Multicenter Evaluation of Telehealth Utilization in Hip and Knee Arthroplasty Before and for One Year During the COVID-19 Pandemic

Background: The Coronavirus Disease 2019 (COVID-19) pandemic has led to an increase in telehealth utilization across the health-care sector. It is unknown if telehealth use among hip and knee arthroplasty clinics has remained an important health-care delivery platform. The purpose of the present stu...

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Autores principales:	Stefano Bini, MD, Yu-Fen Chiu, MS, Michael Ast, MD, Chad Krueger, MD, Joseph Maratt, MD, Ilya Bendich, MD, MBA
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Primary hip replacement Primary knee replacement Telehealth Healthcare delivery COVID-19 Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/d77402db0dd94d77b34c357621d6b041
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spelling	oai:doaj.org-article:d77402db0dd94d77b34c357621d6b0412021-11-06T04:31:13ZMulticenter Evaluation of Telehealth Utilization in Hip and Knee Arthroplasty Before and for One Year During the COVID-19 Pandemic2352-344110.1016/j.artd.2021.09.012https://doaj.org/article/d77402db0dd94d77b34c357621d6b0412021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352344121001904https://doaj.org/toc/2352-3441Background: The Coronavirus Disease 2019 (COVID-19) pandemic has led to an increase in telehealth utilization across the health-care sector. It is unknown if telehealth use among hip and knee arthroplasty clinics has remained an important health-care delivery platform. The purpose of the present study was to analyze telehealth utilization before and for 1 year during the pandemic among four varied hip and knee arthroplasty clinics. Methods: Retrospective data were available from four regionally diverse hip and knee arthroplasty centers. Data on volume of patient visits, demographics, visit types (new visit, follow-up, postoperative visit, other), and visit modality (in-person, telehealth, telephone) were available from January 2020 through April 2021. Data from the centers were analyzed as a total and separately, using chi-squared and Fisher exact tests. Results: Among the four centers, there were 296,540 hip and knee arthroplasty outpatient clinic visits between January 2020 and April 2021. Of those, 15,240 (5%) were telehealth visits. Before March 2020, less than 0.1% of visits across centers occurred over telehealth. The highest utilization of telehealth visits occurred in March 2020 (>55%) and April 2020 (>25%). From August 2020 until April 2021, telehealth visits accounted for 2%-3% of total visits. Younger patients (<50 years old) were most likely to use telehealth. Follow-up and postoperative were the most likely telehealth visits. Conclusion: Telehealth utilization peaked during March and April of 2020 and has since reverted to near prepandemic levels. Younger patients and lower complexity visits such as postoperative or follow-up visits are more likely to use telehealth.Stefano Bini, MDYu-Fen Chiu, MSMichael Ast, MDChad Krueger, MDJoseph Maratt, MDIlya Bendich, MD, MBAElsevierarticlePrimary hip replacementPrimary knee replacementTelehealthHealthcare deliveryCOVID-19Orthopedic surgeryRD701-811ENArthroplasty Today, Vol 12, Iss , Pp 68-75 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Primary hip replacement Primary knee replacement Telehealth Healthcare delivery COVID-19 Orthopedic surgery RD701-811
spellingShingle	Primary hip replacement Primary knee replacement Telehealth Healthcare delivery COVID-19 Orthopedic surgery RD701-811 Stefano Bini, MD Yu-Fen Chiu, MS Michael Ast, MD Chad Krueger, MD Joseph Maratt, MD Ilya Bendich, MD, MBA Multicenter Evaluation of Telehealth Utilization in Hip and Knee Arthroplasty Before and for One Year During the COVID-19 Pandemic
description	Background: The Coronavirus Disease 2019 (COVID-19) pandemic has led to an increase in telehealth utilization across the health-care sector. It is unknown if telehealth use among hip and knee arthroplasty clinics has remained an important health-care delivery platform. The purpose of the present study was to analyze telehealth utilization before and for 1 year during the pandemic among four varied hip and knee arthroplasty clinics. Methods: Retrospective data were available from four regionally diverse hip and knee arthroplasty centers. Data on volume of patient visits, demographics, visit types (new visit, follow-up, postoperative visit, other), and visit modality (in-person, telehealth, telephone) were available from January 2020 through April 2021. Data from the centers were analyzed as a total and separately, using chi-squared and Fisher exact tests. Results: Among the four centers, there were 296,540 hip and knee arthroplasty outpatient clinic visits between January 2020 and April 2021. Of those, 15,240 (5%) were telehealth visits. Before March 2020, less than 0.1% of visits across centers occurred over telehealth. The highest utilization of telehealth visits occurred in March 2020 (>55%) and April 2020 (>25%). From August 2020 until April 2021, telehealth visits accounted for 2%-3% of total visits. Younger patients (<50 years old) were most likely to use telehealth. Follow-up and postoperative were the most likely telehealth visits. Conclusion: Telehealth utilization peaked during March and April of 2020 and has since reverted to near prepandemic levels. Younger patients and lower complexity visits such as postoperative or follow-up visits are more likely to use telehealth.
format	article
author	Stefano Bini, MD Yu-Fen Chiu, MS Michael Ast, MD Chad Krueger, MD Joseph Maratt, MD Ilya Bendich, MD, MBA
author_facet	Stefano Bini, MD Yu-Fen Chiu, MS Michael Ast, MD Chad Krueger, MD Joseph Maratt, MD Ilya Bendich, MD, MBA
author_sort	Stefano Bini, MD
title	Multicenter Evaluation of Telehealth Utilization in Hip and Knee Arthroplasty Before and for One Year During the COVID-19 Pandemic
title_short	Multicenter Evaluation of Telehealth Utilization in Hip and Knee Arthroplasty Before and for One Year During the COVID-19 Pandemic
title_full	Multicenter Evaluation of Telehealth Utilization in Hip and Knee Arthroplasty Before and for One Year During the COVID-19 Pandemic
title_fullStr	Multicenter Evaluation of Telehealth Utilization in Hip and Knee Arthroplasty Before and for One Year During the COVID-19 Pandemic
title_full_unstemmed	Multicenter Evaluation of Telehealth Utilization in Hip and Knee Arthroplasty Before and for One Year During the COVID-19 Pandemic
title_sort	multicenter evaluation of telehealth utilization in hip and knee arthroplasty before and for one year during the covid-19 pandemic
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/d77402db0dd94d77b34c357621d6b041
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Multicenter Evaluation of Telehealth Utilization in Hip and Knee Arthroplasty Before and for One Year During the COVID-19 Pandemic

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