A survey of telehealth and its role in orthopaedic trauma during and after COVID-19

Abstract

Aim The COVID-19 pandemic stimulated an exponential increase in the utilization of telemedicine. Its incorporation into medicine has varied widely according to provider and specialty. This study aims to better determine telehealth utilization among orthopaedic trauma surgeons, their perceptions of how it has affected their practice, and how they envision telehealth as a part of their practice moving forward. Subject and methods A survey was drafted to encompass relevant issues pertaining to orthopaedic trauma and to better understand how orthopedic trauma surgeons integrate telemedicine into their practice. This survey was conducted through the Orthopedic Trauma Association. Results Survey results demonstrated increased utilization of telemedicine in a variety of modes (post-op visits, general follow-up, minor wound check, etc.) among orthopaedic trauma surgeons since the COVID-19 pandemic. A majority of surgeons reported no age difference nor change in patient population and load, but reported an increase in out-of-town patient visits. Concerns were expressed regarding providing the best patient care through telemedicine. Surgeons find it difficult to discuss and review diagnostic tests and are occasionally interrupted by technological difficulties. A number of surgeons expressed increased efficiency when using telehealth medicine. There is a general consensus that telemedicine in orthopedic trauma would be better utilized for a specific subset of patients. Conclusion Orthopaedic trauma surgeons acknowledge the likelihood of increased telehealth visits and that telemedicine utilization will increase in the near future. Despite the pandemic serving as an impetus for increased telehealth utilization, concern still exists regarding its generalizability and ability to provide quality patient care at all times. Level of Evidence: Four (IV).