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The IMPACT of COVID-19 on trauma & orthopaedic surgery provides lessons for future communicable disease outbreaks : minimum reporting standards, risk scores, fragility trauma services, and global collaboration.
Bone & Joint Research ( IF 4.6 ) Pub Date : 2022-6-2 , DOI: 10.1302/2046-3758.116.bjr-2022-0060
Andrew J Hall 1, 2, 3, 4, 5 , Nick D Clement 2, 3, 4 , Alasdair M J MacLullich 4, 6 , A Hamish R W Simpson 5 , Tim O White 2, 3, 5 , Andrew D Duckworth 2, 3, 7
Affiliation  

Research into COVID-19 has been rapid in response to the dynamic global situation, which has resulted in heterogeneity of methodology and the communication of information. Adherence to reporting standards would improve the quality of evidence presented in future studies, and may ensure that findings could be interpreted in the context of the wider literature. The COVID-19 pandemic remains a dynamic situation, requiring continued assessment of the disease incidence and monitoring for the emergence of viral variants and their transmissibility, virulence, and susceptibility to vaccine-induced immunity. More work is needed to assess the long-term impact of COVID-19 infection on patients who sustain a hip fracture. The International Multicentre Project Auditing COVID-19 in Trauma & Orthopaedics (IMPACT) formed the largest multicentre collaborative audit conducted in orthopaedics in order to provide an emergency response to a global pandemic, but this was in the context of many vital established audit services being disrupted at an early stage, and it is crucial that these resources are protected during future health crises. Rapid data-sharing between regions should be developed, with wider adoption of the revised 2022 Fragility Fracture Network Minimum Common Data Set for Hip Fracture Audit, and a pragmatic approach to information governance processes in order to facilitate cooperation and meta-audit. This editorial aims to: 1) identify issues related to COVID-19 that require further research; 2) suggest reporting standards for studies of COVID-19 and other communicable diseases; 3) consider the requirement of new risk scores for hip fracture patients; and 4) present the lessons learned from IMPACT in order to inform future collaborative studies. Cite this article: Bone Joint Res 2022;11(6):342-345.

中文翻译:

COVID-19 对创伤和骨科手术的影响为未来传染病爆发提供了经验教训:最低报告标准、风险评分、脆弱性创伤服务和全球合作。

对 COVID-19 的研究一直在快速响应动态的全球形势,这导致了方法学和信息交流的异质性。遵守报告标准将提高未来研究中提供的证据的质量,并可能确保可以在更广泛的文献背景下解释研究结果。COVID-19 大流行仍然是一个动态的情况,需要继续评估疾病的发病率并监测病毒变体的出现及其传播性、毒力和对疫苗诱导免疫的敏感性。需要开展更多工作来评估 COVID-19 感染对髋部骨折患者的长期影响。国际多中心项目审计 COVID-19 在创伤和 骨科 (IMPACT) 形成了骨科中最大的多中心协作审计,以对全球流行病提供应急响应,但这是在许多重要的已建立审计服务在早期被中断的背景下,至关重要的是,这些资源在未来的健康危机中得到保护。应开发区域之间的快速数据共享,更广泛地采用经修订的 2022 年脆性骨折网络髋部骨折审计最小通用数据集,并采用务实的信息治理流程方法,以促进合作和元审计。本社论旨在: 1) 确定需要进一步研究的与 COVID-19 相关的问题;2) 建议 COVID-19 和其他传染病研究的报告标准;3)考虑对髋部骨折患者新风险评分的要求;4) 介绍从 IMPACT 中吸取的经验教训,以便为未来的合作研究提供信息。引用这篇文章:骨关节研究 2022;11(6):342-345。
更新日期:2022-06-02
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