzi, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Orthopaedic Department, Istituto Clinico Sant'Ambrogio IRCCS Galeazzi, Milan</wicri:regionArea></affiliation></author><author><name sortKey="Zagra, L" sort="Zagra, L" uniqKey="Zagra L" first="L" last="Zagra">L. Zagra</name><affiliation wicri:level="1"><nlm:affiliation>Hip Department IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Hip Department IRCCS Istituto Ortopedico Galeazzi, Milan</wicri:regionArea></affiliation></author><author><name sortKey="Thaler, M" sort="Thaler, M" uniqKey="Thaler M" first="M" last="Thaler">M. Thaler</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck</wicri:regionArea></affiliation></author></analytic><series><title level="j">Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><idno type="eISSN">1433-7347</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><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>Elective Surgical Procedures (methods)</term><term>Europe (MeSH)</term><term>Humans (MeSH)</term><term>Orthopedic Surgeons (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (epidemiology)</term><term>Practice Guidelines as Topic (MeSH)</term><term>Prospective Studies (MeSH)</term><term>SARS-CoV-2 (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Arthroplastie prothétique de genou (MeSH)</term><term>Arthroplastie prothétique de hanche (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Chirurgiens orthopédistes (MeSH)</term><term>Consensus (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Europe (MeSH)</term><term>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (épidémiologie)</term><term>Interventions chirurgicales non urgentes (méthodes)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (épidémiologie)</term><term>Prestations des soins de santé (méthodes)</term><term>Études prospectives (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>Elective Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Interventions chirurgicales non urgentes</term><term>Prestations des soins de santé</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" xml:lang="en"><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 Surgeons</term><term>Pandemics</term><term>Practice Guidelines as Topic</term><term>Prospective Studies</term><term>SARS-CoV-2</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Arthroplastie prothétique de genou</term><term>Arthroplastie prothétique de hanche</term><term>Betacoronavirus</term><term>Chirurgiens orthopédistes</term><term>Consensus</term><term>Enquêtes et questionnaires</term><term>Europe</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Pandémies</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>The COVID-19 pandemic has disrupted the health care system around the entire globe. A consensus is needed about resuming total hip and knee procedures. The European Hip Society (EHS) and the European Knee Association (EKA) formed a panel of experts that have produced a consensus statement on how the safe re-introduction of elective hip and knee arthroplasty should be undertaken.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A prospective online survey was done among members of EHS and EKA. The survey consisted of 27 questions. It includes basic information on demographics and details the participant's agreement with each recommendation. The participant could choose among three options (agree, disagree, abstain). Recommendations focussed on pre-operative, peri-operative, and post-operative handling of patients and precautions.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 681 arthroplasty surgeons participated in the survey, with 479 fully completing the survey. The participants were from 44 countries and 6 continents. Apart from adhering to National and Local Guidelines, the recommendations concerned how to make elective arthroplasty safe for patients and staff.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The survey has shown good-to-excellent agreement of the participants with regards to the statements made in the recommendations for the safe return to elective arthroplasty following the first wave of the COVID-19 pandemic.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32809121</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>Recommendations for resuming elective hip and knee arthroplasty in the setting of the SARS-CoV-2 pandemic: the European Hip Society and European Knee Associates Survey of Members.</ArticleTitle><Pagination><MedlinePgn>2723-2729</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00167-020-06212-0</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The COVID-19 pandemic has disrupted the health care system around the entire globe. A consensus is needed about resuming total hip and knee procedures. The European Hip Society (EHS) and the European Knee Association (EKA) formed a panel of experts that have produced a consensus statement on how the safe re-introduction of elective hip and knee arthroplasty should be undertaken.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A prospective online survey was done among members of EHS and EKA. The survey consisted of 27 questions. It includes basic information on demographics and details the participant's agreement with each recommendation. The participant could choose among three options (agree, disagree, abstain). Recommendations focussed on pre-operative, peri-operative, and post-operative handling of patients and precautions.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 681 arthroplasty surgeons participated in the survey, with 479 fully completing the survey. The participants were from 44 countries and 6 continents. Apart from adhering to National and Local Guidelines, the recommendations concerned how to make elective arthroplasty safe for patients and staff.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The survey has shown good-to-excellent agreement of the participants with regards to the statements made in the recommendations for the safe return to elective arthroplasty following the first wave of the COVID-19 pandemic.</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>Dept 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><Identifier Source="ORCID">http://orcid.org/0000-0001-6664-7470</Identifier><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, School of Health Sciences, Faculty of Medicine, University General Hospital of Larissa, University of Thessalia, Thessalia, 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></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Knee Surg Sports Traumatol Arthrosc</MedlineTA><NlmUniqueID>9314730</NlmUniqueID><ISSNLinking>0942-2056</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D019644" MajorTopicYN="Y">Arthroplasty, Replacement, Hip</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019645" MajorTopicYN="Y">Arthroplasty, Replacement, Knee</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" 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Surgeons</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017410" MajorTopicYN="Y">Practice Guidelines as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Hip</Keyword><Keyword MajorTopicYN="N">Knee</Keyword><Keyword MajorTopicYN="N">Primary arthroplasty</Keyword><Keyword MajorTopicYN="N">Recommendations</Keyword><Keyword MajorTopicYN="N">Survey</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>07</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>08</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32809121</ArticleId><ArticleId IdType="doi">10.1007/s00167-020-06212-0</ArticleId><ArticleId IdType="pii">10.1007/s00167-020-06212-0</ArticleId><ArticleId 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