Evidence map›Paper›PMID 35896015›Full record

Trial reportJournal of medical Internet research2022

Assessing Telemedicine Efficiency in Follow-up Care With Video Consultations for Patients in Orthopedic and Trauma Surgery in Germany: Randomized Controlled Trial.

Jennifer Muschol, Martin Heinrich, Christian Heiss, Gero Knapp, Holger Repp, Henning Schneider, Ulrich Thormann, Johanna Uhlar, Kai Unzeitig, Christian Gissel

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Jennifer MuscholDepartment of Health Economics, Justus Liebig University Giessen, Giessen, Germany.ORCID 0000-0002-1563-0078
Martin HeinrichDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, Giessen, Germany.ORCID 0000-0003-0858-1551
Christian HeissDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, Giessen, Germany.ORCID 0000-0002-9593-162X
Gero KnappDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, Giessen, Germany.ORCID 0000-0001-9864-547X
Holger ReppDepartment of Health Economics, Justus Liebig University Giessen, Giessen, Germany.ORCID 0000-0002-6979-6807
Henning SchneiderInstitute of Medical Informatics, Justus Liebig University Giessen, Giessen, Germany.ORCID 0000-0002-9958-4434
Ulrich ThormannDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, Giessen, Germany.ORCID 0000-0002-8935-4731
Johanna UhlarInstitute of Medical Informatics, Justus Liebig University Giessen, Giessen, Germany.ORCID 0000-0001-7270-8946
Kai UnzeitigDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, Giessen, Germany.ORCID 0000-0002-6391-0031
Christian GisselDepartment of Health Economics, Justus Liebig University Giessen, Giessen, Germany.ORCID 0000-0001-6656-0877
Justus-Liebig-Universität Gießen · DEUniversitätsklinikum Gießen und Marburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemedicine can help mitigate important health care challenges, such as demographic changes and the current COVID-19 pandemic, in high-income countries such as Germany. It gives physicians and patients the opportunity to interact via video consultations, regardless of their location, thus offering cost and time savings for both sides.

objectiveWe aimed to investigate whether telemedicine can be implemented efficiently in the follow-up care for patients in orthopedic and trauma surgery, with respect to patient satisfaction, physician satisfaction, and quality of care.

methodsWe conducted a prospective randomized controlled trial in a German university hospital and enrolled 60 patients with different knee and shoulder conditions. For follow-up appointments, patients received either an in-person consultation in the clinic (control group) or a video consultation with their physician (telemedicine group). Patients' and physicians' subsequent evaluations of these follow-up appointments were collected and assessed using separate questionnaires.

resultsOn the basis of data from 52 consultations after 8 withdrawals, it was found that patients were slightly more satisfied with video consultations (mean 1.58, SD 0.643) than with in-clinic consultations (mean 1.64, SD 0.569), although the difference was not statistically significant (P=.69). After excluding video consultations marred by technical problems, no significant difference was found in physician satisfaction between the groups (mean 1.47, SD 0.516 vs mean 1.32, SD 0.557; P=.31). Further analysis indicated that telemedicine can be applied to broader groups of patients and that patients who have prior experience with telemedicine are more willing to use telemedicine for follow-up care.

conclusionsTelemedicine can be an alternative and efficient form of follow-up care for patients in orthopedic and trauma surgery in Germany, and it has no significant disadvantages compared with in-person consultations in the clinic.

trial registrationGerman Clinical Trials Register DRKS00023445; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00023445.

Indexed as

COVID-19AftercareGermanyHumansOrthopedic ProceduresPandemicsPatient SatisfactionProspective StudiesReferral and ConsultationTelemedicineVideoconferencingWounds and Injuriesefficiencyfollow-upmobile phoneorthopedictelemedicinetrauma surgeryvideo consultations

Identifiers

PMID35896015
PMCPMC9377439
OpenAlexW4288067782

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.