A BRIEF UPDATE ON THE EFFECT OF THE COVID-19 PANDEMIC ON HIP AND KNEE ARTHROPLASTY PATIENTS IN THE UNITED STATES A Multicenter Update to a Previous Survey Study of Patients Postponed by the Pandemic.

Abstract Background In March 2020 elective total hip and knee arthroplasty (THA and TKA) were suspended across the United States in response to the COVID-19 pandemic. We had previously published the results of a survey to the affected patients from 6 institutions. We now present the results of a larger distribution of this survey, through May and June 2020, to electively scheduled patients representing different regions of the United States. Methods Fifteen centers identified through the AAHKS Research Committee participated in a survey study of THA and TKA patients. Patients scheduled for primary elective THA or TKA but canceled due to the COVID-19 elective surgery stoppage (3/2020-5/2020) were included in the study. Descriptive statistics along with subgroup analysis with Wilcoxon rank were performed. Results In total, surveys were distributed to 2135 patients and completed by 848 patients (40%) from 15 institutions. Most patients (728/848, 86%) had their surgery postponed or canceled by the surgeon or hospital. Unknown length of surgical delay remained the highest source of anxiety among survey participants. Male patients were more likely to be willing to proceed with surgery in spite of COVID-19. There were minimal regional differences in responses. Only 61 patients (7%) stated they will continue to delay surgery for fear of contracting COVID-19 while in the hospital. Conclusion Similar to the previous study, the most anxiety-provoking thought was the uncertainty over if and when the canceled joint replacement surgery could be rescheduled. Patients suffering from the daily pain of hip and knee arthritis that have been scheduled for elective arthroplasty remain eager to have their operation as soon as elective surgery is allowed to resume.