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. 2025 Jun 5:5:1564007.
doi: 10.3389/frhs.2025.1564007. eCollection 2025.

Total hip arthroplasty, associated rehabilitation care and the COVID-19 pandemic in France

Carine Milcent  1   2 , Pierre-Emmanuel Couralet  3 , Saad Zbiri  4   5 , Achille Tchalla  6
Affiliations

Total hip arthroplasty, associated rehabilitation care and the COVID-19 pandemic in France

Carine Milcent et al. Front Health Serv. .

Abstract

This study investigates the Total Hip Arthroplasty (THA) activity and the associated rehabilitation care in France over the period 2013-2022, with particular attention to the COVID-19 pandemic. In 2020, scheduled THA activity was 17% lower than predicted based on the 2013-2019 trend (-19,000 THAs). In 2022, this activity was close to the pre-2019 trend, but there has been no catch-up of scheduled THAs that did not occur in 2020 and 2021. There is no obvious explanation for this absence of catch-up. In addition, in 2020, THA activity for recent trauma was only 3.1% lower than predicted based on the 2013-2019 trend. Activity in 2022 shows a return to the pre-2019 trend, without any catch-up effect, as would be expected in such a case. Finally, the proportion of scheduled THAs followed by an associated rehabilitation stay declined sharply in 2020 (-4 percentage points compared to 2019) whereas the downward trend in this proportion had previously been much slower (-10 percentage points from 2013 to 2019). These results underscore the major effect of the COVID-19 pandemic on surgical activity, though further investigation is needed to fully understand the long-term effects on patients' health and life expectancy.

Keywords: COVID-19 pandemic; access to healthcare; health policy; public health; rehabilitation care; total hip arthroplasty.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Evolution of the total number of scheduled THAs in France, 2013–2022. Source: PMSI data, 2013–2022, France (all). The x-axis represents the year, the y-axis represents the total number of scheduled THAs. The linear prediction represents the yearly trend of scheduled THAs including 95% confidence interval (CI) for the reference trend (years 2013–2019).
Figure 2
Figure 2
Evolution of the number of scheduled THAs per hospital in France, 2013–2022. Source: PMSI data, 2013–2022, France (all). The x-axis represents the year, the y-axis represents the mean of scheduled THAs per hospital including 95% confidence interval (CI).
Figure 3
Figure 3
Evolution of the total number of unscheduled THAs in France, 2013–2022. Source: PMSI data, 2013–2022, France (all). The x-axis represents the year, the y-axis represents the total number of unscheduled THAs. The linear prediction represents the yearly trend of unscheduled THAs including 95% confidence interval (CI) for the reference trend (years 2013–2019).
Figure 4
Figure 4
Evolution of the number of unscheduled THAs per hospital in France, 2013–2022. Source: PMSI data, 2013–2022, France (all). The x-axis represents the year, the y-axis represents the mean of unscheduled THAs per hospital including 95% confidence interval (CI).
Figure 5
Figure 5
Proportion of scheduled THAs followed by a rehabilitation stay in France, by type of hospital, 2013–2022. Source: PMSI data, 2013–2022, France (mainland). The x-axis represents the year, the y-axis represents the percent of scheduled THAs followed by rehabilitation.
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References

    1. Cash R, Patel V. Has COVID-19 subverted global health? Lancet. (2020) 395(10238):1687–8. 10.1016/S0140-6736(20)31089-8 - DOI - PMC - PubMed
    1. COVID-19 Map. Johns Hopkins Coronavirus Resource Center. Baltimore, MD: Johns Hopkins University & Medicine; (2023). Available at: https://coronavirus.jhu.edu/map.html (Accessed on April 14, 2025).
    1. Woolf SH, Chapman DA, Sabo RT, Weinberger DM, Hill L. Excess deaths from COVID-19 and other causes, march-April 2020. JAMA. ( 2020) 324(5):510–3. 10.1001/jama.2020.11787 - DOI - PMC - PubMed
    1. FIU Digital Commons. Security Research Hub Reports. World Health Statistics; (2021). Available at: https://digitalcommons.fiu.edu/srhreports/health/health/29/ (accessed on April 14, 2025).
    1. Hale T, Angrist N, Goldszmidt R, Kira B, Petherick A, Phillips T, et al. A global panel database of pandemic policies (Oxford COVID-19 government response tracker). Nat Hum Behav. (2021) 5(4):529–38. 10.1038/s41562-021-01079-8 - DOI - PubMed

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