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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 : 000331 ( Main/Exploration ); précédent : 000330; suivant : 000332

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.

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:32809121

Descripteurs français

English descriptors

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


Affiliations:


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<nlm:affiliation>CortoClinics, Schijndel, The Netherlands.</nlm:affiliation>
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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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<nlm:affiliation>Center for Research and Documentation in Arthroplasty, Lille, France.</nlm:affiliation>
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<name sortKey="Gomberg, B" sort="Gomberg, B" uniqKey="Gomberg B" first="B" last="Gomberg">B. Gomberg</name>
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<nlm:affiliation>OA Centers for Orthopaedics, Portland, ME, USA.</nlm:affiliation>
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<region type="state">Maine (État)</region>
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<name sortKey="Hirschmann, M T" sort="Hirschmann, M T" uniqKey="Hirschmann M" first="M T" last="Hirschmann">M T Hirschmann</name>
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<nlm:affiliation>Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, (Bruderholz, Liestal, Laufen), 4101, Bruderholz, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
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<nlm:affiliation>University of Basel, Basel, Switzerland.</nlm:affiliation>
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<wicri:regionArea>University of Basel, Basel</wicri:regionArea>
<wicri:noRegion>Basel</wicri:noRegion>
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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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<nlm:affiliation>Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation>
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<region type="state">Californie</region>
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<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>
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<name sortKey="Khosravi, Ismail" sort="Khosravi, Ismail" uniqKey="Khosravi I" first="Ismail" last="Khosravi">Ismail Khosravi</name>
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<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>
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<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>
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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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<nlm:affiliation>Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.</nlm:affiliation>
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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>
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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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<settlement type="city">Milan</settlement>
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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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<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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<settlement type="city">Milan</settlement>
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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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<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>
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<title xml:lang="en">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.</title>
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<name sortKey="Kort, N P" sort="Kort, N P" uniqKey="Kort N" first="N P" last="Kort">N P Kort</name>
<affiliation wicri:level="1">
<nlm:affiliation>CortoClinics, Schijndel, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>CortoClinics, Schijndel</wicri:regionArea>
<wicri:noRegion>Schijndel</wicri:noRegion>
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<name sortKey="Barrena, E G Mez" sort="Barrena, E G Mez" uniqKey="Barrena E" first="E G Mez" last="Barrena">E G Mez Barrena</name>
<affiliation wicri:level="4">
<nlm:affiliation>Dept of Orthopaedic Surgery and Traumatology, Hospital La Paz, Universidad Autónoma de Madrid, Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Dept of Orthopaedic Surgery and Traumatology, Hospital La Paz, Universidad Autónoma de Madrid, Madrid</wicri:regionArea>
<placeName>
<settlement type="city">Madrid</settlement>
<region nuts="2" type="region">Communauté de Madrid</region>
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<orgName type="university">Université autonome de Madrid</orgName>
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<name sortKey="Bedard, M" sort="Bedard, M" uniqKey="Bedard M" first="M" last="Bédard">M. Bédard</name>
<affiliation wicri:level="4">
<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>
<orgName type="university">Université Laval</orgName>
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<settlement type="city">Québec (ville)</settlement>
<region type="state">Québec</region>
</placeName>
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<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>
<wicri:noRegion>Norwich</wicri:noRegion>
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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>
<affiliation wicri:level="3">
<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>
<placeName>
<region type="region">Hauts-de-France</region>
<region type="old region">Nord-Pas-de-Calais</region>
<settlement type="city">Lille</settlement>
</placeName>
</affiliation>
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<name sortKey="Gomberg, B" sort="Gomberg, B" uniqKey="Gomberg B" first="B" last="Gomberg">B. Gomberg</name>
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<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>
<placeName>
<region type="state">Maine (État)</region>
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<name sortKey="Hirschmann, M T" sort="Hirschmann, M T" uniqKey="Hirschmann M" first="M T" last="Hirschmann">M T Hirschmann</name>
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<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>
<wicri:noRegion>Bruderholz</wicri:noRegion>
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<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>
<wicri:noRegion>Basel</wicri:noRegion>
</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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<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>
<placeName>
<region type="state">Californie</region>
</placeName>
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<affiliation wicri:level="2">
<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>
<placeName>
<region type="state">Illinois</region>
</placeName>
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<name sortKey="Khosravi, Ismail" sort="Khosravi, Ismail" uniqKey="Khosravi I" first="Ismail" last="Khosravi">Ismail Khosravi</name>
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<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>
<orgName type="university">Université de médecine d'Innsbruck</orgName>
<placeName>
<settlement type="city">Innsbruck</settlement>
<region nuts="2" type="region">Tyrol (Land)</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, 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>
<wicri:noRegion>Thessalia</wicri:noRegion>
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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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<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>
<orgName type="university">Université de médecine d'Innsbruck</orgName>
<placeName>
<settlement type="city">Innsbruck</settlement>
<region nuts="2" type="region">Tyrol (Land)</region>
</placeName>
</affiliation>
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<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>
<wicri:noRegion>Antwerp</wicri:noRegion>
</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>
<wicri:noRegion>Ankara</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Violante, B" sort="Violante, B" uniqKey="Violante B" first="B" last="Violante">B. Violante</name>
<affiliation wicri:level="3">
<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>
<placeName>
<settlement type="city">Milan</settlement>
<region nuts="2">Lombardie</region>
</placeName>
</affiliation>
</author>
<author>
<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>
<placeName>
<settlement type="city">Milan</settlement>
<region nuts="2">Lombardie</region>
</placeName>
</affiliation>
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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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<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>
<orgName type="university">Université de médecine d'Innsbruck</orgName>
<placeName>
<settlement type="city">Innsbruck</settlement>
<region nuts="2" type="region">Tyrol (Land)</region>
</placeName>
</affiliation>
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<series>
<title level="j">Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title>
<idno type="eISSN">1433-7347</idno>
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<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>
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<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>
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<Month>09</Month>
<Day>10</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>12</Month>
<Day>18</Day>
</DateRevised>
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<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>
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<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>
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<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>
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<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>
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<Affiliation>Norwich Medical School, University of East Anglia, Norwich, UK. s.donell@uea.ac.uk.</Affiliation>
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<LastName>Epinette</LastName>
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</AffiliationInfo>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>University of Basel, Basel, Switzerland.</Affiliation>
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</Author>
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<LastName>Indelli</LastName>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>International Committee American Academy Hip and Knee Surgeons (AAHKS), Rosemont, IL, USA.</Affiliation>
</AffiliationInfo>
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</AffiliationInfo>
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<AffiliationInfo>
<Affiliation>Orthopaedic Department, School of Health Sciences, Faculty of Medicine, University General Hospital of Larissa, University of Thessalia, Thessalia, Greece.</Affiliation>
</AffiliationInfo>
</Author>
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</AffiliationInfo>
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</AffiliationInfo>
</Author>
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<LastName>Tandogan</LastName>
<ForeName>R</ForeName>
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</AffiliationInfo>
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<LastName>Violante</LastName>
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<Initials>B</Initials>
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</AffiliationInfo>
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<LastName>Zagra</LastName>
<ForeName>L</ForeName>
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</AffiliationInfo>
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