الرئيسيةNewsCovid NewsCOVID-19 Pandemic Led to 160,000 Missed Joint Replacement Surgeries In the UK,...

COVID-19 Pandemic Led to 160,000 Missed Joint Replacement Surgeries In the UK, Study Shows

Joint Replacement Surgeries: A study conducted by the University of Bristol has discovered that around 160,000 joint replacement surgeries, equating to nearly nine months of procedures, have been missed in the UK due to the COVID-19 pandemic.
The findings suggest that simply returning to pre-pandemic surgical rates won’t be sufficient to clear the backlog, and even with significant increases in surgery rates, it may take many years or even decades to resolve this issue.

Published in The Bone & Joint Journal, the study analyzed the impact of the COVID-19 pandemic on the number of joint (hip, knee, shoulder, elbow, and ankle) replacement surgeries conducted in England, Wales, and Northern Ireland.

The researchers reviewed data from the National Joint Registry (NJR) covering the period from January 2019 to December 2022, which includes all NHS and privately-funded replacement surgeries for hips, knees, shoulders, elbows, and ankles.

 

COVID-19 Pandemic Led to 160,000 Missed Joint Replacement Surgeries In the UK, Study Shows

The study compared the number of surgeries performed during and after the pandemic (2020 to 2022) with the number that would have been expected if the surgery rates had remained consistent with 2019 levels.

The analysis found that by the end of 2022, the UK had missed nearly 71.6% of its planned joint replacement surgeries for the year, amounting to approximately 158,994 operations.

This shortfall continues to grow, indicating that efforts to address the backlog have not yet commenced. The impact has been more severe on knee, shoulder, and ankle surgeries compared to hip and elbow replacements.

The NHS has been hit harder than the private sector. As of 2022, NHS surgical activity was at just 73.2% of 2019 levels, while the private sector had increased its activity to 126.8% of pre-pandemic levels.

Consequently, the private sector now handles the majority of joint replacements, performing 53% of these procedures in England, Wales, and Northern Ireland.

Wales and Northern Ireland have been more significantly impacted than England. Both regions faced a backlog exceeding a year’s worth of operations between 2020 and 2022—136% of the 2019 levels for Wales and 121.3% for Northern Ireland, compared to 66.7% for England.

Jonathan French, Clinical Research Fellow at Bristol Medical School: Translational Health Science (THS) and lead author of the study, stated, “Patients in England, Wales, and Northern Ireland awaiting various joint replacement surgeries have been disproportionately affected. Returning to pre-pandemic levels will be difficult, resulting in ongoing pain, disability, and a general decline in mental and physical well-being for many patients.”

Michael Whitehouse, who’s a renowned Professor of Trauma and Orthopaedics at Bristol Medical School: THS and senior clinical lead for the study, explained, “To clear the backlog with a 5% increase in capacity over 2019 levels would take until 2040. Even with a 10% increase, it would only be possible to catch up by 2031. This situation is more serious than currently realized and requires urgent action to mitigate the impact of severe joint issues on patients.”

Tim Wilton, Medical Director of the NJR, noted, “The data from the NJR highlights the long-term effects of COVID-19 on orthopedic surgery availability and demand.

There is a clear need to adjust service levels based on this information to reduce patient waiting times. As the data is compared to 2019 figures and considering that the volume of cases was increasing annually before then, the actual backlog might be even larger than indicated.”

Joint replacement surgery is a common and highly successful treatment for a range of musculoskeletal problems, including osteoarthritis and significant trauma.
All the above procedures are typically long-lasting, with over half of hip and knee replacements enduring for more than 25 years, and 90% of shoulder replacements remaining effective for over a decade.

More Details:

An assessment of the COVID-19-related shortfall in joint replacement surgeries across England, Wales, and Northern Ireland suggests that recovery will be extended. This analysis, featured in The Bone & Joint Journal (2024), draws on data from the National Joint Registry. DOI: 10.1302/0301-620X.106B8.BJJ-2024-0036.R1

(By University of Bristol)

Citation:

Study Reveals Approximately 160,000 Joint Replacement Surgeries Missed in the UK Due to COVID-19 (July 31, 2024)

retrieved 31 July 2024

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