The future of social media in orthopedic surgery

Sculco, Peter K.; McLawhorn, Alexander S.; Fehring, Keith A.; Martino, Ivan De

doi:10.1007/s12178-017-9412-9

Cited by 33 publications

(30 citation statements)

References 2 publications

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“…Social media has emerged as a critical component of modern medicine[3,13,14,16,20]. A large body of work has highlighted the increasing use of social media by orthopaedic patients and surgeons[4-7,21-26].…”

Section: Discussionmentioning

confidence: 99%

Who should you be following? The top 100 social media influencers in orthopaedic surgery

Varady

Chandawarkar

Kernkamp

et al. 2019

WJO

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BACKGROUNDSocial media has been credited with the potential to transform medicine, and Twitter was recently named “an essential tool” for the academic surgeon. Despite this, peer-to-peer and educational influence on social media has not been studied within orthopaedic surgery. This knowledge is important to identify who is controlling the conversation about orthopaedics to the public. We hypothesized that the plurality of top influencers would be sports medicine surgeons, that social media influence would not be disconnected from academic productivity, and that some of the top social media influencers in orthopaedic surgery would not be orthopaedic surgeons.AIMTo identify the top 100 social media influencers within orthopaedics, characterize who they are, and relate their social media influence to academic influence.METHODSTwitter influence scores for the topic “orthopaedics” were collected in July 2018 using Right Relevance software. The accounts with the top influence scores were linked to individual names, and the account owners were characterized with respect to specialty, subspecialty, practice setting, location, board certification, and academic Hirsch index (h-index).RESULTSSeventy-eight percent of top influencers were orthopaedic surgeons. The most common locations included California (13%), Florida (8%), New York (7%), United Kingdom (7%), Colorado (6%), and Minnesota (6%). The mean academic h-index of the top influencers (n = 79) was 13.67 ± 4.12 (mean ± 95%CI) and median 7 (range 1-89) (median reported h-index of academic orthopaedic faculty is 5 and orthopaedic chairpersons is 13). Of the 78 orthopaedic surgeons, the most common subspecialties were sports medicine (54%), hand and upper extremity (18%), and spine (8%). Most influencers worked in private practice (53%), followed by academics (17%), privademics (14%), and hospital-based (9%). All eligible orthopaedic surgeons with publicly-verifiable board certification statuses were board-certified (n = 74).CONCLUSIONThe top orthopaedic social media influencers on Twitter were predominantly board-certified, sports-medicine subspecialists working in private practice in the United States. Social media influence was highly concordant with academic productivity as measured by the academic h-index. Though the majority of influencers are orthopaedic surgeons, 22% of top influencers on Twitter are not, which is important to identify given the potential for these individuals to influence patients’ perceptions and expectations. This study also provides the top influencer network for other orthopaedic surgeons to engage with on social media to improve their own social media influence.

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Section: Discussionmentioning

confidence: 99%

Who should you be following? The top 100 social media influencers in orthopaedic surgery

Varady

Chandawarkar

Kernkamp

et al. 2019

WJO

View full text Add to dashboard Cite

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“…The availability of such measures, coupled with the lowered barrier to data access, has led to the widespread popularization of online public performance reviews of physicians [17] , [18] . It is estimated that while currently approximately 30% of patients use online rating systems to choose a surgeon, this number will continue to grow in future years [19] , [20] . However, it is less clear exactly how this information is processed by patients when choosing a provider.…”

Section: Discussionmentioning

confidence: 99%

Characterizing extremely negative reviews of total joint arthroplasty practices and surgeons on yelp.com

