Developing a standardized approach to virtual clinic follow-up of hip and knee arthroplasty.

The Bone & Joint Journal
N PrestonS R Kingsbury

Abstract

This study aimed to develop a virtual clinic for the purpose of reducing face-to-face orthopaedic consultations. Anonymized experts (hip and knee arthroplasty patients, surgeons, physiotherapists, radiologists, and arthroplasty practitioners) gave feedback via a Delphi Consensus Technique. This consisted of an iterative sequence of online surveys, during which virtual documents, made up of a patient-reported questionnaire, standardized radiology report, and decision-guiding algorithm, were modified until consensus was achieved. We tested the patient-reported questionnaire on seven patients in orthopaedic clinics using a 'think-aloud' process to capture difficulties with its completion. A patient-reported 13-item questionnaire was developed covering pain, mobility, and activity. The radiology report included up to ten items (e.g. progressive periprosthetic bone loss) depending on the type of arthroplasty. The algorithm concludes in one of three outcomes: review at surgeon's discretion (three to 12 months); see at next available clinic; or long-term follow-up/discharge. The virtual clinic approach with attendant documents achieved consensus by orthopaedic experts, radiologists, and patients. The robust development and testing of ...Continue Reading

References

Feb 13, 2003·Journal of Advanced Nursing·Catherine Powell
May 29, 2003·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Debbie Collins
Nov 15, 2006·Cellular & Molecular Biology Letters·Na WeiYong Zhou
May 9, 2007·Pharmaceutical Development and Technology·Kenneth C Waterman
Jan 1, 2015·Journal of Hip Preservation Surgery·N RamisettyN Mohtadi
Dec 8, 2017·The Bone & Joint Journal·N B FrischC J Della Valle
Jan 7, 2018·The Bone & Joint Journal·T M Lovelock, N S Broughton

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Citations

Oct 20, 2020·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Riccardo D'AmbrosiFrancesco Verde
Aug 26, 2021·Annals of the Royal College of Surgeons of England·J-H RhindS Hill

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