Reliability and accuracy of telemedicine-based shoulder examinations

Wang, Grace; Fiedler, Anna K; Warth, Ryan J.; Bailey, Lane; Shupe, Paul G.; Gregory, James M.

doi:10.1016/j.jse.2022.04.005

Cited by 16 publications

(34 citation statements)

References 16 publications

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“…Concerns over the reliability and accuracy of remote visual estimation have been posed due to challenges inherent to the telemedicine platform. 29 , 35 Accuracy in documentation has major implications for both clinical care and research. In this study, we aim to define the reliability and accuracy of shoulder ROM measurements obtained from video-based, visual estimation by a large group of shoulder surgeons in both healthy volunteers and symptomatic patients.…”

Section: Discussionmentioning

confidence: 99%

Remote visual estimation of shoulder range of motion has generally high interobserver reliability but limited accuracy

Hwang,

Ardebol,

Ghayyad

et al. 2023

JSES International

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Section: Discussionmentioning

confidence: 99%

Remote visual estimation of shoulder range of motion has generally high interobserver reliability but limited accuracy

Hwang,

Ardebol,

Ghayyad

et al. 2023

JSES International

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“…This is, therefore, a potential limitation to virtual consultations. This was echoed by Wang et al 10 who found that sensitivity and reliability of manoeuvres detecting apprehension for upper limb pathologies were poor in a virtual setting. There is also limited evidence of the failure of a telemedicine encounter and its conversion to an in-person alternative, with one study reporting 1% (3/298) of patients making an unplanned presentation to the emergency department (ED) (missed rib fracture, clearance to return to work, and persistent pain) and 3% (8/298) planned in-person visit after a teleconsultation.…”

Section: Introductionmentioning

confidence: 93%

“…6 It is vital, however, to delineate the challenges and potential barriers associated with telehealth. From installation cost to procurement of required software and hardware, training and development of dedicated personnel, patient inexperience, inability to perform certain physical manoeuvres virtually, and the medicolegal implications, 2,[8][9][10][11][12] clinicians need to remain cognizant of the challenges when considering its adoption.…”

Section: Introductionmentioning

confidence: 99%

Telehealth for a better service delivery in orthopaedic surgery

Grandhi,

Fontalis,

Raj

et al. 2023

Bone Joint J

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Telehealth has the potential to change the way we approach patient care. From virtual consenting to reducing carbon emissions, costs, and waiting times, it is a powerful tool in our clinical armamentarium. There is mounting evidence that remote diagnostic evaluation and decision-making have reached an acceptable level of accuracy and can safely be adopted in orthopaedic surgery. Furthermore, patients’ and surgeons’ satisfaction with virtual appointments are comparable to in-person consultations. Challenges to the widespread use of telehealth should, however, be acknowledged and include the cost of installation, training, maintenance, and accessibility. It is also vital that clinicians are conscious of the medicolegal and ethical considerations surrounding the medium and adhere strictly to the relevant data protection legislation and storage framework. It remains to be seen how organizations harness the full spectrum of the technology to facilitate effective patient care.Cite this article: Bone Joint J 2023;105-B(8):843–849.

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“…Continued reimbursement of virtual/telemedicine care is a critical issue in solid organ transplantation as it has facilitated access to transplant as well as improved access to post-transplant and post-donation care. Virtual interfaces also limit parts of the clinical interaction, the ability to perform physical examination, and the possibility of weight-based medication dosing ( 135 ).…”

Section: Post-transplant Carementioning

confidence: 99%

The impact of COVID-19 on kidney transplant care

Zhang

Kodali²,

Mour³

et al. 2023

Front. Med.

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The SARS-CoV-2 virus precipitated the coronavirus 2019 (COVID-19) pandemic, which placed considerable strain on healthcare systems and necessitated immediate and rapid alterations in the delivery of healthcare. In the transplant population, COVID-19 directly impacts an inherently vulnerable population in the setting of immunosuppression and co-morbidities, but also further complicates the clinical evaluation and management of kidney transplant candidates and recipients in a strained healthcare environment being challenged by the pandemic. Many transplant centers around the world saw mortality rate spikes in organ recipients related to COVID-19, and changes in care delivery abound. This review evaluates the care of the kidney transplant patient through all phases of the process including pre-operative evaluations, perioperative care, post-transplantation considerations, and how the global pandemic has changed the way we care for our patients.

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Reliability and accuracy of telemedicine-based shoulder examinations

Cited by 16 publications

References 16 publications

Remote visual estimation of shoulder range of motion has generally high interobserver reliability but limited accuracy

Remote visual estimation of shoulder range of motion has generally high interobserver reliability but limited accuracy

Telehealth for a better service delivery in orthopaedic surgery

The impact of COVID-19 on kidney transplant care

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