Examining The Impact of The COVID-19 Pandemic On Pediatric Orthopedic Cases: A Systematic Review and Meta-Analysis
Background: This study examines the adverse effects of COVID-19 pandemic on pediatric orthopedics globally, including decreased patient admissions. The adverse effects of pandemic on pediatric orthopedic patients and surgeries have not been determined. This study aims to conduct a comprehensive syst...
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| Format: | Article |
| Language: | English |
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Universitas Airlangga
2023-10-01
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| Series: | Journal Orthopaedi and Traumatology Surabaya |
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| Online Access: | https://e-journal.unair.ac.id/JOINTS/article/view/42322 |
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| author | Ahmadin Yusuf Rizal Susatyo Nizar Al Rhaazi Farhan Haidar Fazlur Rahman Ismail Hadisoebroto Dilogo |
| author_facet | Ahmadin Yusuf Rizal Susatyo Nizar Al Rhaazi Farhan Haidar Fazlur Rahman Ismail Hadisoebroto Dilogo |
| author_sort | Ahmadin Yusuf Rizal Susatyo |
| collection | DOAJ |
| description | Background: This study examines the adverse effects of COVID-19 pandemic on pediatric orthopedics globally, including decreased patient admissions. The adverse effects of pandemic on pediatric orthopedic patients and surgeries have not been determined. This study aims to conduct a comprehensive systematic review and meta-analysis to investigate the specific impact of COVID-19 pandemic on pediatric orthopedic admissions and surgical cases.
Methods: A thorough examination of published literature was performed by searching databases such as PubMed, ScienceDirect, and Cochrane Library, using PRISMA guidelines, and limiting the search to articles published up to January 2022. The primary focus of this review was to inspect the ratio of admission and surgical cases, expressed as a risk ratio (RR) with a 95% confidence level. The study also evaluated any variation among outcomes using the I2 test and examined potential bias using the Egger test. The study findings were calculated using Review Manager 5.4.
Results: Fifteen studies were reviewed, revealing a 70% decrease in pediatric orthopedic admissions during the pandemic but no significant difference in admissions between the pandemic and pre-pandemic eras (RR 1.08, 95% CI 0.76-1.54, p=0.66). Furthermore, in the perspective of the pediatric orthopedic surgical case, the pooled analysis also did not show any significant difference between both periods (RR 1.05, 95% CI 0.95 to 1.17, p=0.35). Egger's test result showed no evidence of small-study effects (p = 0.22).
Conclusion: This study found that the number of children admitted for orthopedic surgeries and other orthopedic treatments was not greatly impacted during the COVID-19 pandemic. |
| format | Article |
| id | doaj-art-cde15bb45f1243369539427997576c1f |
| institution | Kabale University |
| issn | 2722-712X 2460-8742 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Journal Orthopaedi and Traumatology Surabaya |
| spelling | doaj-art-cde15bb45f1243369539427997576c1f2025-02-12T07:27:31ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422023-10-01122596510.20473/joints.v12i2.2023.59-6540403Examining The Impact of The COVID-19 Pandemic On Pediatric Orthopedic Cases: A Systematic Review and Meta-AnalysisAhmadin Yusuf Rizal Susatyo0https://orcid.org/0000-0002-6310-1410Nizar Al Rhaazi1https://orcid.org/0000-0003-4540-1492Farhan Haidar Fazlur Rahman2https://orcid.org/0000-0003-4897-5301Ismail Hadisoebroto Dilogo3https://orcid.org/0000-0003-4060-2260General Practitioner, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; General Practitioner, Metropolitan Medical Center Hospital, South Jakarta, IndonesiaGeneral Practitioner, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaGeneral Practitioner, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; General Practitioner, Metropolitan Medical Center Hospital, South Jakarta, IndonesiaOrthopedic and Traumatology Department, Cipto Mangunkusumo National Hospital, Central Jakarta, IndonesiaBackground: This study examines the adverse effects of COVID-19 pandemic on pediatric orthopedics globally, including decreased patient admissions. The adverse effects of pandemic on pediatric orthopedic patients and surgeries have not been determined. This study aims to conduct a comprehensive systematic review and meta-analysis to investigate the specific impact of COVID-19 pandemic on pediatric orthopedic admissions and surgical cases. Methods: A thorough examination of published literature was performed by searching databases such as PubMed, ScienceDirect, and Cochrane Library, using PRISMA guidelines, and limiting the search to articles published up to January 2022. The primary focus of this review was to inspect the ratio of admission and surgical cases, expressed as a risk ratio (RR) with a 95% confidence level. The study also evaluated any variation among outcomes using the I2 test and examined potential bias using the Egger test. The study findings were calculated using Review Manager 5.4. Results: Fifteen studies were reviewed, revealing a 70% decrease in pediatric orthopedic admissions during the pandemic but no significant difference in admissions between the pandemic and pre-pandemic eras (RR 1.08, 95% CI 0.76-1.54, p=0.66). Furthermore, in the perspective of the pediatric orthopedic surgical case, the pooled analysis also did not show any significant difference between both periods (RR 1.05, 95% CI 0.95 to 1.17, p=0.35). Egger's test result showed no evidence of small-study effects (p = 0.22). Conclusion: This study found that the number of children admitted for orthopedic surgeries and other orthopedic treatments was not greatly impacted during the COVID-19 pandemic.https://e-journal.unair.ac.id/JOINTS/article/view/42322covid-19orthopedic proceduretraumasurgeryhuman and medicine |
| spellingShingle | Ahmadin Yusuf Rizal Susatyo Nizar Al Rhaazi Farhan Haidar Fazlur Rahman Ismail Hadisoebroto Dilogo Examining The Impact of The COVID-19 Pandemic On Pediatric Orthopedic Cases: A Systematic Review and Meta-Analysis Journal Orthopaedi and Traumatology Surabaya covid-19 orthopedic procedure trauma surgery human and medicine |
| title | Examining The Impact of The COVID-19 Pandemic On Pediatric Orthopedic Cases: A Systematic Review and Meta-Analysis |
| title_full | Examining The Impact of The COVID-19 Pandemic On Pediatric Orthopedic Cases: A Systematic Review and Meta-Analysis |
| title_fullStr | Examining The Impact of The COVID-19 Pandemic On Pediatric Orthopedic Cases: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Examining The Impact of The COVID-19 Pandemic On Pediatric Orthopedic Cases: A Systematic Review and Meta-Analysis |
| title_short | Examining The Impact of The COVID-19 Pandemic On Pediatric Orthopedic Cases: A Systematic Review and Meta-Analysis |
| title_sort | examining the impact of the covid 19 pandemic on pediatric orthopedic cases a systematic review and meta analysis |
| topic | covid-19 orthopedic procedure trauma surgery human and medicine |
| url | https://e-journal.unair.ac.id/JOINTS/article/view/42322 |
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