{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:50:53Z","timestamp":1777881053863,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2021,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One hundred male orthopaedic surgeons responded to the survey with majority (79%) in 30\u201344 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).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23094990211001621","type":"journal-article","created":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T05:32:50Z","timestamp":1616995970000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["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"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7461-924X","authenticated-orcid":false,"given":"Vyom","family":"Sharma","sequence":"first","affiliation":[{"name":"Spinal Cord Injury Centre, Military Hospital Kirkee, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Narinder","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Medanta Hospital, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1467-0139","authenticated-orcid":false,"given":"Bhawna","family":"Gupta","sequence":"additional","affiliation":[{"name":"Torrens University, Melbourne, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akanksha","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Monash University, Melbourne, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,3,29]]},"reference":[{"key":"bibr1-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-020-02880-z"},{"key":"bibr2-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00955-1"},{"key":"bibr3-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-020-00255-5"},{"key":"bibr4-23094990211001621","doi-asserted-by":"publisher","DOI":"10.2196\/24206"},{"key":"bibr5-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1111\/ans.12292"},{"key":"bibr6-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.3976"},{"key":"bibr7-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1177\/0253717620933992"},{"key":"bibr8-23094990211001621","doi-asserted-by":"publisher","DOI":"10.3201\/eid1108.041083"},{"key":"bibr9-23094990211001621","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.00306"},{"key":"bibr10-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2020.05.007"},{"key":"bibr11-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.16.BJO-2020-0053.R1"},{"key":"bibr12-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"bibr13-23094990211001621","doi-asserted-by":"publisher","DOI":"10.4103\/0253-7176.116232"},{"key":"bibr14-23094990211001621","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.00604"},{"key":"bibr15-23094990211001621","doi-asserted-by":"publisher","DOI":"10.2307\/3096941"},{"key":"bibr16-23094990211001621","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7478"},{"key":"bibr17-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800771024"},{"key":"bibr18-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2008.575"},{"key":"bibr19-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.112934"},{"key":"bibr20-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1177\/070674370705200405"},{"key":"bibr21-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.5893"},{"key":"bibr22-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2020.102119"},{"key":"bibr23-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-020-01862-9"},{"key":"bibr24-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1179\/oeh.2004.10.4.421"},{"key":"bibr25-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.25689"},{"key":"bibr26-23094990211001621","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.20.2662"},{"key":"bibr27-23094990211001621","author":"Berg 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