Evidence map›Paper›PMID 33452924›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021

Spine surgeon perceptions of the challenges and benefits of telemedicine: an international study.

Grant J Riew, Francis Lovecchio, Dino Samartzis, David N Bernstein, Ellen Y Underwood, Philip K Louie, Niccole Germscheid, Howard S An, Jason Pui Yin Cheung, Norman Chutkan and 9 more

Open access · hybridAbstract read
In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.9field-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

20 citing papers in PubMed, 42 citations in OpenAlex.

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  16. COVID-19 and its Impact on Back Pain.Global spine journal · 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

19 authors at 12 institutions in 6 countries.

Grant J RiewHarvard Medical School, Boston, MA, USA.
Francis LovecchioDepartment of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Dino SamartzisDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
David N BernsteinDepartment of Orthopaedic Surgery, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, USA.
Ellen Y UnderwoodDepartment of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard University, Boston, MA, USA.
Philip K LouieVirginia Mason Medical Center, Neuroscience Institute, Seattle, WA, USA.
Niccole GermscheidResearch Department, AO Spine International, Davos, Switzerland.
Howard S AnDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Jason Pui Yin CheungDepartment of Orthopaedics and Traumatology, The University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China.
Norman ChutkanDepartment of Orthopaedic Surgery, University of Arizona College of Medicine, Phoenix, AZ, USA.
Gary Michael MallowDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Marko H NevaDepartment of Orthopaedic and Trauma Surgery, Tampere University Hospital, Tampere, Finland.
Frank M PhillipsDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Daniel M SciubbaDepartment of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA.
Mohammad El-SharkawiDepartment of Orthopaedic and Trauma Surgery, Assiut University Medical School, Assiut, Egypt.
Marcelo ValaccoDepartment of Orthopaedics, Churruca Hospital de Buenos Aires, Buenos Aires, Argentina.
Michael H McCarthyIndiana Spine Group, Carmel, IN, USA.
Sravisht IyerDepartment of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Melvin C MakhniDepartment of Orthopaedic Surgery, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, USA. mmakhni@bwh.harvard.edu.
Rush University Medical Center · USHarvard University · USHospital for Special Surgery · USAOSpine · CHAssiut University · EGBoston Children's Hospital · USChinese University of Hong Kong · CNIndiana Spine Group · USJohns Hopkins University · USTampere University · FIUniversity of Arizona · USVirginia Mason Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWhile telemedicine usage has increased due to the COVID-19 pandemic, there remains little consensus about how spine surgeons perceive virtual care. The purpose of this study was to explore international perspectives of spine providers on the challenges and benefits of telemedicine.

methodsResponses from 485 members of AO Spine were analyzed, covering provider perceptions of the challenges and benefits of telemedicine. All questions were optional, and blank responses were excluded from analysis.

resultsThe leading challenges reported by surgeons were decreased ability to perform physical examinations (38.6%), possible increased medicolegal exposure (19.3%), and lack of reimbursement parity compared to traditional visits (15.5%). Fewer than 9.0% of respondents experienced technological issues. On average, respondents agreed that telemedicine increases access to care for rural/long-distance patients, provides societal cost savings, and increases patient convenience. Responses were mixed about whether telemedicine leads to greater patient satisfaction. North Americans experienced the most challenges, but also thought telemedicine carried the most benefits, whereas Africans reported the fewest challenges and benefits. Age did not affect responses.

conclusionSpine surgeons are supportive of the benefits of telemedicine, and only a small minority experienced technical issues. The decreased ability to perform the physical examination was the top challenge and remains a major obstacle to virtual care for spine surgeons around the world, although interestingly, 61.4% of providers did not acknowledge this to be a major challenge. Significant groundwork in optimizing remote physical examination maneuvers and achieving legal and reimbursement clarity is necessary for widespread implementation.

Indexed as

COVID-19SurgeonsTelemedicineFemaleHumansPandemicsPerceptionPregnancySARS-CoV-2BenefitsChallengesGlobalSpine surgeryTelemedicine

Identifiers

PMID33452924
PMCPMC7811153
OpenAlexW3121138338

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.