Effects of the Pandemic on Orthopedics and Traumatology Staff From Its Beginning (March 2020) to the Post-Vaccination Stage (July 2021) What value can a survey have?
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Published:
Jun 25, 2022
Keywords:
COVID-19, survey, personal protection, telemedicine
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Abstract
Introduction: On March 11, 2020, the WHO declared a global pandemic due to COVID-19 that affected orthopedic practice worldwide. To analyze the influence of COVID-19 on the employment situation of the members of the Argentine Association of Orthopedics and Traumatology (AAOT), we have conducted 3 surveys from the beginning of March 2020 to the post-vaccination stage in July 2021. The objectives were to determine differences between the relative reduction of work (outpatient clinics, surgeries) during the three phases of the pandemic: pre-peak, peak, and vaccination stage and to differentiate between the studied population, protective care, activity, tests, infection, isolation, and vaccination.
Materials and Methods: Prospective survey, in three stages, to members in general, authorized by the Board of Directors, from the beginning of compulsory social isolation (R0 2.8), through the peak and post-vaccination stages.
Results: We observed a low degree of participation that progressively decreased between phases. In the first survey, 6.99% had been tested; in the second, 25.29%; and after 6 months, 88.2%. The reduction of habitual activities and the incorporation of telemedicine as a new way of doctor-patient exchange was the novelty in the second part of the survey.
Conclusion: Protection systems have given an acceptable percentage of reliability with a high vaccination rate among specialists. Despite the risk and fears of contagion, telemedicine has not managed to be an alternative accepted by both professionals and patients.
Materials and Methods: Prospective survey, in three stages, to members in general, authorized by the Board of Directors, from the beginning of compulsory social isolation (R0 2.8), through the peak and post-vaccination stages.
Results: We observed a low degree of participation that progressively decreased between phases. In the first survey, 6.99% had been tested; in the second, 25.29%; and after 6 months, 88.2%. The reduction of habitual activities and the incorporation of telemedicine as a new way of doctor-patient exchange was the novelty in the second part of the survey.
Conclusion: Protection systems have given an acceptable percentage of reliability with a high vaccination rate among specialists. Despite the risk and fears of contagion, telemedicine has not managed to be an alternative accepted by both professionals and patients.
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How to Cite
Dello Russo, B., Vivas, M., Saez, L. E., Barcia, S., Santini Araujo, G., Aquino, G., Piantoni, L., Cafruni, V. M., & Camino Willhuber, G. (2022). Effects of the Pandemic on Orthopedics and Traumatology Staff From Its Beginning (March 2020) to the Post-Vaccination Stage (July 2021). Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(3), 433-446. https://doi.org/10.15417/issn.1852-7434.2022.87.3.1451
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scoping review. A unifying report of global recommendations. Disponible en: https://aaot.org.ar/wp-content/uploads/2020/04/OE-.Best-Practices-for-Surgeons-COVID-19-Evidence-Based-ScopingReview.pdf_compressed1.pd3 [Consulta: 4 de abril, 2020]
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orthopaedics. Postgrad Med J 2020;96(1137):1-2. https://doi.org/10.1136/postgradmedj-2020-137917
during lockdown: A pan India Survey of Orthopaedic Surgeons. Malays Orthop J 2021;15(1):55-62.
https://doi.org/10.5704/MOJ.2103.009
2. Chang Liang Z, Wang W, Murphy D, Po Hui JH. Novel coronavirus and orthopaedic surgery: early experiences
from Singapore. J Bone Joint Surg Am 2020;102(9):745-9. https://doi.org/10.2106/JBJS.20.00236
3. Lezak BA, Cole Jr PA, Schroder LK, Cole PA. Global experience of orthopedic trauma surgeons facing COVID-19:
a survey highlighting the global orthopaedic response. Int Orthop 2020;44(8):1519-29. https://doi.org/10.1007/s00264-020-04644-4
4. Casas Anguita J, Repullo Labrador JR, Donado Campos J. La encuesta como técnica de investigación. Elaboración de cuestionarios y tratamiento estadísticos de los datos. Atención Primaria 2003;31(8):527-38.
https://doi.org/10.1016/S0212-6567(03)70728-8
5. https://www.argentina.gob.ar/salud/coronavirus-COVID-19/sala-situacion
6. Safelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals
during the COVID-19 pandemic. J Am Med Asoc 2020;323(21):2133-34. https://doi.org/10.1001/jama.2020.5893
7. Sahu D, Agrawal T, Rathod V, Bagaria V. Impact of COVID-19 lockdown on orthopaedic surgeons in India: a
survey. J Clin Orthop Trauma 2020;11(Suppl 3):283-90. https://doi.org/10.1016/j.jcot.2020.05.007
8. Iyengar KP, Jain VK, Ish P. COVID-19 reinfection – An enigmatic public health threat. Monaldi Arch Ches Dis
2020;90(4). https://doi.org/10.4081/monaldi.2020.1596
9. Alcobía-Díaz B. Experiencia desde el punto de vista de un traumatólogo en el Hospital COVID-IFEMA en Madrid durante la pandemia del coronavirus en España. Rev Esp Cir Ortop 2020;64(6):439-40. https://doi.org/10.1016/j.recot.2020.05.001
10. Ricciardi GA, Locaso F, Pérez MA, Soto Arriaga S, Salinas AA, et al. Impacto de la pandemia de la COVID-19 en
el funcionamiento de un servicio público de Ortopedia y Traumatología: nuestro aprendizaje luego de la primera
ola. Rev Asoc Argent Ortop Traumatol 2021;86(6):716-26. https://doi.org/10.15417/issn.1852-7434.2021.86.6.1341
11. Prada C, Chang Y, Poolman R, Johal H, Bhandari M. Best practices for surgeons-COVID-19 evidence-based
scoping review. A unifying report of global recommendations. Disponible en: https://aaot.org.ar/wp-content/uploads/2020/04/OE-.Best-Practices-for-Surgeons-COVID-19-Evidence-Based-ScopingReview.pdf_compressed1.pd3 [Consulta: 4 de abril, 2020]
12. Hollander JE, Carr BG. Virtually perfect? Telemedicine for Covid-19. N Engl J Med 2020;382(18):1679-81.
https://doi.org/10.1056/NEJMp2003539
13. WHO Guideline: recommendations on digital interventions for health system strengthening Publication date: 2019. Disponible en: https://www.who.int/reproductivehealth/publications/digital-interventions-health-system-strengthening/en/
14. Atun R, Monteiro de Andrade LO, Almeida G, Cotlear D, DmytraczenkoT, et al. Health-system reform and
universal health coverage in Latin America. Lancet 2015;385(9974):1230-47. https://doi.org/10.1016/S0140-6736(14)61646-9
15. Prados Castillejo JA. Telemedicina, una herramienta también para el médico de familia. Atención Primaria
2013;45(3):129-32. https://doi.org/10.1016/j.aprim.2012.07.006
16. Iyengar K, Vaish A, Toh E, Vaishya R. COVID-19 and remote consulting strategies in managing trauma and
orthopaedics. Postgrad Med J 2020;96(1137):1-2. https://doi.org/10.1136/postgradmedj-2020-137917