ArticleBone & joint research2016
Fracture clinic redesign reduces the cost of outpatient orthopaedic trauma care.
Article in Bone & joint research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Are Virtual Fracture Clinics During the COVID-19 Pandemic a Potential Alternative for Delivering Fracture Care? A Systematic Review.Clinical orthopaedics and related research · 2020Pooled it
- The Rise of Telemedicine in Orthopaedic Trauma Follow-Up Care and Its Long-Term Outcomes: A Narrative Review.Cureus · 2025Review
- Article
- Virtual Acute Shoulder Clinic (VASC): A Safe, Sustainable and Cost-Effective Model.Indian journal of orthopaedics · 2025Article
- Article
- Are Virtual Fracture Clinics really "safe"? - An evaluation of the capability of a District General Hospital Virtual Fracture Clinic pathway to detect safeguarding issues.Journal of clinical orthopaedics and trauma · 2025Article
- Article
- Hand Trauma Virtual Clinics Prove Effective During the COVID-19 Pandemic.Hand (New York, N.Y.) · 2023Article
- Current concepts of the perioperative management of closed ankle fractures.Journal of perioperative practice · 2022Review
- A Virtual Fracture Clinic Pathway for Managing Suspected Paediatric Scaphoid Fractures.Cureus · 2022Article
- Development and Service Evaluation of anMalaysian orthopaedic journal · 2022Article
- The impact of digitisation of a virtual fracture clinic on referral quality, outcomes and assessment times.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Innovation in Orthopedics: Part 1-Design Thinking.Current reviews in musculoskeletal medicine · 2022Review
- Remote Follow-up of Shoulder Arthroplasty Patients During COVID-19 Pandemic - Is This the way Forward?Journal of shoulder and elbow arthroplasty · 2022Article
- Age and socioeconomic status affect access to telemedicine at an urban level 1 trauma center.OTA international : the open access journal of orthopaedic trauma · 2021Article
- Embracing virtual outpatient clinics in the era of COVID-19.Bone & joint open · 2021Article
- CORR Synthesis: What Evidence Is Available for the Continued Use of Telemedicine in Orthopaedic Surgery in the Post-COVID-19 Era?Clinical orthopaedics and related research · 2021Review
- Article
- A multicentre national study of the effectiveness of virtual fracture clinic management of orthopaedic trauma during the COVID-19 pandemic (MAVCOV): a cross-sectional study protocol.Bone & joint open · 2021Article
- Effectiveness, Patient Satisfaction, and Cost Reduction of Virtual Joint Replacement Clinic Follow-Up of Hip and Knee Arthroplasty.The Journal of arthroplasty · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectives"Virtual fracture clinics" have been reported as a safe and effective alternative to the traditional fracture clinic. Robust protocols are used to identify cases that do not require further review, with the remainder triaged to the most appropriate subspecialist at the optimum time for review. The objective of this study was to perform a "top-down" analysis of the cost effectiveness of this virtual fracture clinic pathway.
methodsNational Health Service financial returns relating to our institution were examined for the time period 2009 to 2014 which spanned the service redesign.
resultsThe total staffing costs rose by 4% over the time period (from £1 744 933 to £1 811 301) compared with a national increase of 16%. The total outpatient department rate of attendance fell by 15% compared with a national fall of 5%. Had our local costs increased in line with the national average, an excess expenditure of £212 705 would have been required for staffing costs.
conclusionsThe virtual fracture clinic system was associated with less overall use of staff resources in comparison to national cost data. Adoption of this system nationally may have the potential to achieve significant cost savings.Cite this article: P. J. Jenkins. Fracture clinic redesign reduces the cost of outpatient orthopaedic trauma care. Bone Joint Res 2016;5:33-36. doi: 10.1302/2046-3758.52.2000506.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.