2019

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Background Although physicians tend to prefer data-driven quality metrics, emerging evidence suggests that patients prefer crowd-sourced information containing patient narrative descriptions of the care experience. Currently, yelp.com is the most commonly accessed Web resource among patients who use online information to choose a surgeon. The purpose of this study is to characterize extremely negative reviews of total joint arthroplasty surgeons and practices on yelp.com. Methods We searched yelp.com for one-star (out of 5) reviews of total joint providers and practices in 8 major US metropolitan areas. These reviews were then classified into categories based on content: clinical, nonclinical, or both. Reviews were further subcategorized as “surgical” and “nonsurgical” representing reviews of a nonsurgical experience (eg, initial office visit). Results A higher proportion of reviews came from patients who did not report prior surgery by the surgeon or practice named in the review than form those who reported surgery (240 reviews, 75.0%, 95% confidence interval: 70.0%-79.4% vs 80 reviews, 25.0%, 95% confidence interval: 20.6%-30.0%, P < .0001). Compared with surgical reviews, nonsurgical reviews were more likely to contain nonclinical complaints (92.1% vs 53.8%, P < .0001) and less likely to contain clinical complaints (21.3% vs 78.7%, P < .0001). Conclusions The vast majority of extremely negative reviews of total joint arthroplasty surgeons and practices were related to nonclinical concerns posted by patients who did not report prior surgery by the surgeon or practice being reviewed. The results of this study may help explain the wide disparity commonly observed between conventional quality metrics and crowd-sourced online reviews.

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“…Demand for online health care interaction of professionals or patients with different characteristics may vary. For example, this type of interaction might be favored by surgeons because of the more effective means of preoperative preparation and the short-term follow-up after surgery it provides [8,49]. In addition, patients with high-risk diseases show higher sensitivity to the process of online interactions [44], and elderly patients’ demands for online health care interactions may be different from that of young people [50].…”

Section: Discussionmentioning

confidence: 99%

The Antecedents and Consequences of Health Care Professional–Patient Online Interactions: Systematic Review

Shang

Zuo

et al. 2019

J Med Internet Res

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BackgroundOnline health care services effectively supplement traditional medical treatment. The development of online health care services depends on sustained interactions between health care professionals (HCPs) and patients. Therefore, it is necessary to understand the demands and gains of health care stakeholders in HCP-patient online interactions and determine an agenda for future work.ObjectiveThis study aims to present a systematic review of the antecedents and consequences of HCP-patient online interactions. It seeks to reach a better understanding of why HCPs and patients are willing to interact with each other online and what the consequences of HCP-patient online interactions are for health care stakeholders. Based on this, we intend to identify the gaps in existing studies and make recommendations for future research.MethodsIn accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a systematic retrieval was carried out from the Web of Science, PubMed, and Scopus electronic databases. The search results were confined to those papers published in English between January 1, 2000 and June 30, 2018. Selected studies were then evaluated for quality; studies that did not meet quality criteria were excluded from further analysis. Findings of the reviewed studies related to our research questions were extracted and synthesized through inductive thematic analysis.ResultsA total of 8440 records were found after the initial search, 28 papers of which were selected for analysis. Accessibility to HCPs, self-management, and unmet needs were the main triggers for patients to participate in online interaction. For HCPs, patient education, career needs, and self-promotion were the major reasons why they took the online approach. There were several aspects of the consequences of HCP-patient online interactions on health care stakeholders. Consequences for patients included patient empowerment, health promotion, and acquisition of uncertain answers. Consequences for HCPs included social and economic returns, lack of control over their role, and gaining more appointments. HCP-patient online interactions also improved communication efficiency in offline settings and helped managers of online health care settings get a better understanding of patients’ needs. Health care stakeholders have also encountered ethical and legal issues during online interaction.ConclusionsThrough a systematic review, we sought out the antecedents and consequences of HCP-patient online interactions to understand the triggers for HCPs and patients to participate and the consequences of participating. Potential future research topics are the influences on the chain of online interaction, specifications and principles of privacy design within online health care settings, and roles that sociodemographic and psychological characteristics play. Longitudinal studies and the adoption of text-mining method are worth encouraging. This paper is expected to contribute to the sustained progress of online heal...

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The future of social media in orthopedic surgery

Cited by 33 publications

References 2 publications

Who should you be following? The top 100 social media influencers in orthopaedic surgery

Who should you be following? The top 100 social media influencers in orthopaedic surgery

Characterizing extremely negative reviews of total joint arthroplasty practices and surgeons on yelp.com

The Antecedents and Consequences of Health Care Professional–Patient Online Interactions: Systematic Review

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