Evidence map›Paper›PMID 33452925›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

COVID-19 and the rise of virtual medicine in spine surgery: a worldwide study.

Peter R Swiatek, Joseph A Weiner, Daniel J Johnson, Philip K Louie, Michael H McCarthy, Garrett K Harada, Niccole Germscheid, Jason P Y Cheung, Marko H Neva, Mohammad El-Sharkawi and 5 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 29 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Article
  5. [CiteSpace-Based Analysis of Hot Research Topics and Frontiers of Preclinical Dentistry Education].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2022
    Article
  6. Review
  7. COVID-19 and its Impact on Back Pain.Global spine journal · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

15 authors at 10 institutions in 5 countries.

Peter R SwiatekDepartment of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.
Joseph A WeinerDepartment of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.
Daniel J JohnsonDepartment of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.
Philip K LouieNeuroscience Institute, Virginia Mason, Seattle, WA, USA.
Michael H McCarthyDepartment of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Garrett K HaradaDepartment of Orthopaedic Surgery, Rush University Medical Center, Orthopaedic Building, Suite 204-G, 1611 W Harrison Street, Chicago, IL, 60612, USA.
Niccole GermscheidResearch Department, AO Spine International, Davos, Switzerland.
Jason P Y CheungDepartment of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong, China.
Marko H NevaDepartment of Orthopaedic and Trauma Surgery, Tampere University Hospital, Tampere, Finland.
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.
Daniel M SciubbaDepartment of Neurosurgery, John Hopkins University, Baltimore, MD, USA.
Norman B ChutkanDepartment of Orthopaedic Surgery, University of Arizona College of Medicine, Phoenix, AZ, USA.
Howard S AnDepartment of Orthopaedic Surgery, Rush University Medical Center, Orthopaedic Building, Suite 204-G, 1611 W Harrison Street, Chicago, IL, 60612, USA.
Dino SamartzisDepartment of Orthopaedic Surgery, Rush University Medical Center, Orthopaedic Building, Suite 204-G, 1611 W Harrison Street, Chicago, IL, 60612, USA. Dino_Samartzis@rush.edu.ORCID 0000-0002-7473-1311
Northwestern University · USRush University Medical Center · USAO Foundation · CHAssiut University · EGHospital for Special Surgery · USJohns Hopkins University · USTampere University Hospital · FIUniversity of Arizona · USUniversity of Hong Kong · HKVirginia Mason Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe COVID-19 pandemic forced many surgeons to adopt "virtual medicine" practices, defined as telehealth services for patient care and online platforms for continuing medical education. The purpose of this study was to assess spine surgeon reliance on virtual medicine during the pandemic and to discuss the future of virtual medicine in spine surgery.

methodsA comprehensive survey addressing demographic data and virtual medicine practices was distributed to spine surgeons worldwide between March 27, 2020, and April 4, 2020.

results902 spine surgeons representing seven global regions responded. 35.6% of surgeons were identified as "high telehealth users," conducting more than half of clinic visits virtually. Predictors of high telehealth utilization included working in an academic practice (OR = 1.68, p = 0.0015) and practicing in Europe/North America (OR 3.42, p < 0.0001). 80.1% of all surgeons were interested in online education. Dedicating more than 25% of one's practice to teaching (OR = 1.89, p = 0.037) predicted increased interest in online education. 26.2% of respondents were identified as "virtual medicine surgeons," defined as surgeons with both high telehealth usage and increased interest in online education. Living in Europe/North America and practicing in an academic practice increased odds of being a virtual medicine surgeon by 2.28 (p = 0.002) and 1.15 (p = 0.0082), respectively. 93.8% of surgeons reported interest in a centralized platform facilitating surgeon-to-surgeon communication.

conclusionCOVID-19 has changed spine surgery by triggering rapid adoption of virtual medicine practices. The demonstrated global interest in virtual medicine suggests that it may become part of the "new normal" for surgeons in the post-pandemic era.

Indexed as

COVID-19TelemedicineHumansPandemicsSARS-CoV-2SpineCoronavirusCOVID-19New technologiesOnline educationSpine surgeryTelehealthTelemedicineVirtual medicine

Identifiers

PMID33452925
PMCPMC7811348
OpenAlexW3124636823

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.