Orthopedic Asynchronous Teleconsultation for Primary Care Patients by a Large-Scale Telemedicine Service in Minas Gerais, Brazil

Silva, Letícia Baião; Pereira, Daniella Nunes; Chagas, Victor Schulthais; Pessoa, Cristiane Guimarães; Amancio, Kaique; Andrade, Marco Antônio Percope de; Soares, Thiago Barbabela de Castro; Marcolino, Milena Soriano

doi:10.1089/tmj.2021.0293

Cited by 3 publications

(4 citation statements)

References 22 publications

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“…The presented work does not include a broad discussion of the barriers and limitations of telemedicine in orthopedics. On the one hand, the current research was not aimed at analyzing them; on the other hand, in many studies, these issues have already been discussed quite extensively [37,61,62,114,115]. Weaknesses of the presented research result from the individual material may show some bias.…”

Section: Discussionmentioning

confidence: 96%

“…Lambrecht et al [36] analyzed 410 orthopedic TCs performed by three orthopedic surgeons over two years averaging roughly 0.18 TC per day. Silva et al [37] presented an observational, retrospective study that analyzed 1174 orthopedic asynchronous teleconsultations based on the large-scale public telehealth service. Their observation covered 2466 days in the years 2013-2020.…”

Section: Discussionmentioning

confidence: 99%

“…The telemedicine setting can be difficult for elderly orthopedic patients. However, telemedicine-oriented patient education may well solve the problem [37,61,62]. Studies conducted for virtual consultations for orthopedics usually focus on new solutions and technologies [59,[63][64][65][66][67][68][69], patient and clinician satisfaction [4,24,26,46,49,[70][71][72][73][74][75][76][77], clinical outcome measures [78][79][80][81][82], and cost analysis of traditional versus teleconsultation [82][83][84][85][86][87].…”

Section: Discussionmentioning

confidence: 99%

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Orthopedic Telemedicine Outpatient Practice Diagnoses Set during the First COVID-19 Pandemic Lockdown—Individual Observation

Glinkowski

2022

IJERPH

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The COVID-19 pandemic has caused a substantial intensification of the telemedicine transformation process in orthopedics since 2020. In the light of the legal regulations introduced in Poland, from the beginning of the SARS-CoV-2 pandemic, physicians, including orthopedic surgeons, have had the opportunity to conduct specialist teleconsultations. Teleconsultations increase epidemiological safety and significantly reduce the exposure of patients and medical staff to direct transmission of the viral vector and the spread of infections. The study aimed to describe diagnoses and clinical aspects of consecutive orthopedic teleconsultations (TC) during the pandemic lockdown. The diagnoses were set according to the International Classification of Diseases (ICD-10). Hybrid teleconsultations used smartphones and obligatory Electronic Health Record (EHR) with supplemental voice, SMS, MMS, Medical images, documents, and video conferencing if necessary. One hundred ninety-eight consecutive orthopedic teleconsultations were served for 615 women and 683 men (mean age 41.82 years ± 11.47 years). The most frequently diagnosed diseases were non-acute orthopedic disorders “M” (65.3%) and injuries “S” (26.3%). Back pain (M54) was the most frequent diagnosis (25.5%). Although virtual orthopedic consultation cannot replace an entire personal visit to a specialist orthopedic surgeon, in many cases, teleconsultation enables medical staff to continue to participate in providing medical services at a sufficiently high medical level to ensure patient and physician. The unified approach to TC diagnoses using ICD-10 or ICD-11 may improve further research on telemedicine-related orthopedics repeatability. Future research directions should address orthopedic teleconsultations’ practical aspects and highlight legal, organizational, and technological issues with their implementations.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Orthopedic Telemedicine Outpatient Practice Diagnoses Set during the First COVID-19 Pandemic Lockdown—Individual Observation

Glinkowski

2022

IJERPH

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“…Of 1174 teleconsultations assessed, only 38.4% of these required evaluation by an orthopedic specialist. 84 Asynchronous consultation by orthopedic surgeons or musculoskeletal specialists may dramatically decrease the necessity for full evaluation from the specialist.…”

Section: Telehealth Modalitiesmentioning

confidence: 99%