Factors Associated With Patient-Initiated Telephone Calls After Orthopaedic Trauma Surgery

Hadeed, Michael M.; Kandil, Abdurrahman; Patel, Vandan; Morrison, Avery; Novicoff, Wendy M.; Yarboro, Seth R.

doi:10.1097/bot.0000000000000746

Cited by 19 publications

(22 citation statements)

References 16 publications

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“…Even patient phone calls, although often brief and and having the potential to increase patient satisfaction and decrease ED visits, can place a substantial burden on clinical staff. 6 The data from our study, however, did not support this idea that decreased narcotic prescriptions increases strain on medical resources.…”

Section: Discussioncontrasting

confidence: 80%

Effect of the Strengthening Opioid Misuse Prevention (STOP) Act on Opioid Prescription Practices After Ankle Fracture Fixation

Hussaini

Wang

Luo

et al. 2019

Foot & Ankle Orthopaedics

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Background: In North Carolina, the Strengthen Opioid Misuse Prevention Act of 2017 (STOP Act) went into effect on January 1, 2018, intending to increase oversight over opioid prescriptions. This study compares postoperative narcotic prescription practices following operative fixation of ankle fractures before and after the STOP Act. Methods: This study was a retrospective review of patients 18 years and older who underwent operative fixation of ankle fractures between January 1 and June 30, 2017 (before STOP Act), and between January 1 and June 30, 2018 (after STOP Act). Variables of interest included demographics, amount of opioids prescribed postoperatively, number of prescription refills, and number of pain-related calls or visits to the emergency department (ED) or clinic after surgery. This study assessed 71 patients in the Pre group and 47 patients in the Post group. Results: There was a statistically significant decrease in the average number of postoperative narcotic pills prescribed after the STOP Act (52.7 vs 76.2, P < .001). There was also a statistically significant decrease in the average number of prescription refills (0.6 vs 1.0, P = .037). There were no significant changes in pain-related clinic calls (35.2% Pre vs 34.0% Post, P = .896), pain-related clinic visits ahead of schedule (4.2% Pre vs 6.4% Post, P = .681), or pain-related ED visits (2.8% Pre vs 10.6% Post, P = .113). Conclusion: In the postoperative period after operative fixation of ankle fractures, the volume of narcotic prescriptions decreased after the new legislation, without an associated strain on medical resources. Level of Evidence: Level III, therapeutic, comparative study.

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Section: Discussioncontrasting

confidence: 80%

Effect of the Strengthening Opioid Misuse Prevention (STOP) Act on Opioid Prescription Practices After Ankle Fracture Fixation

Hussaini

Wang

Luo

et al. 2019

Foot & Ankle Orthopaedics

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“…A wound infection rate of 1·3 per cent was expected; most cases were superficial, although two patients had a deep wound infection. The surgery‐related visit rate to the hospital ED was 5·6 per cent, which is similar to or lower than rates reported in previous studies. The readmission rate of 1·9 per cent was also similar to that reported in previous studies, such as the rate reported in patients undergoing cholecystectomy within a 23‐h surgery model.…”

Section: Discussionsupporting

confidence: 85%

Implementation of a 23-h surgery model in a tertiary care hospital: a safe and feasible model with high patient satisfaction

et al. 2020

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Background: The 23-h surgery model consists of elective operative care with an overnight hospital stay for patients unsuitable for day case surgery. The aim of this study was to assess the success of the 23-h surgery model. Methods:This was a prospective follow-up study of patients undergoing surgery with the planned 23-h model in a tertiary-care university hospital during a 12-month period 2 years after the model was implemented. Patients were interviewed 2 weeks after surgery, and the hospital operative database and patient records were searched. The primary outcome was the success of the process, defined as discharge before 10.00 hours on the first morning after surgery. Secondary outcomes were 30-day readmission and reoperation rates, adverse events, and patient satisfaction with the process. Results: Between May 2017 and May 2018, 993 adult patients underwent surgery with the 23-h model, of whom 937 adhered to the model as planned (success rate 94⋅4 per cent). Gynaecological, gastrointestinal and orthopaedic surgery were the three most common surgical specialties. The surgical process was changed to an in-hospital model for 45 patients (4⋅5 per cent), and 11 (1⋅1 per cent) were discharged on the day of surgery. The readmission rate was 1⋅9 per cent (19 of 993), and five patients (0⋅5 per cent) had a reoperation within 30 days of surgery. Fifty-nine adverse events were noted in 53 patients (5⋅3 per cent), most commonly infection. Patient satisfaction was a median of 6-7 (maximum 7) points for various aspects of the model. Conclusion: The success rate and patient satisfaction for the 23-h surgery model was high.

