Impact of COVID-19 pandemic on orthopaedic surgeons in terms of anxiety, sleep outcomes and change in management practices: A cross-sectional study from India

Vyom Sharma, Narinder Kumar, Bhawna Gupta, Akanksha Mahajan

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose:
The aim of this study was to assess the effects of the COVID-19 pandemic on anxiety, sleep outcomes and change in clinical management practices among orthopaedic surgeons following a nation-wide lockdown.

Methods:
We conducted an online cross-sectional study using piloted structured questionnaires with self-reported responses from Indian orthopaedic surgeons. Study participants were identified through social networking sites: Facebook and WhatsApp. The extent of anxiety and sleep quality was assessed by the standardised seven-item Generalised Anxiety Disorder (GAD-7) scale, single-item sleep quality scale, questions on unavailability of personal protective equipment, training module on COVID-19 and change in orthopaedic patient management.

Results:
One hundred male orthopaedic surgeons responded to the survey with majority (79%) in 30–44 years age group. Severe anxiety scores were observed in 8%; moderate, mild and minimal anxiety was observed in 12%, 27% and 53% surgeons respectively. Changes in management practice due to the pandemic was admitted by 65% respondents. We also observed an association between higher anxiety among surgeons and primary or secondary level of healthcare facility: (p = 0.04). Sleep disturbance was significantly associated with change in management practice to non-operative procedures (p = 0.03).

Conclusion:
Anxiety among orthopaedic surgeons during the COVID-19 pandemic is related to factors like younger age group, working in a primary or secondary healthcare facility. Early recognition of anxiety is essential to prevent serious psychological sequelae.
Original languageEnglish
JournalJournal of Orthopaedic Surgery
Volume29
Issue number1
DOIs
Publication statusPublished - 2021

Keywords

  • anxiety
  • coronavirus infection
  • COVID-19
  • cross-sectional study
  • Generalised Anxiety Disorder scale-7 (GAD-7)
  • health care workers
  • orthopaedic surgeons
  • personal protective equipment
  • sleep quality

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