Evidence map›Paper›PMID 33635399›Full record

SynthesisArchives of orthopaedic and trauma surgery2021

A systematic review about telemedicine in orthopedics.

Wolf Petersen, Katrin Karpinski, Luisa Backhaus, Sebastian Bierke, Martin Häner

Abstract readSystematic Review
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing 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.

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

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

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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.

Wolf PetersenSportklinik Berlin und Klinik für Orthopädie und Unfallchirurgie am, Martin Luther Krankenhaus, Berlin Grunewald, Caspar-Theyß-Strasse 27-31, 14193, Berlin, Germany. wolf.petersen@jsd.de.
Katrin KarpinskiSportklinik Berlin und Klinik für Orthopädie und Unfallchirurgie am, Martin Luther Krankenhaus, Berlin Grunewald, Caspar-Theyß-Strasse 27-31, 14193, Berlin, Germany. katrin.karpinski@t-online.de.
Luisa BackhausSportklinik Berlin und Klinik für Orthopädie und Unfallchirurgie am, Martin Luther Krankenhaus, Berlin Grunewald, Caspar-Theyß-Strasse 27-31, 14193, Berlin, Germany.
Sebastian BierkeSportklinik Berlin und Klinik für Orthopädie und Unfallchirurgie am, Martin Luther Krankenhaus, Berlin Grunewald, Caspar-Theyß-Strasse 27-31, 14193, Berlin, Germany.
Martin HänerSportklinik Berlin und Klinik für Orthopädie und Unfallchirurgie am, Martin Luther Krankenhaus, Berlin Grunewald, Caspar-Theyß-Strasse 27-31, 14193, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUntil now, the use of telemedical applications in orthopedics was limited to sparsely populated countries. However, due to the SARS-CoV-2 pandemic, interest in orthopedics in these procedures has increased significantly. The aim of this systematic review was to find out to what extent there is scientific evidence for the use of telemedicine in the orthopedic field.

methodsA systematic literature search was carried out in various databases on randomized controlled trials (RCTs) on telemedical applications in orthopedics.

resultsAltogether, 14 articles were identified that reported about a total of eight RCTs of telemedical applications in orthopedics. Two RCTs were about a patient-to-doctor video consultation and six RCTs were about telerehabilitation after knee and hip arthroplasty (4 × knee arthroplasty, one hip and knee arthroplasty, one hip arthroplasty). For the majority of outcome parameters evaluated, there were no significant differences between the study groups. The cost effectiveness of videoconsultations depended on the workload (number of patient consultations) as well as the effectiveness of telerehabilitation on the distance of the patient's home to the health care center (30 km round-trip).

conclusionThere is sufficient evidence to recommend the use of telemedical methods in orthopedics. However, more research is necessary to further expand the possibilities of telemedical methods with regard to physical examination.

Indexed as

COVID-19Orthopedic ProceduresOrthopedicsTelemedicineHumansSARS-CoV-2COVID-19DiagnosticsKnee arthroplastyOrthopedic surgeryPandemicSARS-Cov-2TelerehabilitationVideo consultation

Identifiers

PMID33635399
PMCPMC7907664

What OpenQuestion holds

Textmetadata
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.