Evidence map›Paper›PMID 33215114›Full record

ArticleBone & joint open2020

Transformation from a traditional model to a virtual model of care in orthopaedic surgery: COVID-19 experience and beyond.

Dominic King, Ahmed K Emara, Mitchell K Ng, Peter J Evans, Kelly Estes, Kurt P Spindler, Thomas Mroz, Brendan M Patterson, Viktor E Krebs, Stephen Pinney and 2 more

Open access · goldAbstract read
In one paragraph

Article in Bone & joint open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

21 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Virtual arthroplasty follow-up (VARF) in total hip replacement: a safe, effective, and sustainable model for post-operative care.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  3. The Carbon Footprint of In-person Versus Virtual Orthopaedic Care.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Development and Service Evaluation of anMalaysian orthopaedic journal · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Process of Posthospital Care Involving Telemedicine Solutions for Patients after Total Hip Arthroplasty.International journal of environmental research and public health · 2021
    Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. A solid and strong beginning.Bone & joint open · 2020
    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

12 authors at 1 institution in 1 country.

Dominic KingOrthopaedic Informatics Working Group, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Ahmed K EmaraOrthopaedic Informatics Working Group, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Mitchell K NgOrthopaedic Informatics Working Group, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.ORCID 0000-0002-5831-055X
Peter J EvansOrthopaedic Informatics Working Group, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Kelly EstesOrthopaedic Informatics Working Group, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Kurt P SpindlerOrthopaedic Informatics Working Group, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Thomas MrozOrthopaedic Informatics Working Group, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Brendan M PattersonOrthopaedic Informatics Working Group, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Viktor E KrebsOrthopaedic Informatics Working Group, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Stephen PinneyOrthopaedic Informatics Working Group, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Nicolas S PiuzziOrthopaedic Informatics Working Group, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.ORCID 0000-0003-3007-7538
Jonathan L SchafferOrthopaedic Informatics Working Group, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Cleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Virtual encounters have experienced an exponential rise amid the current COVID-19 crisis. This abrupt change, seen in response to unprecedented medical and environmental challenges, has been forced upon the orthopaedic community. However, such changes to adopting virtual care and technology were already in the evolution forecast, albeit in an unpredictable timetable impeded by regulatory and financial barriers. This adoption is not meant to replace, but rather augment established, traditional models of care while ensuring patient/provider safety, especially during the pandemic. While our department, like those of other institutions, has performed virtual care for several years, it represented a small fraction of daily care. The pandemic required an accelerated and comprehensive approach to the new reality. Contemporary literature has already shown equivalent safety and patient satisfaction, as well as superior efficiency and reduced expenses with musculoskeletal virtual care (MSKVC) versus traditional models. Nevertheless, current literature detailing operational models of MSKVC is scarce. The current review describes our pre-pandemic MSKVC model and the shift to a MSKVC pandemic workflow that enumerates the conceptual workflow organization (patient triage, from timely care provision based on symptom acuity/severity to a continuum that includes future follow-up). Furthermore, specific setup requirements (both resource/personnel requirements such as hardware, software, and network connectivity requirements, and patient/provider characteristics respectively), and professional expectations are outlined. MSKVC has already become a pivotal element of musculoskeletal care, due to COVID-19, and these changes are confidently here to stay. Readiness to adapt and evolve will be required of individual musculoskeletal clinical teams as well as organizations, as established paradigms evolve. Cite this article:

Indexed as

Beyond COVID-19COVID-19Musculoskeletal Virtual CareTelehealthTelemedicineTriageVirtual visits

Identifiers

PMID33215114
PMCPMC7659667
OpenAlexW3036351131

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.