The efficacy of remote virtual care in comparison to traditional clinical visits for elective orthopaedic patients: A meta-analysis of prospective randomised controlled trials

McDonnell, Jake; Ahern, Daniel P; Ross, Tayler D; Gibbons, Daniel C; Synnott, Keith; Butler, Joseph S.

doi:10.1016/j.surge.2021.02.008

Cited by 11 publications

(18 citation statements)

References 31 publications

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“…7,22 Before the pandemic, there was interest in integrating telehealth into the management of orthopaedic patients to allow an alternative approach to traditional inperson visits. 10,17 The circumstances of the coronavirus pandemic brought telehealth services to the forefront, necessitating appropriate delivery of healthcare to patients while also limiting the risk of spreading the virus. 7,22 Moreover, telerehabilitation was adopted by rehabilitation specialists, including those in the field of physical therapy, for the treatment of chronic musculoskeletal issues as well as for postoperative care.…”

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confidence: 99%

Self-Reported Outcomes in Early Postoperative Management After Shoulder Surgery Using a Home-Based Strengthening and Stabilization System With Telehealth

Greiner

Drain

Lesniak

et al. 2022

Sports Health: A Multidisciplinary Approach

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Background: Multiple rehabilitation protocols after shoulder surgery have been proposed. The coronavirus pandemic adds an extra layer of complexity to postoperative rehabilitation after shoulder surgery. Hypothesis: The combined use of a home-based rehabilitation system, the Shoulder Strengthening and Stabilization System (SSS), and telehealth visits will lead to acceptable patient self-reported outcomes and satisfaction after shoulder surgery. Study Design: Prospective observational cohort. Level of Evidence: Level 4. Methods: A total of 132 patients were prescribed SSS after shoulder surgery. A virtual clinical specialist monitored patients through telehealth visits as prescribed by the treating physician. Data were collected prospectively during each telehealth visit. Patients completed an exit survey during their last telehealth visit. Results: The use of SSS with telehealth revealed a positive impact on postoperative shoulder rehabilitation (96%), pain (71%), and stiffness (92%) as reported by patients. Both pain scores and pain medication use decreased from the 1st to 8th postoperative telehealth session ( P < 0.01). Nearly all (93%) patients recommended SSS after shoulder surgery upon completing the SSS protocol. Conclusion: Postoperative management of shoulder surgery with SSS combined with telehealth results in a reduction in patient pain levels in the early postoperative period. Patients reported high levels of improvement with SSS in shoulder rehabilitation, pain, and stiffness. The overwhelming majority (93%) of patients recommended SSS for postoperative shoulder rehabilitation and SSS yielded high patient satisfaction scores. Elucidating the impact of SSS on clinical outcomes and function in comparison with traditional rehabilitation protocols is warranted. Clinical Relevance: SSS in combination with telehealth was tolerated well by patients and may represent an alternative or adjunct to traditional rehabilitation protocols.

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confidence: 99%

Self-Reported Outcomes in Early Postoperative Management After Shoulder Surgery Using a Home-Based Strengthening and Stabilization System With Telehealth

Greiner

Drain

Lesniak

et al. 2022

Sports Health: A Multidisciplinary Approach

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Section: Introductionmentioning

confidence: 99%

“…There is also the potential that many of these virtual service offerings are here to stay long term; however, scientific evidence will need to catch up with regards to what kinds of care and support are appropriately delivered virtually, how frequently, for whom, who this kind of delivery leaves out, and other important equity and clinical considerations. [8][9][10][11] Purpose While significant efforts have been put into implementing virtual forms of healthcare and supports, limited information has been shared about the process in which this took place and what was learned from these endeavours that could be useful in the future. Rightfully so, organizations that switched to "virtual" or developed a digital health service or support to address a pandemic need, did so quickly.…”

Section: Introductionmentioning

confidence: 99%

Lessons learned developing and deploying a provincial virtual mental health support during the COVID-19 pandemic

Strudwick

Risling

Kassam

et al. 2022

Healthc Manage Forum

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Significant efforts have been put into implementing virtual forms of healthcare and supports since the beginning of the pandemic. However, limited information has been shared with health leaders about how this has taken place, and what can be learned from this to move forward into the future. The purpose of this paper is to describe lessons learned co-designing and developing a virtual health support during the COVID-19 pandemic in the province of Saskatchewan. In this paper, we anchor these lessons learned on a specific virtual health service support, “SaskWell,” which offers a digital service, and aims to connect residents of the province to digital mental health supports and resources.

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“…In a modern setting there is increased access to the internet and information technology, and telemedicine is obtaining favorable attention in the innovation of health care to revolutionize the care for patients [10,11]. In recent years, advanced internet technologies have been widely used in chronic disease management [12][13][14] and improved patient's self-management and adherence to provide a positive impact on outcomes [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Benefit of an Internet-Based Management System among Hemodialysis Patients at the Risk of Intradialytic Hypotension and Muscle Cramps: A Controlled before and after Study

Jin

Cheng

et al. 2021

Blood Purif

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Background: The purpose of this study was to observe the impact of an internet-based management system on the incidence of intradialytic hypotension (IDH) and muscle cramps in hemodialysis patients. Methods: The patients, who underwent maintenance hemodialysis in the center from January 2018 to June 2020, were recruited and divided into the pre-intervention group (before operation of the internet-based hemodialysis management system, from January 2018 to December 2018) and intervention group (after operation of the system, from June 2019 to June 2020). The clinical outcomes were compared between groups. Results: The compound endpoint of >1 IDH or muscle cramps happened in 182 patients (61.7%) in the pre-intervention group and 99 participants (30.8%) in the intervention group (relative risk [RR] = 0.50 [95% confidence interval [CI], 0.42; 0.60]). IDH occurred in 122 patients (1–5 episodes in 47 patients, 6–10 episodes in 25 patients, and >10 episodes in 50 patients) and 33 patients (30 patients had 1–5 episodes and 3 patients had 6–10 episodes) before and after execution of the internet-based management system, respectively (RR = 0.25 [95% CI, 0.18; 0.35]). The incidence of muscle cramps was significantly decreased (RR = 0.57 [95% CI, 0.45; 0.73]) after the implementation of the system, and the number of patients with 6–10 episodes dropped from 10 to 1. Multivariate analyses also showed significantly lower RRs in the intervention group: 0.29 ([95% CI, 0.20; 0.41]) for IDH and 0.58 ([95% CI, 0.45; 0.74]) for muscle cramps. Compared with the pre-intervention, participants in the intervention group had a large improvement in self-management (p < 0.001) and self-efficacy (p < 0.001). Conclusion: The study found that the internet-based hemodialysis management system was effective in reducing the IDH and muscle cramp events and improving self-management. It provided a significant implication for the development and application of internet-based programs in hemodialysis management.

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The efficacy of remote virtual care in comparison to traditional clinical visits for elective orthopaedic patients: A meta-analysis of prospective randomised controlled trials

Cited by 11 publications

References 31 publications

Self-Reported Outcomes in Early Postoperative Management After Shoulder Surgery Using a Home-Based Strengthening and Stabilization System With Telehealth

Self-Reported Outcomes in Early Postoperative Management After Shoulder Surgery Using a Home-Based Strengthening and Stabilization System With Telehealth

Lessons learned developing and deploying a provincial virtual mental health support during the COVID-19 pandemic

Benefit of an Internet-Based Management System among Hemodialysis Patients at the Risk of Intradialytic Hypotension and Muscle Cramps: A Controlled before and after Study

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