Evidence map›Paper›PMID 31624477›Full record

ArticleHSS journal : the musculoskeletal journal of Hospital for Special Surgery2019

HSS@Home, Physical Therapist-Led Telehealth Care Navigation for Arthroplasty Patients: A Retrospective Case Series.

Charles Fisher, Elizabeth Biehl, Matthew P Titmuss, Rachelle Schwartz, Chandra Sekhar Gantha

Open access · hybridAbstract read
In one paragraph

Article in HSS journal : the musculoskeletal journal of Hospital for Special Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Innovations in Total Hip and Knee Arthroplasty Episodes of Care: Transitioning from Inpatient to Ambulatory Care.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024
    Article
  5. Scaled TelePhysical Therapy Program a Promising Option for Post-acute Care of Lower-Extremity Arthroplasty Patients.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024
    Article
  6. Article
  7. Article
  8. Process of Posthospital Care Involving Telemedicine Solutions for Patients after Total Hip Arthroplasty.International journal of environmental research and public health · 2021
    Article
  9. Article
  10. Good Comes From Evil: COVID-19 and the Advent of Telemedicine in Orthopedics.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2021
    Article
  11. Pivoting to Telehealth: the HSS Experience, Value Gained, and Lessons Learned.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2020
    Article
  12. Delivering Telerehabilitation to COVID-19 Inpatients:A Retrospective Chart Review Suggests It Is a Viable Option.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2020
    Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Charles FisherHospital for Special Surgery, 535 East 70th Street, New York, NY 10021 USA.
Elizabeth BiehlHospital for Special Surgery, 535 East 70th Street, New York, NY 10021 USA.
Matthew P TitmussHospital for Special Surgery, 535 East 70th Street, New York, NY 10021 USA.
Rachelle SchwartzHospital for Special Surgery, 535 East 70th Street, New York, NY 10021 USA.
Chandra Sekhar GanthaHospital for Special Surgery, 535 East 70th Street, New York, NY 10021 USA.
Hospital for Special Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the rate of total joint arthroplasties performed in the USA continues to increase, so does the push for more value-based care. Bundled payments have encouraged organizations to be creative in limiting care overuse. Telehealth is one option for caring for arthroplasty patients post-surgery while limiting costs and improving communication with the surgical team. QUESTIONS/PURPOSES: We sought to determine the effects of the implementation of HSS@Home, a telehealth rehabilitation program that uses patients' existing technology, in patients after they had undergone total knee or total hip arthroplasty.

methodsIn this retrospective case series, of 32 patients referred, 19 patients (nine men and ten women; average age, 69 years) were enrolled in HSS@Home after undergoing a pre- and post-operative screening process. Telehealth video visits were conducted, wherein a physical therapy navigator assisted patients in following exercise and mobility programs, addressing patients' concerns while transitioning to outpatient therapy. Patients were seen within 24 h of hospital discharge, 3 times a week for 3 weeks, for an average of 11 sessions. Episodes of care were recorded in the patient's electronic medical record.

resultsThere were no readmissions among the 19 patients. Nurse practitioners were consulted for all patients, predominantly for non-emergent reasons. Feedback from patients and physicians was positive, and no overutilization of care was found.

conclusionHSS@Home was a promising alternative to live, in-home physical therapy that was effective in monitoring this series of patients after hip or knee arthroplasty. This preliminary data sets the stage for further research into the use of telehealth technology to provide rehabilitative care to arthroplasty patients.

Indexed as

arthroplastyphysical therapytelehealth

Identifiers

PMID31624477
PMCPMC6778161
OpenAlexW2969477895

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.