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Howard A, Robinson T, Lind A, Pepple S, Chloros GD, Giannoudis PV. Opportunities arising from the COVID-19: an international orthopaedic surgeons' perspective. EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY & TRAUMATOLOGY : ORTHOPEDIE TRAUMATOLOGIE 2023; 33:1959-1964. [PMID: 36053293 PMCID: PMC9438355 DOI: 10.1007/s00590-022-03334-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Accepted: 06/15/2022] [Indexed: 11/27/2022]
Abstract
PURPOSE The unprecedented COVID-19 experience has posed severe challenges to the health care system and several of these are documented in orthopaedic surgery; however, although the pandemic has also brought positive changes, these have not been precisely documented. The purpose of this survey is to identify positive perceptions by orthopaedic surgeons at an international level. METHODS A cross-sectional, web-based survey inviting 120 orthopaedic surgeons was conducted in April 2020 querying about the positive lessons COVID-19 would teach us. From all responses, thematic codes were obtained and an exploratory thematic analysis was carried out to determine the prevalent themes. RESULTS A total of 100 responses (83% response rate) from a total of seven countries were received. The variety of responses received were grouped into 13 different thematic codes. The thematic analysis generated two major themes: "Virtual reorganization" and "Wellness and sustainability". Fifty-four per cent of the participants reported positive changes in service reorganization and virtual consultation, whereas 30% replied with an increased feeling of well-being which overlapped with environmental benefits, including reduced paperwork, reduced travelling and increased quality time for family and reflection. CONCLUSIONS Despite the negative aspects of the pandemic, responders reported several positive changes particularly relating to service reorganization and personal well-being. This study prompts further larger scale research to unravel further detail in those positive aspects and strongly enhance our future orthopaedic practice.
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Affiliation(s)
- Anthony Howard
- Academic Department of Trauma and Orthopaedics, School of Medicine, Leeds Teaching Hospital, University of Leeds, George Street, Leeds, LS9 7TF, UK.
| | - Tom Robinson
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK
| | - Amy Lind
- Academic Department of Trauma and Orthopaedics, School of Medicine, Leeds Teaching Hospital, University of Leeds, George Street, Leeds, LS9 7TF, UK
| | - Sophanit Pepple
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK
| | - George D Chloros
- Academic Department of Trauma and Orthopaedics, School of Medicine, Leeds Teaching Hospital, University of Leeds, George Street, Leeds, LS9 7TF, UK
| | - Peter V Giannoudis
- Academic Department of Trauma and Orthopaedics, School of Medicine, Leeds Teaching Hospital, University of Leeds, George Street, Leeds, LS9 7TF, UK
- NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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Pascual J, Mazuecos A, Sánchez-Antolín G, Solé A, Ventura-Aguiar P, Crespo M, Farrero M, Fernández-Rivera C, Garrido IP, Gea F, González-Monte E, González-Rodríguez A, Hernández-Gallego R, Jiménez C, López-Jiménez V, Otero A, Pascual S, Rodríguez-Laiz GP, Ruiz JC, Sancho A, Santos F, Serrano T, Tabernero G, Zarraga S, Delgado JF. Best practices during COVID-19 pandemic in solid organ transplant programs in Spain. Transplant Rev (Orlando) 2023; 37:100749. [PMID: 36889117 PMCID: PMC9894830 DOI: 10.1016/j.trre.2023.100749] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 01/30/2023] [Accepted: 01/30/2023] [Indexed: 02/05/2023]
Abstract
Clinical management of transplant patients abruptly changed during the first months of COVID-19 pandemic (March to May 2020). The new situation led to very significant challenges, such as new forms of relationship between healthcare providers and patients and other professionals, design of protocols to prevent disease transmission and treatment of infected patients, management of waiting lists and of transplant programs during state/city lockdown, relevant reduction of medical training and educational activities, halt or delays of ongoing research, etc. The two main objectives of the current report are: 1) to promote a project of best practices in transplantation taking advantage of the knowledge and experience acquired by professionals during the evolving situation of the COVID-19 pandemic, both in performing their usual care activity, as well as in the adjustments taken to adapt to the clinical context, and 2) to create a document that collects these best practices, thus allowing the creation of a useful compendium for the exchange of knowledge between different Transplant Units. The scientific committee and expert panel finally standardized 30 best practices, including for the pretransplant period (n = 9), peritransplant period (n = 7), postransplant period (n = 8) and training and communication (n = 6). Many aspects of hospitals and units networking, telematic approaches, patient care, value-based medicine, hospitalization, and outpatient visit strategies, training for novelties and communication skills were covered. Massive vaccination has greatly improved the outcomes of the pandemic, with a decrease in severe cases requiring intensive care and a reduction in mortality. However, suboptimal responses to vaccines have been observed in transplant recipients, and health care strategic plans are necessary in these vulnerable populations. The best practices contained in this expert panel report may aid to their broader implementation.
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Affiliation(s)
- Julio Pascual
- Department of Nephrology, Hospital Universitario 12 de Octubre, Madrid, Spain.
| | | | | | - Amparo Solé
- Lung Transplant Unit, Hospital Universitario y Politécnico la Fe, Universitat de Valencia, Valencia, Spain
| | - Pedro Ventura-Aguiar
- Department of Nephrology and Kidney Transplantation, Hospital Clínic, Barcelona, Spain
| | - Marta Crespo
- Department of Nephrology, Hospital del Mar, Barcelona, Spain
| | - Marta Farrero
- Department of Cardiology, Hospital Clínic, Barcelona, Spain
| | | | - Iris P Garrido
- Department of Cardiology, Hospital Virgen de la Arrixaca, Murcia, Spain
| | - Francisco Gea
- Department of Gastroenterology, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | | | - Antonio González-Rodríguez
- Department of Hepatology, Hospital Universitario Ntra. Sra. de Candelaria, Santa Cruz de Tenerife, Spain
| | | | - Carlos Jiménez
- Department of Nephrology, Hospital Universitario La Paz, Madrid, Spain
| | | | - Alejandra Otero
- Liver Transplant Unit, Complejo Hospitalario Universitario A Coruña, A Coruña, Spain
| | - Sonia Pascual
- Liver Unit, ISABIAL, CIBERehd, Hospital General Universitario Dr. Balmis, Alicante, Spain
| | - Gonzalo P Rodríguez-Laiz
- Hepatobiliary Surgery and Liver Transplantation Unit, ISABIAL Hospital General Universitario Dr. Balmis, Alicante, Spain
| | - Juan Carlos Ruiz
- Department of Nephrology, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain
| | - Asunción Sancho
- Department of Nephrology, Hospital Universitario Dr. Peset, FISABIO, Valencia, Spain
| | - Francisco Santos
- Department of Pneumology, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Hospital Universitario Reina Sofía, Córdoba, Spain
| | - Trinidad Serrano
- Department of Gastroenterology, Hospital Clínico Universitario Lozano Blesa, Aragón Health Research Institute (IIS Aragón), Zaragoza, Spain
| | - Guadalupe Tabernero
- Department of Nephrology, Hospital Clínico Universitario de Salamanca, Ibsal, Salamanca, Spain
| | - Sofía Zarraga
- Department of Nephrology, Hospital Universitario Cruces, Barakaldo, Spain
| | - Juan F Delgado
- Department of Cardiology, Institute i+12, CIBERCV, Hospital Universitario 12 de Octubre, Madrid, Spain
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