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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 : 000312 ( Main/Exploration ); précédent : 000311; suivant : 000313

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.

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 :

RBID : pubmed:32844246

Descripteurs français

English descriptors

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


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<name sortKey="Tandogan, R" sort="Tandogan, R" uniqKey="Tandogan R" first="R" last="Tandogan">R. Tandogan</name>
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<name sortKey="Zagra, L" sort="Zagra, L" uniqKey="Zagra L" first="L" last="Zagra">L. Zagra</name>
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<name sortKey="Thaler, M" sort="Thaler, M" uniqKey="Thaler M" first="M" last="Thaler">M. Thaler</name>
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<name sortKey="Bedard, M" sort="Bedard, M" uniqKey="Bedard M" first="M" last="Bédard">M. Bédard</name>
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<nlm:affiliation>Département de Chirurgie Orthopédique, CHU de Québec-Université Laval, Quebec City, QC, Canada.</nlm:affiliation>
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<name sortKey="Donell, S" sort="Donell, S" uniqKey="Donell S" first="S" last="Donell">S. Donell</name>
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<nlm:affiliation>Norwich Medical School, University of East Anglia, Norwich, UK. s.donell@uea.ac.uk.</nlm:affiliation>
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<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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<nlm:affiliation>Center for Research and Documentation in Arthroplasty, Lille, France.</nlm:affiliation>
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<nlm:affiliation>University of Basel, Basel, Switzerland.</nlm:affiliation>
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<name sortKey="Indelli, P" sort="Indelli, P" uniqKey="Indelli P" first="P" last="Indelli">P. Indelli</name>
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<region type="state">Illinois</region>
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<name sortKey="Karachalios, T" sort="Karachalios, T" uniqKey="Karachalios T" first="T" last="Karachalios">T. Karachalios</name>
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<nlm:affiliation>Orthopaedic Department, University General Hospital of Larissa, School of Health Sciences, Faculty of Medicine, University of Thessaly, Volos, Greece.</nlm:affiliation>
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<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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<name sortKey="Stuyts, B" sort="Stuyts, B" uniqKey="Stuyts B" first="B" last="Stuyts">B. Stuyts</name>
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<nlm:affiliation>Department of Orthopedic Surgery and Traumatology, GZA Hospitals, Antwerp, Belgium.</nlm:affiliation>
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<name sortKey="Tandogan, R" sort="Tandogan, R" uniqKey="Tandogan R" first="R" last="Tandogan">R. Tandogan</name>
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<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>
<wicri:noRegion>Ankara</wicri:noRegion>
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<name sortKey="Violante, B" sort="Violante, B" uniqKey="Violante B" first="B" last="Violante">B. Violante</name>
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<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>
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<name sortKey="Zagra, L" sort="Zagra, L" uniqKey="Zagra L" first="L" last="Zagra">L. Zagra</name>
<affiliation wicri:level="3">
<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>
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<title level="j">Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title>
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<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>
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<term>Anthropologie médicale (MeSH)</term>
<term>Arthroplastie prothétique de genou (MeSH)</term>
<term>Arthroplastie prothétique de hanche (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Blocs opératoires (normes)</term>
<term>Blocs opératoires (organisation et administration)</term>
<term>Consensus (MeSH)</term>
<term>Désinfection (méthodes)</term>
<term>Désinfection (normes)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Europe (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Interventions chirurgicales non urgentes (méthodes)</term>
<term>Orthopédie (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Prestations des soins de santé (méthodes)</term>
<term>Procédures orthopédiques (MeSH)</term>
<term>Unités hospitalières (normes)</term>
<term>Unités hospitalières (organisation et administration)</term>
<term>Équipement de protection individuelle (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="méthodes" xml:lang="fr">
<term>Désinfection</term>
<term>Interventions chirurgicales non urgentes</term>
<term>Prestations des soins de santé</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr">
<term>Blocs opératoires</term>
<term>Désinfection</term>
<term>Unités hospitalières</term>
</keywords>
<keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr">
<term>Blocs opératoires</term>
<term>Unités hospitalières</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" qualifier="épidémiologie" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</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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<keywords scheme="MESH" xml:lang="fr">
<term>Anthropologie médicale</term>
<term>Arthroplastie prothétique de genou</term>
<term>Arthroplastie prothétique de hanche</term>
<term>Betacoronavirus</term>
<term>Consensus</term>
<term>Enquêtes et questionnaires</term>
<term>Europe</term>
<term>Humains</term>
<term>Orthopédie</term>
<term>Pandémies</term>
<term>Procédures orthopédiques</term>
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<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>
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<Year>2020</Year>
<Month>09</Month>
<Day>10</Day>
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<Year>2020</Year>
<Month>12</Month>
<Day>18</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1433-7347</ISSN>
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<Volume>28</Volume>
<Issue>9</Issue>
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<Year>2020</Year>
<Month>Sep</Month>
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<Title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</Title>
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<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>
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<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>
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<ForeName>E Gómez</ForeName>
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<ForeName>Ismail</ForeName>
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<Affiliation>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.</Affiliation>
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