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“…The sports subspecialty had the largest proportion of patients calling (16.9%), while foot and ankle had the lowest (4.0%); however, subspecialty was not shown to differ based on the chi-squared analysis. Though no evidence in the literature was found comparing call rates across subspecialties, Hadeed et al found that lower extremity procedures constituted the highest procedures for patient-initiated telephone calls during the first 14 days after discharge following orthopaedic trauma procedures [21].…”

Section: Discussionmentioning

confidence: 99%

“…A longer time would have potentially allowed for further assessment of this communication resource, but we felt patients were more likely to call within this given period and that this utilization rate would be similar if not decreased if the follow-up period was extended in duration. Previous studies have used similar follow-up periods [6,19,21]. There is also a likelihood that not all calls to the surgeon's personal number were recorded, as patients may not have left a voicemail or callback number if unable to directly reach the surgeon.…”

Section: Discussionmentioning

confidence: 99%

The Utilization of Physician Cell Phone Numbers by Patients in an Orthopaedic Surgery Practice

Rogero

Bishop

Erickson

et al. 2020

Cureus

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Introduction Orthopaedic surgeons choose to manage communication with their patients outside of official visits and interactions in a variety of ways, with some choosing to provide their personal cell phone number in order to provide patients with direct accessibility. The objective of this prospective study is to explore to what extent patients utilize the cell phone numbers of orthopaedic surgeons in the immediate period after it is provided to them. Methods Seven fellowship-trained orthopaedic surgeons from five different subspecialties in a single private, multi-site group each provided his/her personal cell phone number to 30 consecutive patients. The surgeon's phone number was written down on a business card, and the surgeons themselves provided the card to the patient. Phone calls and voice mail messages received in the 30 days following the patient receiving the phone number were recorded, and the reasons for these calls were categorized as being "appropriate" (e.g. acute postoperative issues, unclear instructions) or "inappropriate" (e.g. administrative issues, medication refills, advanced imaging-related inquires). Results Two-hundred seven patients with an average age of 51.5 years were provided cell phone numbers. During the 30 days following administration of cell phone numbers to each patient, 21 patients (10.1%) made calls to their surgeons, for an average of 0.15 calls per patient. Six patients (2.9%) called their surgeons more than once. Seventeen calls (54.8%) were deemed appropriate, while 14 calls (45.2%) were inappropriate. Logistic regression analysis did not reveal patient age, sex, type of visit, or surgeon subspecialty to be independently associated with calling. Conclusion Our study has demonstrated a low rate of patient utilization of surgeon cell phone number when provided to them. If surgeons choose to provide their cell phone number to patients, we recommend specifying appropriate reasons to call in order to maximize the effectiveness of this communication method.

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Factors Associated With Patient-Initiated Telephone Calls After Orthopaedic Trauma Surgery

Abstract: Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Cited by 19 publications

References 16 publications

Effect of the Strengthening Opioid Misuse Prevention (STOP) Act on Opioid Prescription Practices After Ankle Fracture Fixation

Effect of the Strengthening Opioid Misuse Prevention (STOP) Act on Opioid Prescription Practices After Ankle Fracture Fixation

Implementation of a 23-h surgery model in a tertiary care hospital: a safe and feasible model with high patient satisfaction

The Utilization of Physician Cell Phone Numbers by Patients in an Orthopaedic Surgery Practice

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