Orthopedic and trauma care during COVID-19 lockdown in Apulia: what the pandemic could not change

Bizzoca, Davide; Vicenti, Giovanni; Rella, Claudio; Simone, Filippo; Zavattini, Giacomo; Tartaglia, Nicola; Saracino, Michele; Corina, G.; Maddalena, R.; Pesce, Vito; Ottaviani, Guglielmo; Scialpi, L.; Cotugno, Domenico; Pellicani, Nicola; Caiaffa, Vincenzo; Abate, Antonella; Rollo, Giuseppe; Meccariello, Luigi; Solarino, Giuseppe; Benazzo, Francesco; Moretti, Biagio

doi:10.23736/s0394-3410.20.04016-3

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…Other recent studies have shown that in-person clinical examination is necessary to confirm suspected instability of the shoulder [39][40][41][42][43][44].…”

Section: Discussionmentioning

confidence: 99%

Bari Shoulder Telemedicine Examination Protocol (B-STEP): A Standard Protocol for Personalized Remote Shoulder Examination

Moretti

Bizzoca

Farì

et al. 2023

JPM

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The COVID-19 pandemic drastically changed many aspects of the traditional functioning of health systems all around the world. In Italy, as reported by the CIO, compared to the previous year, there was a significant reduction in 2020 in overall outpatient activities by up to 75%. These data support the need for telemedicine, which represents a current challenge and can no longer be postponed in the future. This study aims to elaborate on a possible model for remote shoulder examination based on traditional tests to improve the quality of telemedicine in orthopedic and rehabilitation. Between May 2020 and November 2020, ten orthopedic surgeons individually examined six patients with a known shoulder disorder, both in hospital and via webcam according to the previously shared protocol (B-STEP). According to the 10 observers, completing 100% of the ASES score and at least 87.5% of the Constant score is possible. Shoulder ROM and many specific tests are also reproducible via webcam, but with less sensitivity, according to the subjective opinion of observers. The B-STEP is a useful protocol for the standardization of the objective examination of the shoulder via webcam. Further studies are necessary to determine if the B-STEP protocol is useful for diagnosing pathology in unknown patients and evaluating its sensitivity and specificity for each pathology.

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“…Other recent studies have shown that in-person clinical examination is necessary to confirm suspected instability of the shoulder [39][40][41][42][43][44].…”

Section: Discussionmentioning

confidence: 99%

Bari Shoulder Telemedicine Examination Protocol (B-STEP): A Standard Protocol for Personalized Remote Shoulder Examination

Moretti

Bizzoca

Farì

et al. 2023

JPM

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“…Despite this, tele-orthopedics was found to be disruptive as it requires the redesign of many care processes [ 40 , 41 , 42 , 43 , 44 ]. Moreover, the absence of strong evidence on the clinical and medicolegal problems that the use of telemedicine can determine represents a weakness while spreading tele-orthopedics [ 40 , 41 , 42 , 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

Digital Health Care, Telemedicine, and Medicolegal Issues in Orthopedics: A Review

Ferorelli

Moretti

Benevento

et al. 2022

IJERPH

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The use of technologies in medicine has great potential to reduce the costs of health care services by making appropriate decisions that provide timely patient care. The evolution of telemedicine poses a series of clinical and medicolegal considerations. However, only a few articles have dealt with telemedicine and orthopedics. This review assesses the ethical and medicolegal issues related to tele-orthopedics. A systematic review was performed including papers published between 2017 and 2021 focusing on the main medicolegal and clinical-governance aspects of tele-orthopedics. Most of the articles were published during the COVID-19 pandemic, confirming the impetus that the pandemic has also given to the spread of telemedicine in the orthopedic field. The areas of interest dealt with in the scientific evidence, almost exclusively produced in the USA, Europe, the UK, and Canada, are quality, patient satisfaction, and safety. The impact of telemedicine in orthopedics has not yet been fully evaluated and studied in terms of the potential medicolegal concerns. Most of the authors performed qualitative studies with poor consistency. Authorizations and accreditations, protection of patient confidentiality, and professional responsibility are issues that will certainly soon emerge.

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“…However, while this process followed similar guidelines, it had significant regional variability [ 8 ]. In Apulia, the first pandemic wave was faced with the organization of a regional healthcare system and the first lockdown, which ended in June [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Second and Third Pandemic Waves in Apulia: How COVID-19 Affected Orthopedic and Trauma Care—A Single-Center Study

Vicenti

Bizzoca

Pesare

et al. 2022

JCM

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Purpose: In orthopedics and traumatology, as a direct consequence of the COVID-19 first wave, there was a massive reorganization and a stop to all elective activities, which were postponed. In this study, we aimed to analyze the impact of the COVID-19 pandemic on orthopedic surgery in Apulia during the second wave, from March to June 2021 (when Apulia was under social distancing restrictions), and during the third wave, from September to December 2021 (when Apulia was under no restrictions). We compared these months to the same periods in 2019 for an evaluation of the surgical decrease during the pandemic period. Methods: We performed a retrospective analysis of major orthopedic procedures, day-surgery procedures and urgent procedures (trauma and non-traumatic amputation) performed during the second and third waves of the pandemic in our clinic, and we compared these data with the same procedures performed in the corresponding periods of 2019, before the pandemic. Results: Surgical activity was significantly decreased during both periods; the only increase in surgical activity in 2021 compared to 2019 was in total hip, knee and shoulder arthroplasty, with a surge of +7.69% registered in the period September–December 2021. Conclusions: Longer waiting lists and limited healthcare resources were the big challenges for the orthopedic community, and they still represent a substantial issue to confront today.

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Orthopedic and trauma care during COVID-19 lockdown in Apulia: what the pandemic could not change

Cited by 4 publications

References 13 publications

Bari Shoulder Telemedicine Examination Protocol (B-STEP): A Standard Protocol for Personalized Remote Shoulder Examination

Bari Shoulder Telemedicine Examination Protocol (B-STEP): A Standard Protocol for Personalized Remote Shoulder Examination

Digital Health Care, Telemedicine, and Medicolegal Issues in Orthopedics: A Review

Second and Third Pandemic Waves in Apulia: How COVID-19 Affected Orthopedic and Trauma Care—A Single-Center Study

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