Evidence map›Paper›PMID 34511106›Full record

ArticleBMC musculoskeletal disorders2021

The use of online video consultations in the aftercare of orthopedic patients: a prospective case-control study.

K Estel, G Weber, F Fellmer, L Richter, S Tsitsilonis, C Willy, D A Back

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors at 2 institutions in 1 country.

K EstelDepartment for Traumatology and Orthopedics, Bundeswehr Hospital Berlin, Scharnhorststrasse 13, 10115, Berlin, Germany.
G WeberDepartment for Traumatology and Orthopedics, Bundeswehr Hospital Berlin, Scharnhorststrasse 13, 10115, Berlin, Germany.
F FellmerDepartment for Traumatology and Orthopedics, Bundeswehr Hospital Berlin, Scharnhorststrasse 13, 10115, Berlin, Germany.
L RichterDepartment for Traumatology and Orthopedics, Bundeswehr Hospital Berlin, Scharnhorststrasse 13, 10115, Berlin, Germany.
S TsitsilonisCenter for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
C WillyDepartment for Traumatology and Orthopedics, Bundeswehr Hospital Berlin, Scharnhorststrasse 13, 10115, Berlin, Germany.
D A BackDepartment for Traumatology and Orthopedics, Bundeswehr Hospital Berlin, Scharnhorststrasse 13, 10115, Berlin, Germany. davidback@bundeswehr.org.
Bundeswehrkrankenhaus · DECharité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVideo consultations have proven to be an efficient source of support for patient-doctor interactions and have become increasingly used in orthopedics, especially during the COVID-19 pandemic. This study analyzed both patients' and doctors' acceptance of an orthopedic telemedical consultation (OTC) and compared the results of OTC examinations to the results of live consultation (LC) to identify discrepancies.

methodsThe study was carried out in an orthopedic department of a German hospital between 2019 and 2020. After written informed consent was obtained, patients voluntarily presented for follow-up by OTC and LC. The experience with and attitudes toward OTC among both patients and doctors was evaluated (using Likert scale-scored and open questions, 26 to 28 items). The results of the OTC and LC examinations were compared using a 12-item checklist. The data were analyzed by quantitative and qualitative statistics.

resultsA total of 53 patients were included, each of whom completed an OTC and an LC. The OTC was rated as pleasant, and the experience was rated as very satisfying (average rating on a 5-point Likert scale, with 1 indicating strong agreement: doctors: 1.2; patients: 1.3). Various technical and organizational challenges were identified. Compared to LC, OTC showed no significant differences in patient history or in inspection, palpation, or active range of motion results. Only for the functional or passive joint assessment did LC show significantly higher suitability (p < 0.05) than OTC. Recommendations for further procedures did not differ significantly between OTC and LC.

conclusionsBecause of the high acceptance and the objective benefits of OTC and the similarity of clinical results with LC, OTC is recommendable for orthopedic follow-up examinations. To better assess joint functionality, meaningful digital alternatives for established examination methods should be further investigated.

Indexed as

COVID-19OrthopedicsTelemedicineAftercareCase-Control StudiesHumansPandemicsReferral and ConsultationSARS-CoV-2AftercareEvaluationExaminationOrthopedicsVideo consultation

Identifiers

PMID34511106
PMCPMC8435151
OpenAlexW3160631184

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.