Feasibility, effectiveness and costs associated with a web-based follow-up assessment following total joint arthroplasty.

Autor: Marsh JD; Faculty of Health Sciences, Elborn College, Room 1423 The University of Western Ontario, London, ON., Bryant DM; Faculty of Health Sciences, Elborn College, Room 1423 The University of Western Ontario, London, ON., MacDonald SJ; London Health Sciences Centre University Hospital, London, ON., Naudie DD; London Health Sciences Centre University Hospital, London, ON., McCalden RW; London Health Sciences Centre University Hospital, London, ON., Howard JL; London Health Sciences Centre University Hospital, London, ON., Bourne RB; London Health Sciences Centre University Hospital, London, ON., McAuley JP; London Health Sciences Centre University Hospital, London, ON.
Jazyk: angličtina
Zdroj: The Journal of arthroplasty [J Arthroplasty] 2014 Sep; Vol. 29 (9), pp. 1723-8. Date of Electronic Publication: 2014 Apr 13.
DOI: 10.1016/j.arth.2014.04.003
Abstrakt: The purpose of this study was to assess the feasibility, effectiveness and costs of a web-based follow-up compared to in-person assessment following primary total hip or total knee arthroplasty. Patients who were at least 12 months postoperative were randomized to follow-up method. We excluded patients who had revision surgery, osteolysis, complications or identified radiographic issues. 229 patients (118 Web, 111 in-person) completed the study. There were no patients who had an issue missed by the web-based follow-up. Patients in the web-based group travelled less (28.2km vs 103.7km, (P<0.01)), had lower associated costs ($10.45 vs $21.36, (P<0.01)) and took less time to complete (121.7min web vs 228.7min usual). Web-based follow-up is a feasible, clinically effective alternative with lower associated costs than in-person clinic assessment.
(Copyright © 2014 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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