Evidence map›Paper›PMID 33866406›Full record

ArticleArchives of orthopaedic and trauma surgery2022

Telemedicine visits generate accurate surgical plans across orthopaedic subspecialties.

Alexander M Crawford, Harry M Lightsey, Grace X Xiong, Brendan M Striano, Andrew J Schoenfeld, Andrew K Simpson

Open access · bronzeAbstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
6.3field-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

22 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Review
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  5. The Carbon Footprint of In-person Versus Virtual Orthopaedic Care.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
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  8. Review
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  18. Innovation in Orthopedics: Part 1-Design Thinking.Current reviews in musculoskeletal medicine · 2022
    Review
  19. Article
  20. 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

6 authors at 2 institutions in 1 country.

Alexander M CrawfordHarvard Combined Orthopaedic Residency Program, 55 Fruit St, Boston, MA, 02114, USA. acrawford7@partners.org.ORCID http://orcid.org/0000-0003-4965-6046
Harry M LightseyHarvard Combined Orthopaedic Residency Program, 55 Fruit St, Boston, MA, 02114, USA.
Grace X XiongHarvard Combined Orthopaedic Residency Program, 55 Fruit St, Boston, MA, 02114, USA.
Brendan M StrianoHarvard Combined Orthopaedic Residency Program, 55 Fruit St, Boston, MA, 02114, USA.
Andrew J SchoenfeldDepartment of Orthopaedic Spine Surgery, Brigham and Women's Hospital, Harvard Medical Schools, 75 Francis St, Boston, MA, 02115, USA.
Andrew K SimpsonDepartment of Orthopaedic Spine Surgery, Brigham and Women's Hospital, Harvard Medical Schools, 75 Francis St, Boston, MA, 02115, USA.
Harvard Affiliated Emergency Medicine Residency · USBrigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe role of telemedicine is rapidly evolving across medical specialties and orthopaedics. The utility of telemedicine to identify operative candidates and determine surgical plans has yet to be demonstrated. We sought to assess whether surgical plans proposed following telemedicine visits changed after subsequent in-person interaction across orthopaedic subspecialties. MATERIALS AND

methodsWe identified all elective telemedicine encounters across two academic institutions from March 1, 2020 to July 31, 2020. We identified patients indicated for surgery with a specific surgical plan during the virtual visit. The surgical plans delineated during the telemedicine encounter were then compared to final pre-operative plans documented following subsequent in-person evaluation. Changes in the surgical plan between telemedicine and in-person encounters were defined using a standardised schema. Regression analysis was used to evaluate factors associated with a change in surgical plan between visits across specialties, including the number of virtual examination manoeuvres performed.

resultsWe identified 303 instances of a patient being indicated for orthopaedic surgery during a telemedicine encounter. In 11 cases (4%), the plan was changed between telemedicine and subsequent in-person encounter. No plans were changed amongst patients indicated for joint arthroplasty and foot and ankle surgery, whilst 4% of plans were changed amongst sports surgery and upper extremity/shoulder surgery. Surgical plans had the highest rate of change amongst spine surgery patients (8%). There was notable variability in the conduct of virtual examinations across subspecialties.

conclusionOur results demonstrate the capability of telemedicine to support development of accurate surgical plans for orthopaedic patients across several subspecialties. Our findings also highlight the substantial variation in the utilisation of physical examination manoeuvres conducted via telemedicine across institutions, subspecialties, and providers. DESCRIPTION OF STUDY TYPE: Level IV, retrospective cohort study.

Indexed as

Orthopedic ProceduresOrthopedicsTelemedicineHumansRetrospective StudiesSurgical planningTelehealthTelemedicine

Identifiers

PMID33866406
PMCPMC8053078
OpenAlexW3155296671

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.