Evidence map›Paper›PMID 38306156›Full record

SynthesisJournal of medical Internet research2024

Effectiveness of Telemedicine for Musculoskeletal Disorders: Umbrella Review.

Silvia Bargeri, Greta Castellini, Jacopo Antonino Vitale, Stefania Guida, Giuseppe Banfi, Silvia Gianola, Federico Pennestrì

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
15.2field-weighted citation impact, top 1% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  3. Perceptions, barriers, and costs related to telehealth among outpatient musculoskeletal patients.PM & R : the journal of injury, function, and rehabilitation · 2026
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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

7 authors at 3 institutions in 2 countries.

Silvia BargeriUnità di Epidemiologia Clinica, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.ORCID 0000-0002-3489-6429
Greta CastelliniUnità di Epidemiologia Clinica, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.ORCID 0000-0002-3345-8187
Jacopo Antonino VitaleSpine Center, Schulthess Klinik, Zürich, Switzerland.ORCID 0000-0002-7537-079X
Stefania GuidaUnità di Epidemiologia Clinica, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.ORCID 0000-0002-1809-061X
Giuseppe BanfiIRCCS Istituto Ortopedico Galeazzi, Milan, Italy.ORCID 0000-0001-9578-5338
Silvia GianolaUnità di Epidemiologia Clinica, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.ORCID 0000-0003-3770-0011
Federico PennestrìIRCCS Istituto Ortopedico Galeazzi, Milan, Italy.ORCID 0000-0001-9969-9955
Istituto Ortopedico Galeazzi · ITSchulthess-Klinik · CHVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral systematic reviews (SRs) assessing the use of telemedicine for musculoskeletal conditions have been published in recent years. However, the landscape of evidence on multiple clinical outcomes remains unclear.

objectiveWe aimed to summarize the available evidence from SRs on telemedicine for musculoskeletal disorders.

methodsWe conducted an umbrella review of SRs with and without meta-analysis by searching PubMed and EMBASE up to July 25, 2022, for SRs of randomized controlled trials assessing telemedicine. We collected any kind of patient-reported outcome measures (PROMs), patient-reported experience measures (PREMs), and objective measures, including direct and indirect costs. We assessed the methodological quality with the AMSTAR 2 tool (A Measurement Tool to Assess systematic Reviews 2). Findings were reported qualitatively.

resultsOverall, 35 SRs published between 2015 and 2022 were included. Most reviews (n=24, 69%) were rated as critically low quality by AMSTAR 2. The majority of reviews assessed "telerehabilitation" (n=29) in patients with osteoarthritis (n=13) using PROMs (n=142 outcomes mapped with n=60 meta-analyses). A substantive body of evidence from meta-analyses found telemedicine to be beneficial or equal in terms of PROMs compared to conventional care (n=57 meta-analyses). Meta-analyses showed no differences between groups in PREMs (n=4), while objectives measures (ie, "physical function") were mainly in favor of telemedicine or showed no difference (9/13). All SRs showed notably lower costs for telemedicine compared to in-person visits.

conclusionsTelemedicine can provide more accessible health care with noninferior results for various clinical outcomes in comparison with conventional care. The assessment of telemedicine is largely represented by PROMs, with some gaps for PREMs, objective measures, and costs.

trial registrationPROSPERO CRD42022347366; https://osf.io/pxedm/.

Indexed as

Musculoskeletal DiseasesOsteoarthritisTelemedicineTelerehabilitationDelivery of Health CareHumansMeta-Analysis as TopicSystematic Reviews as Topicaccessibilityconditionhealth caremeta-analysesmusculoskeletalmusculoskeletal disorderorthopedicsosteoarthritispatient-reportedpatient-reported experience measurespatient-reported outcomes measuresPREMsPROMsrehabilitationsystematic reviewtelemedicinetelerehabilitation

Identifiers

PMID38306156
PMCPMC10873802
OpenAlexW4391470578

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.