Evidence map›Paper›PMID 31760454›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2020

Understanding patient experiences and challenges to osteoporosis care delivered virtually by telemedicine: a mixed methods study.

P Palcu, S Munce, S B Jaglal, S Allin, J A Chishtie, A Silverstein, S Kim

Open access · hybridAbstract read
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  14. Post-fracture care programs for prevention of subsequent fragility fractures: a literature assessment of current trends.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Review
  15. Article
  16. Article
  17. Remote Management of Osteoporosis.Current treatment options in rheumatology · 2022
    Review
  18. Article
  19. Osteoporosis care amidst the prolonged pandemic.Journal of endocrinological investigation · 2021
    Review
  20. How has COVID-19 affected the treatment of osteoporosis? An IOF-NOF-ESCEO global survey.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    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

7 authors at 3 institutions in 1 country.

P PalcuFaculty of Medicine, University of Toronto, Toronto, Canada.
S MunceToronto Rehabilitation Institute-University Health Network, Toronto, Canada.
S B JaglalToronto Rehabilitation Institute-University Health Network, Toronto, Canada.
S AllinDepartment of Physical Therapy, University of Toronto, Toronto, Canada.
J A ChishtieRehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.
A SilversteinDivision of Endocrinology and Metabolism, Women's College Hospital, 76 Grenville Street, Toronto, Ontario, M5S 1B2, Canada.
S KimFaculty of Medicine, University of Toronto, Toronto, Canada. sandra.kim@wchospital.ca.ORCID http://orcid.org/0000-0002-9690-8026
University of Toronto · CAUniversity Health Network · CAWomen's College Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study sought to understand patient experiences, benefits, and challenges to osteoporosis care delivered virtually by telemedicine. Telemedicine bridges the access gap to specialized osteoporosis care in remote areas. Improving coordination of investigations, access to allied health members, and future initiatives may improve osteoporosis-related morbidity and mortality in this population.

introductionThere is limited research on the role of telemedicine (TM) in the management of osteoporosis (OP). We previously reported that OP patients assessed by TM had a higher prevalence of fragility fractures, co-morbidities, and need for allied health resources than those serviced by the outpatient clinic. The purpose of this study is to understand the experiences, benefits, and challenges associated with receiving OP care by TM from the patient perspective.

methodsWe adopted a convergent, mixed methods study design whereby both a quantitative component (mailed survey) and qualitative component (30-min telephone interviews) were conducted simultaneously. In addition to reporting survey data, thematic analysis was applied to interview data.

resultsParticipants were comfortable with virtual technology and perceived that their quality of care by TM was comparable to in-person visits. Expressed benefits included the convenience of timely care close to home, reduced burden of travel and costs, and enhanced sense of confidence with being assessed by an osteoporosis specialist. Perceived barriers included poor follow-up with allied health professionals in the TM program (e.g., physiotherapist) and coordination of tests and investigations. Many participants indicated interest in an OP self-management program, with content focusing on diet and lifestyle factors.

conclusionThe TM program bridges the access gap for those living with OP in underserviced and remote areas. However, we identified the need to improve the existing processes to better coordinate access to allied health team members and arrangements for investigations. Participants also expressed interest for a virtual osteoporosis self-management program.

Indexed as

Fractures, BoneOsteoporosisTelemedicineAgedAmbulatory Care FacilitiesFemaleHumansMaleMiddle AgedPatient Outcome AssessmentMixed methodsOsteoporosis carePatient experienceTelemedicineVirtual

Identifiers

PMID31760454
PMCPMC7010610
OpenAlexW2991577059

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.