Patient Perceptions of COVID-19 Precautions and Their Effects on Experiences With Hand Surgery

Amr M Tawfik; Jeremy M Silver; Brian M Katt; Aneesh Patankar; Michael Rivlin; Pedro K Beredjiklian

doi:10.1016/j.jhsg.2021.04.003

Patient Perceptions of COVID-19 Precautions and Their Effects on Experiences With Hand Surgery

J Hand Surg Glob Online. 2021 Jul;3(4):167-171. doi: 10.1016/j.jhsg.2021.04.003. Epub 2021 May 12.

Authors

Amr M Tawfik^{1

2}, Jeremy M Silver², Brian M Katt², Aneesh Patankar², Michael Rivlin¹, Pedro K Beredjiklian¹

Affiliations

¹ Rothman Orthopaedic Institute, Philadelphia, PA.
² Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.

Abstract

Purpose: The purpose of this study is to evaluate patient perceptions of COVID-19 precautions and how these precautions have affected their hand and upper extremity surgery experience.

Methods: We sent an 18-item survey to 1,213 patients who underwent elective hand and upper extremity surgery at 1 academic institution from October 2020 to January 2021. The survey consisted of questions related to patient demographics, treatment delays due to COVID-19, and patient perceptions of COVID-19 precautions. Descriptive statistics were performed to analyze the survey responses. Responses for patients aged 18-50 and 51+ were compared using a chi-square analysis for categorical variables and a Student t-test for continuous variables.

Results: Out of 1,213 invitations, 384 survey respondents completed the survey (31.6%). Of the respondents, 16.8% reported delaying medical treatment for an average of 123.2 days because of COVID-19. The preventative measures were found to be adequate by 95% of patients. Only 2.6% of patients reported experiencing surgical delays due to preoperative COVID-19 testing or other COVID-19-related precautions. COVID-19 testing was seen as necessary by 88% of patients, and 74% did not find COVID-19 testing to be a barrier to their surgery. Patients aged 51+ were more likely to delay seeking medical treatment than younger patients (19.3% vs 9.1%, respectively). Furthermore, those that did delay seeking treatment waited longer on average than their younger counterparts (136.1 vs 72.9 days, respectively).

Conclusions: In conclusion, patients undergoing hand and upper extremity surgery typically do not find COVID-19 precautions to be a significant barrier to care and understand their importance. Despite this, many patients, particularly older ones, are delaying medical care for extended periods of time. It is important for hand surgeons to acknowledge their patients' perspectives and work to educate patients on evolving surgical safety guidelines.

Clinical relevance: Patient perspectives of current COVID-19 precautions can help inform hand surgeons on areas for continued patient education.

Keywords: COVID-19; Elective surgery; Orthopedic surgery; Patient safety; Upper extremity.