Evidence map›Paper›PMID 32893060›Full record

ArticleThe Journal of arthroplasty2021

Effectiveness, Patient Satisfaction, and Cost Reduction of Virtual Joint Replacement Clinic Follow-Up of Hip and Knee Arthroplasty.

Abd-Allah H El Ashmawy, Kathleen Dowson, Ahmed El-Bakoury, Hazem A H Hosny, Rathan Yarlagadda, Jonathan Keenan

2 registry-linked trialsAbstract read
In one paragraph

Article in The Journal of arthroplasty, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07041528 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

How Do Patients and Health Care Professionals Perceive De-implementation of Routine Follow-ups After Total Hip and Knee Arthroplasty? Protocol for a Nested Qualitative Study Within a Hybrid De-implementation Trial

TypeobservationalSponsorTergooi Medical CenterRan2026 to 2028Enrolled90ConditionsHip Arthroplasty, Total, Knee Arthroplasty, Total
NCT07058623 narecruitingnot on this mapstarted 2025, after this paper: background citation

A Randomized Controlled Trial of Nurse-Led Telehealth Versus In-Person Consultations in Detecting Complications and Improving Recovery After Total Knee Replacement

TypeinterventionalSponsorHospital Authority, Hong KongRan2025 to 2026Enrolled98ConditionsArthroplasty, Replacement, Knee, Osteoarthritis, KneeArmsNurse-Led Telehealth Consultation, Traditional In-Person Nursing Consultation
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. The Carbon Footprint of In-person Versus Virtual Orthopaedic Care.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Development and Service Evaluation of anMalaysian orthopaedic journal · 2022
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Process of Posthospital Care Involving Telemedicine Solutions for Patients after Total Hip Arthroplasty.International journal of environmental research and public health · 2021
    Article
  18. Cost analysis on virtual clinic follow-up after primary joint arthroplasty.Journal of clinical orthopaedics and trauma · 2021
    Article
  19. The Research on Patient Satisfaction with Remote Healthcare Prior to and during the COVID-19 Pandemic.International journal of environmental research and public health · 2021
    Review
  20. COVID Will End But Telemedicine May be Here to Stay.The Journal of arthroplasty · 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

6 authors.

Abd-Allah H El AshmawyDepartment of Orthopaedic surgery, Nuffield Orthopaedic centre, Oxford, United Kingdom; Department of Trauma and Orthopaedic surgery and Trauma, University of Alexandria, Alexandria, Egypt.
Kathleen DowsonDepartment of Orthopaedic surgery, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom.
Ahmed El-BakouryDepartment of Trauma and Orthopaedic surgery and Trauma, University of Alexandria, Alexandria, Egypt; Department of Orthopaedic surgery, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom.
Hazem A H HosnyDepartment of Trauma and Orthopaedic surgery and Trauma, University of Alexandria, Alexandria, Egypt; Department of Orthopaedic surgery, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom.
Rathan YarlagaddaDepartment of Orthopaedic surgery, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom.
Jonathan KeenanDepartment of Orthopaedic surgery, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal hip and knee arthroplasties are increasingly performed operations, and routine follow-up places huge demands on orthopedic services. This study investigates the effectiveness, patients' satisfaction, and cost reduction of Virtual Joint Replacement Clinic (VJRC) follow-up of total hip arthroplasty and total knee arthroplasty patients in a university hospital. VJRC is especially valuable when in-person appointments are not advised or feasible such as during the COVID-19 pandemic.

methodsA total of 1749 patients who were invited for VJRC follow-up for knee or hip arthroplasty from January 2017 to December 2018 were included in this retrospective study. Patients were referred to VJRC after their 6-week postoperative review. Routine VJRC postoperative review was undertaken at 1 and 7 years and then 3-yearly thereafter. We evaluated the VJRC patient response rate, acceptability, and outcome. Patient satisfaction was measured in a subgroup of patients using a satisfaction survey. VJRC costs were calculated compared to face-to-face follow-up.

resultsThe VJRC had a 92.05% overall response rate. Only 7.22% required further in-person appointments with only 3% being reviewed by an orthopedic consultant. VJRC resulted in an estimated saving of £42,644 per year at our institution. The patients' satisfaction survey showed that 89.29% of the patients were either satisfied or very satisfied with VJRC follow-up.

conclusionVJRC follow-up for hip and knee arthroplasty patients is an effective alternative to in-person clinic assessment which is accepted by patients, has high patient satisfaction, and can reduce the cost to both health services and patients.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeCOVID-19Follow-Up StudiesHumansPandemicsPatient SatisfactionRetrospective StudiesSARS-CoV-2arthroplastyhipkneetelemedicinevirtual clinic

Identifiers

PMID32893060
PMCPMC7428443

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.