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. 2021 Jan;31(1):105-109.
doi: 10.1007/s00590-020-02748-6. Epub 2020 Jul 26.

The impact of the COVID-19 pandemic on orthopaedic services and training in the UK

Affiliations

The impact of the COVID-19 pandemic on orthopaedic services and training in the UK

Hiba Khan et al. Eur J Orthop Surg Traumatol. 2021 Jan.

Abstract

Introduction: The novel coronavirus disease 2019 (COVID-19) was declared a pandemic by the World Health Organisation on 11 March 2020. The aim of this study is to assess the impact of COVID-19 on orthopaedic practice and training in the UK.

Methods: Surgeons throughout UK hospitals were asked to complete an electronic survey relating to orthopaedic practice and training in their hospital. The nationwide survey was conducted during the first peak of COVID-19 cases in the UK between 20 March 2020 and 20 April 2020.

Results: All 202 UK participants reported disruption to their daily practice. 91% reported all elective operating had been cancelled and trauma continued as normal in only 24% of cases. 70% reported disruption to trauma operating. Elective clinic capacity significantly reduced with no elective clinics running as normal. 55% reported their elective clinics completely cancelled, whilst 38% reported elective clinics running at a reduced capacity, with non-urgent appointments postponed. Only 9% of fracture clinics ran as normal, and 69% had a reduced service. 67% reported teaching and study leave cancelled. Significantly, 69% of participants felt the pandemic would result in a delay to completion of registrar training programmes.

Conclusion: This is the first nationwide survey assessing the impact of the coronavirus disease 2019 on UK orthopaedic practice and training, during the peak of the pandemic. It highlights the scale of the challenge ahead for the specialty, including during the recovery phase and post-recovery phase of the pandemic.

Keywords: COVID-19; Coronavirus; Orthopaedics; Pandemic; Training; Trauma; UK.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
COVID-19 effect on operating lists in the UK
Fig. 2
Fig. 2
COVID-19 effect on operating list based on hospital type
Fig. 3
Fig. 3
COVID-19 effects on orthopaedic clinics in the UK

References

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