Total Joint Arthroplasty Patient Demographics Pre-and Post-COVID-19 Surgery Restrictions
Location
LSUHSC-NO Medical Education Building
Event Website
www.medschool.lsuhsc.edu/ortho/resident_programs.aspx
Document Type
Presentation
Start Date
23-6-2023 10:30 AM
End Date
23-6-2023 10:40 AM
Publication Date
June 2023
Description
Background: Total joint arthroplasty (TJA) includes total hip (THA) and total knee arthroplasty (TKA). Non-emergent TJA operations were paused between mid-March and April, 2020, due to Coronavirus disease 2019 (COVID-19). This study analyzed potential disparities in access to care due to pandemic restrictions.
Methods: Three tests were used to analyze TJA patient demographics from the period of May-December 2019 (pre-COVID-19) and May-December 2020 (post-COVID-19 restrictions). Fisher’s exact tests measured and compared categorical covariates by reporting counts and percentages. Two-sample t-tests measured continuous covariates by reporting means and standard deviations. A test of proportions measured equality of TJA counts by year.
Results: Comparing the post to the pre-COVID period:
1. Increases:
Number of TJAs (1151 vs. 882, p<.001)
Percentage of TJAs (p<.001)
Relative percentage of THAs vs. TKAs (26.9% vs 18.8%, p<.001)
Medicaid patients
2. Decreases
Private insurance patients (p=.043)
Average length of hospital stay
3. No differences
Patient sex, race, BMI, smoking status, or age
Conclusions: These trends may reflect pandemic-related changes in insurance status as well as the growing shift to same-day discharge.
Recommended Citation
McCoy, Morgan, "Total Joint Arthroplasty Patient Demographics Pre-and Post-COVID-19 Surgery Restrictions" (2023). Dept. of Orthopaedics: Robert D. D’Ambrosia Lectureship & Research Day. 2.
https://digitalscholar.lsuhsc.edu/ortho_rd/2023/pres2/2
Total Joint Arthroplasty Patient Demographics Pre-and Post-COVID-19 Surgery Restrictions
LSUHSC-NO Medical Education Building
Background: Total joint arthroplasty (TJA) includes total hip (THA) and total knee arthroplasty (TKA). Non-emergent TJA operations were paused between mid-March and April, 2020, due to Coronavirus disease 2019 (COVID-19). This study analyzed potential disparities in access to care due to pandemic restrictions.
Methods: Three tests were used to analyze TJA patient demographics from the period of May-December 2019 (pre-COVID-19) and May-December 2020 (post-COVID-19 restrictions). Fisher’s exact tests measured and compared categorical covariates by reporting counts and percentages. Two-sample t-tests measured continuous covariates by reporting means and standard deviations. A test of proportions measured equality of TJA counts by year.
Results: Comparing the post to the pre-COVID period:
1. Increases:
Number of TJAs (1151 vs. 882, p<.001)
Percentage of TJAs (p<.001)
Relative percentage of THAs vs. TKAs (26.9% vs 18.8%, p<.001)
Medicaid patients
2. Decreases
Private insurance patients (p=.043)
Average length of hospital stay
3. No differences
Patient sex, race, BMI, smoking status, or age
Conclusions: These trends may reflect pandemic-related changes in insurance status as well as the growing shift to same-day discharge.
https://digitalscholar.lsuhsc.edu/ortho_rd/2023/pres2/2