Remote Management of Patients after Total Joint Arthroplasty via a Web-Based Registry during the COVID-19 Pandemic
Background: In 2020, due to the outbreak of the COVID-19 (Coronavirus Disease 2019) pandemic, patients who underwent total joint arthroplasty were not able to undergo the proper postoperative surgical and rehabilitative care. This study aims to evaluate the potential of a web-cloud-based database on...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-09-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/9/10/1296 |
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| author | Michele Ulivi Luca Orlandini Valentina Meroni Mario D’Errico Arianna Fontana Marco Viganò Laura Mangiavini Roberto D’Anchise Franco Parente Roberto Pozzoni Valerio Sansone Luigi Zagra Giuseppe M. Peretti |
| author_facet | Michele Ulivi Luca Orlandini Valentina Meroni Mario D’Errico Arianna Fontana Marco Viganò Laura Mangiavini Roberto D’Anchise Franco Parente Roberto Pozzoni Valerio Sansone Luigi Zagra Giuseppe M. Peretti |
| author_sort | Michele Ulivi |
| collection | DOAJ |
| description | Background: In 2020, due to the outbreak of the COVID-19 (Coronavirus Disease 2019) pandemic, patients who underwent total joint arthroplasty were not able to undergo the proper postoperative surgical and rehabilitative care. This study aims to evaluate the potential of a web-cloud-based database on patients’ follow-up in extraordinary situations, when a traditional in-person follow-up cannot be warranted. Methods: Patients who underwent joint arthroplasty at our Institute between 21 February and 16 March 2020 were included in the study group and were matched to a similar population undergoing joint arthroplasty in February/March 2019. All patients routinely complete questionnaires before and after treatment, including patient-reported outcome measures such as the Visual Analogues Scale (VAS), Knee/Hip Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS/HOOS-PS) and Short-Form Health Survey (SF-12) for the monitoring of clinical improvements. Results: 56 (study group) and 144 (control group) patients were included in the study. Both groups demonstrated significant improvements at 3 months. HOOS-PS improvement was significantly reduced in the 2020 group compared to 2019 (21.7 vs. 33.9, <i>p</i> < 0.001). This reduction was related to intense physical activities. Similarly, the functional score improvement related to these activities was reduced for patients undergoing knee replacement (8 vs. 10, <i>p</i> < 0.05). Conclusions: The web-based Institute Registry emerged as a meaningful and sensitive tool during an extraordinary situation such as the COVID-19 pandemic to monitor patients’ progression after total joint arthroplasties. Thanks to this tool, it was possible to observe that the prevention of usual postoperative care due to pandemic-related restrictions did not alter the benefits observed after joint replacement surgeries, even if this condition reduced the postoperative improvements in the most burdensome physical activities. A broader use of this kind of tool would improve and potentially reduce the burden and costs of postoperative patients’ monitoring in standard and extraordinary conditions. In addition, the systematic remote collection of data would allow for the identification of relevant differences in clinical outcomes in specific conditions or following the modification of treatment and rehabilitation protocols. |
| first_indexed | 2024-03-10T06:32:02Z |
| format | Article |
| id | doaj.art-b13ffb7ad83b4f12a055c1541ebb8b9e |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T06:32:02Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-b13ffb7ad83b4f12a055c1541ebb8b9e2023-11-22T18:24:46ZengMDPI AGHealthcare2227-90322021-09-01910129610.3390/healthcare9101296Remote Management of Patients after Total Joint Arthroplasty via a Web-Based Registry during the COVID-19 PandemicMichele Ulivi0Luca Orlandini1Valentina Meroni2Mario D’Errico3Arianna Fontana4Marco Viganò5Laura Mangiavini6Roberto D’Anchise7Franco Parente8Roberto Pozzoni9Valerio Sansone10Luigi Zagra11Giuseppe M. Peretti12IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Via Monreale 18, 20148 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, ItalyBackground: In 2020, due to the outbreak of the COVID-19 (Coronavirus Disease 2019) pandemic, patients who underwent total joint arthroplasty were not able to undergo the proper postoperative surgical and rehabilitative care. This study aims to evaluate the potential of a web-cloud-based database on patients’ follow-up in extraordinary situations, when a traditional in-person follow-up cannot be warranted. Methods: Patients who underwent joint arthroplasty at our Institute between 21 February and 16 March 2020 were included in the study group and were matched to a similar population undergoing joint arthroplasty in February/March 2019. All patients routinely complete questionnaires before and after treatment, including patient-reported outcome measures such as the Visual Analogues Scale (VAS), Knee/Hip Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS/HOOS-PS) and Short-Form Health Survey (SF-12) for the monitoring of clinical improvements. Results: 56 (study group) and 144 (control group) patients were included in the study. Both groups demonstrated significant improvements at 3 months. HOOS-PS improvement was significantly reduced in the 2020 group compared to 2019 (21.7 vs. 33.9, <i>p</i> < 0.001). This reduction was related to intense physical activities. Similarly, the functional score improvement related to these activities was reduced for patients undergoing knee replacement (8 vs. 10, <i>p</i> < 0.05). Conclusions: The web-based Institute Registry emerged as a meaningful and sensitive tool during an extraordinary situation such as the COVID-19 pandemic to monitor patients’ progression after total joint arthroplasties. Thanks to this tool, it was possible to observe that the prevention of usual postoperative care due to pandemic-related restrictions did not alter the benefits observed after joint replacement surgeries, even if this condition reduced the postoperative improvements in the most burdensome physical activities. A broader use of this kind of tool would improve and potentially reduce the burden and costs of postoperative patients’ monitoring in standard and extraordinary conditions. In addition, the systematic remote collection of data would allow for the identification of relevant differences in clinical outcomes in specific conditions or following the modification of treatment and rehabilitation protocols.https://www.mdpi.com/2227-9032/9/10/1296hip arthroplastyknee arthroplastyregistryremote monitoringCOVID-19 |
| spellingShingle | Michele Ulivi Luca Orlandini Valentina Meroni Mario D’Errico Arianna Fontana Marco Viganò Laura Mangiavini Roberto D’Anchise Franco Parente Roberto Pozzoni Valerio Sansone Luigi Zagra Giuseppe M. Peretti Remote Management of Patients after Total Joint Arthroplasty via a Web-Based Registry during the COVID-19 Pandemic Healthcare hip arthroplasty knee arthroplasty registry remote monitoring COVID-19 |
| title | Remote Management of Patients after Total Joint Arthroplasty via a Web-Based Registry during the COVID-19 Pandemic |
| title_full | Remote Management of Patients after Total Joint Arthroplasty via a Web-Based Registry during the COVID-19 Pandemic |
| title_fullStr | Remote Management of Patients after Total Joint Arthroplasty via a Web-Based Registry during the COVID-19 Pandemic |
| title_full_unstemmed | Remote Management of Patients after Total Joint Arthroplasty via a Web-Based Registry during the COVID-19 Pandemic |
| title_short | Remote Management of Patients after Total Joint Arthroplasty via a Web-Based Registry during the COVID-19 Pandemic |
| title_sort | remote management of patients after total joint arthroplasty via a web based registry during the covid 19 pandemic |
| topic | hip arthroplasty knee arthroplasty registry remote monitoring COVID-19 |
| url | https://www.mdpi.com/2227-9032/9/10/1296 |
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