Evidence-based Risk Stratification for Sport Medicine Procedures During the COVID-19 Pandemic.

Hinckel, Betina B; Baumann, Charles A; Ejnisman, Leandro; Cavinatto, Leonardo M; Martusiewicz, Alexander; Tanaka, Miho J; Tompkins, Marc; Sherman, Seth L et al. · J Am Acad Orthop Surg Glob Res Rev · 2020

expert_opinion · Level V

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Abstract

Orthopaedic practices have been markedly affected by the emergence of the COVID-19 pandemic. Despite the ban on elective procedures, it is impossible to define the medical urgency of a case solely on whether a case is on an elective surgery schedule. Orthopaedic surgical procedures should consider COVID-19-associated risks and an assimilation of all available disease dependent, disease independent, and logistical information that is tailored to each patient, institution, and region. Using an evidence-based risk stratification of clinical urgency, we provide a framework for prioritization of orthopaedic sport medicine procedures that encompasses such factors. This can be used to facilitate the risk-benefit assessment of the timing and setting of a procedure during the COVID-19 pandemic.

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