Evidence map›Paper›PMID 35882636›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023

Surgeon preferences are associated with utilization of telehealth in fracture care.

Aresh Al Salman, Amirreza Fatehi, Tom J Crijns, David Ring, Job N Doornberg

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

5 authors at 3 institutions in 2 countries.

Aresh Al SalmanDepartment of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Health Discovery Building, MC Z0800, 1701 Trinity St., Austin, TX, 78712, USA.
Amirreza FatehiDepartment of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Health Discovery Building, MC Z0800, 1701 Trinity St., Austin, TX, 78712, USA.
Tom J CrijnsDepartment of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Health Discovery Building, MC Z0800, 1701 Trinity St., Austin, TX, 78712, USA.
David RingDepartment of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Health Discovery Building, MC Z0800, 1701 Trinity St., Austin, TX, 78712, USA. David.Ring@austin.utexas.edu.
Job N DoornbergDepartment of Orthopaedic Surgery, Universitair Medisch Centrum Groningen, Rijksuniversiteit Groningen at Groningen, Groningen, The Netherlands.
The University of Texas at Austin · USUniversity Medical Center Groningen · NLUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe SARS-CoV-2 (COVID-19) pandemic has the potential to evoke lasting changes in the delivery of care, and the utilization of telehealth. We sought associations between surgeon personal factors and greater use of telehealth to treat fractures relative to in-person care.

methodsSeventy-five fracture surgeons participated in a survey-based experiment. All surgeons were asked about their preferences regarding remote compared to in-person communication. Participants rated the following items on slider scales: their degree of introversion, the importance of a hands-on/physical exam and surgeon preferences regarding telehealth. We identified factors associated with the use of, and comfort with, telehealth.

resultsThe use of telehealth during the pandemic was associated with comfort evaluating wounds via telehealth. A greater proportion of remote visits was associated with comfort evaluating wounds and confidence teaching exercises via telehealth. There was consensus that telehealth did not alter utilization rates of radiographs or offer of discretionary surgery. The use of absorbable sutures to limit in-person visits was associated with a preference for working from home and greater comfort with evaluating wounds remotely. The use of 2- and 6-week post-operative telehealth visits and plans to use telehealth after the pandemic (52%) were associated with greater comfort in evaluating wounds through telehealth and greater confidence with video instruction of exercises.

conclusionsThe finding that personal factors are associated with utilization of telehealth helps target strategies for increased use of telehealth and other technologies as the pandemic wanes. Given that telehealth adds convenience for people with ambulatory difficulties or in remote areas, such efforts are warranted. LEVEL OF EVIDENCE: Not applicable.

Indexed as

COVID-19Fractures, BoneSurgeonsTelemedicineFirst AidHumansSARS-CoV-2COVID-19Fracture careSurgeon preferencesTelehealthTrauma

Identifiers

PMID35882636
PMCPMC9323880
OpenAlexW4288177904

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.