Evidence map›Paper›PMID 35969452›Full record

ArticleJMIR perioperative medicine2022

In-hospital Enrollment Into an Electronic Patient Portal Results in Improved Follow-up After Orthopedic Surgery: Cluster Randomized Controlled Trial.

Abhiram R Bhashyam, Mira Bansal, Madeline M McGovern, Quirine M J van der Vliet, Marilyn Heng

Registry-linked trialAbstract read
In one paragraph

Article in JMIR perioperative medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03431259 (Does Inpatient Enrollment Into a Patient Communication App), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

NCT03431259 nacompletednot on this map

Does Inpatient Enrollment Into a Patient Communication App (Patient Gateway) Result in Improved Follow-up and Survey Completion Rates After Orthopaedic Trauma?

TypeinterventionalSponsorMassachusetts General HospitalRan2018 to 2020Enrolled232ConditionsOrthopedic DisorderArmsPatient Gateway
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. 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.

Abhiram R BhashyamMassachusetts General Hospital, Boston, MA, United States.ORCID https://orcid.org/0000-0002-9170-4745
Mira BansalWestern University of Health Sciences, Pomona, CA, United States.ORCID https://orcid.org/0000-0002-7987-3976
Madeline M McGovernHarvard Combined Orthopedic Residency Program, Massachusetts General Hospital, Boston, MA, United States.ORCID https://orcid.org/0000-0001-7618-6073
Quirine M J van der VlietUniversity Medical Center Utrecht, Utrecht, Netherlands.ORCID https://orcid.org/0000-0001-5515-0952
Marilyn HengMassachusetts General Hospital, Boston, MA, United States.ORCID https://orcid.org/0000-0002-4047-6818

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic patient portal (EPP) use is associated with lower no-show rates and increased patient satisfaction. However, there are disparities in enrollment into these communication platforms.

objectiveWe hypothesized that guided inpatient enrollment into an EPP would improve clinical follow-up and EPP use rates for patients who underwent orthopedic surgery compared to the usual practice of providing information in the discharge summary.

methodsWe performed a randomized controlled trial of 229 adult patients who were admitted to the hospital for an orthopedic condition that required a 3-month follow-up visit. Patients were cluster-randomized by week to either the control or intervention group. The control group received information on how to enroll into and use the EPP in their discharge paperwork, whereas the intervention group was actively enrolled and taught how to use the EPP. At 3 months postdischarge, the patients were followed to see if they attended their follow-up appointment or used the EPP.

resultsOf the 229 patients, 83% (n=190) presented for follow-up at 3 months (control: 93/116, 80.2%; intervention: 97/113, 85.8%; P=.25). The likelihood of EPP use was significantly higher in the intervention group (control: 19/116, 16.4%; intervention: 70/113, 62%; odds ratio [OR] 8.3, 95% CI 4.5-15.5; P<.001). Patients in the intervention group who used the EPP were more likely to present for postsurgical follow-up (OR 3.59, 95% CI 1.28-10.06; P=.02).

conclusionsThe inpatient enrollment of patients who underwent orthopedic surgery into an EPP increased EPP use but did not independently result in enhanced follow-up. Patients who were enrolled as inpatients and subsequently used the portal had the highest likelihood of 3-month follow-up.

trial registrationClinicalTrials.gov NCT03431259; https://clinicaltrials.gov/ct2/show/NCT03431259.

Indexed as

eHealthelectronic health recordsorthopedicoutcomespatient portalssurgery

Identifiers

PMID35969452
PMCPMC9412718

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Registered trials

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.