How Satisfied Are Patients and Surgeons with Telemedicine in Orthopaedic Care During the COVID-19 Pandemic? A Systematic Review and Meta-analysi

この研究はインパクトが大きい可能性があると判断されました。 OEのAIによるハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文の影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することができ、読者は将来の診療を形成する可能性が最も高い論文に焦点を当てることができます。

研究概要

Eight randomized controlled trials including 1008 patients were included in this meta-analysis comparing telemedicine to in-person orthopaedic assessments. The primary outcome of interest was patient satisfaction. Secondary outcomes of interest included surgeon satisfaction, meeting time, and patient-reported outcomes. Pooled results revealed no statistical significant difference was observed between the groups with regards to patients satsifaction (OR=0.89 [95%CI 0.4,1.99]; p=0.79). Moreover, no statistical significant difference was observed for pooled surgeon satisfaction between the telemedicine and control group (OR=0.38 [95% CI 0.07, 2.19]; p=0.29). However, pooled results demonstrated that time commitment was shorter in the telemedicine group vs control both when travel time was included (180 minutes shorter, [95%CI 78, 281]; p<0.001) and excluded (17 minutes shorter, [95% CI 2, 32]; p=0.03). For patient reported outcomes, pooling was not performed for disease-specific function (WOMAC, Morrey Outcome Scale), pain (VAS, Revised Faces Pain Scale), and generic function measures (i.e., SF-12, EQ-5D) due to the heterogeneity of the measures across studies.