Evidence map›Paper›PMID 32951916›Full record

ArticleInjury2020

The new 'normal': Rapid adoption of telemedicine in orthopaedics during the COVID-19 pandemic.

Andrew M Rizzi, William S Polachek, Matthew Dulas, Jason A Strelzow, Kelly K Hynes

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Injury, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06647719 (Patient Directed Care After Carpal Tunnel Release Using Video Integration and Digital Education After Operations), which is not on this map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
11.9field-weighted citation impact, top 1% 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.

NCT06647719 naactive not recruitingnot on this mapstarted 2022, after this paper: background citation

Patient Directed Care After Carpal Tunnel Release Using Video Integration and Digital Education After Operations (VIDEO)

TypeinterventionalSponsorCarilion ClinicRan2022 to 2024Enrolled84ConditionsCarpal Tunnel Syndrome, Patient SatisfactionArmsEducational Videos
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Patient Satisfaction with Telemedicine during the COVID-19 Pandemic-A Systematic Review.International journal of environmental research and public health · 2022
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  15. Age and Racial Disparities in Telemedicine Utilization in an Academic Orthopedic Surgery Department.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022
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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 2 institutions in 1 country.

Andrew M RizziUniversity of Chicago Medical Center, Department of Orthopaedic Surgery and Rehabilitation Medicine, Chicago, IL, 60637, USA. Electronic address: Andrew.Rizzi@uchospitals.edu.
William S PolachekUniversity of Chicago Medical Center, Department of Orthopaedic Surgery and Rehabilitation Medicine, Chicago, IL, 60637, USA.
Matthew DulasUniversity of Chicago Pritzker School of Medicine, 5841 South Maryland Ave, Chicago, USA.
Jason A StrelzowUniversity of Chicago Medical Center, Department of Orthopaedic Surgery and Rehabilitation Medicine, Chicago, IL, 60637, USA.
Kelly K HynesUniversity of Chicago Medical Center, Department of Orthopaedic Surgery and Rehabilitation Medicine, Chicago, IL, 60637, USA.
University of Chicago Medical Center · USUniversity of Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemedicine provides a safe and effective means for the delivery of care by physicians amongst many subspecialties. Historically, orthopaedic practices in the United States have not widely utilized telemedicine for the delivery of orthopaedic care. As technology improves the adoption and utilization of telemedicine will likely grow, especially in light of the novel coronavirus (COVID-19) pandemic. Our study aims to assess patient and surgeon satisfaction and efficacy of telemedicine during a rapid adoption due to the global pandemic.

methodsAll patients who completed a telemedicine encounter (telephone or video) with an orthopaedic surgeon were contacted. Patients were individually contacted after their visit, and a standardized validated post-visit satisfaction survey was completed. Orthopaedic surgeons completed a standardized post-encounter survey after each visit. Pre-COVID-19 patient satisfaction data was used for comparison.

resultsOrthopaedic surgeons completed 612 telehealth encounters either via phone or video consultation between April 6, 2020 and May 22, 2020. 95% of patients rated both surgeon sensitivity to their needs and response to their concerns as 'good' or 'very good.' 93% of patients reported they would participate in a telemedicine encounter again. Surgeons reported high satisfaction with telemedicine encounters (80%, 86% phone and video respectively), and that 78.4% of the time a telemedicine encounter was successful in replacing an in-person visit.

conclusionPatients and orthopaedic surgeons documented high levels of satisfaction with telehealth encounters during the novel coronavirus (COVID-19) pandemic. Telemedicine does not appear to be a replacement for all in-person clinic encounters, however, when used in the appropriate context demonstrated favourable results. LEVEL OF EVIDENCE: Level 4 Study.

Indexed as

AdultAmbulatory CareCommunicable Disease ControlCOVID-19FemaleHumansMaleOrthopedicsOrthopedic SurgeonsPandemicsPatient SatisfactionProspective StudiesSurveys and QuestionnairesTelemedicineUnited StatesCovid-19Novel coronavirusSatisfactionTelehealthTelemedicine

Identifiers

PMID32951916
PMCPMC7493795
OpenAlexW3086527528

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.