ReviewHand (New York, N.Y.)2023
Assessment of Telemedicine and Phone Consultation Effects on Rate of Hand Transfers to Trauma Centers and Specialty Services Referrals.
Review in Hand (New York, N.Y.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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.
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.
Who cites it
6 citing papers in PubMed.
- Financial Impacts of Unnecessary Transfers of Patients With Hand Injuries at a Level 1 Trauma Center.Hand (New York, N.Y.) · 2026Article
- Emergency Department Guidelines for Orthopedic Consultation in an Academic Trauma Center: Effect on ED Throughput and Consultation Utilization.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Inexperienced Evaluator Identification of Hand Ischemia Via Video Processed with Pigment-Enhancing Technology.Journal of hand surgery global online · 2025Article
- Fair Healthcare Practices in Orthopedics Assessed with a New Framework.Healthcare (Basel, Switzerland) · 2023Article
- The Role of Telemedicine in Prehospital Traumatic Hand Injury Evaluation.Diagnostics (Basel, Switzerland) · 2023Review
- Do Americans Lacking a Local Orthopaedic Surgeon Have Adequate Broadband for Telehealth?Clinical orthopaedics and related research · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTelemedicine consultation can increase patients' access to subspecialty care and decrease the number of unnecessary hospital transfers. In 2014, the Arkansas Hand Trauma Telemedicine Program (AHTTP) was established to extend specialized hand care throughout Arkansas. The purpose of this study is to assess whether transfers are affected when consultation with a hand specialist is performed by phone compared with using a live audiovisual consultation.
methodsWe reviewed data from the first year of the AHTTP. Data collection included type of consultation (telephone only or live audiovisual), need for transfer, and type of transfer (general orthopedic or hand specialist).
resultsIn 2014, the first year of AHTTP there were 331 hand injuries identified; of those, 298 used the AHTTP with 195 (65%) using telemedicine and 103 (35%) using phone consultation only. The use of video when compared with phone consultation did not significantly affect the decision to transfer (
conclusionsThe assessment of both phone and telemedicine modalities showed that there was no significant difference in transfer rates for either consultation, highlighting that communication with a hand surgeon was the key to accurate assessment of the need for transfer.
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Registered trials
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