Preparation for the next COVID-19 wave: The European Hip Society and European Knee Associates recommendations
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Preparation for the next COVID‑19 wave: The European Hip Society and European Knee Associates recommendations Simon T. Donell1 · Martin Thaler2 · Nicolaas C. Budhiparama3 · Martin A. Buttaro4 · Antonia F. Chen5 · Claudio Diaz‑Ledezma6 · Bruce Gomberg7 · Michael T. Hirschmann8 · Theofilos Karachalios9 · Alexey Karpukhin10 · Nemandra Amir Sandiford11 · Hongyi Shao12 · Reha Tandogan13 · Bruno Violante14 · Luigi Zagra15 · Nanne P. Kort16 Received: 2 August 2020 / Accepted: 6 August 2020 © The Author(s) 2020
Abstract Purpose To plan for the continuance of elective hip and knee arthroplasty during a resurgence or new wave of COVID-19 infections. Method A systematic review was conducted using the terms “COVID-19” or “SARS-Cov-2” and “second wave”. No relevant citations were found to inform on recommendations the plan. Therefore, an expert panel of the European Hip Society and the European Knee Associates was formed to provide the recommendations. Results Overall, the recommendations consider three phases; review of the first wave, preparation for the next wave, and during the next wave. International and national policies will drive most of the management. The recommendations focus on the preparation phase and, in particular, the actions that the individual surgeon needs to undertake to continue with, and practice, elective arthroplasty during the next wave, as well as planning their personal and their family’s lives. The recommendations expect rigorous data collection during the next wave, so that a cycle of continuous improvement is created to take account of any future waves. Conclusions The recommendations for planning to continue elective hip and knee arthroplasty during a new phase of the SARS-Cov-2 pandemic provide a framework to reduce the risk of a complete shutdown of elective surgery. This involves engaging with hospital managers and other specialities in the planning process. Individuals have responsibilities to themselves, their colleagues, and their families, beyond the actual delivery of elective arthroplasty. Keywords SARS-Cov-2 · COVID-19 · Second wave · Second phase · Hip · Knee · Arthroplasty · Recommendations
Introduction Scope These recommendations follow those from the European Hip Society and European Knee Associates Recommendations for Resuming Elective Hip and Knee Arthroplasty in the Setting of the COVID-19 Pandemic [21]. The aim is to help orthopaedic surgeons across Europe (and a wider global audience) with a special interest in elective hip and knee arthroplasty prepare for the resurgence or new outbreak of COVID-19 in their locality. This involves planning resources and mitigation procedures that minimise the negative effects * Simon T. Donell [email protected]
of the necessary restrictions imposed on their patients, their families and themselves.
Definition of pandemic wave The use of the term “wave” was first used in the 1889–1892 respiratory virus epidemic in Russia, which had two phases [19]. The term is inaccurate, since waves are preceded by troughs and are rhythmic
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