Economic Evaluation of Web-Based Compared with In-Person Follow-up After Total Joint Arthroplasty

2014 ◽  
Vol 96 (22) ◽  
pp. 1910-1916 ◽  
Author(s):  
Jacquelyn Marsh ◽  
Jeffrey S Hoch ◽  
Dianne Bryant ◽  
Steven J MacDonald ◽  
Douglas Naudie ◽  
...  
Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1296
Author(s):  
Michele Ulivi ◽  
Luca Orlandini ◽  
Valentina Meroni ◽  
Mario D’Errico ◽  
Arianna Fontana ◽  
...  

Background: In 2020, due to the outbreak of the COVID-19 (Coronavirus Disease 2019) pandemic, patients who underwent total joint arthroplasty were not able to undergo the proper postoperative surgical and rehabilitative care. This study aims to evaluate the potential of a web-cloud-based database on patients’ follow-up in extraordinary situations, when a traditional in-person follow-up cannot be warranted. Methods: Patients who underwent joint arthroplasty at our Institute between 21 February and 16 March 2020 were included in the study group and were matched to a similar population undergoing joint arthroplasty in February/March 2019. All patients routinely complete questionnaires before and after treatment, including patient-reported outcome measures such as the Visual Analogues Scale (VAS), Knee/Hip Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS/HOOS-PS) and Short-Form Health Survey (SF-12) for the monitoring of clinical improvements. Results: 56 (study group) and 144 (control group) patients were included in the study. Both groups demonstrated significant improvements at 3 months. HOOS-PS improvement was significantly reduced in the 2020 group compared to 2019 (21.7 vs. 33.9, p < 0.001). This reduction was related to intense physical activities. Similarly, the functional score improvement related to these activities was reduced for patients undergoing knee replacement (8 vs. 10, p < 0.05). Conclusions: The web-based Institute Registry emerged as a meaningful and sensitive tool during an extraordinary situation such as the COVID-19 pandemic to monitor patients’ progression after total joint arthroplasties. Thanks to this tool, it was possible to observe that the prevention of usual postoperative care due to pandemic-related restrictions did not alter the benefits observed after joint replacement surgeries, even if this condition reduced the postoperative improvements in the most burdensome physical activities. A broader use of this kind of tool would improve and potentially reduce the burden and costs of postoperative patients’ monitoring in standard and extraordinary conditions. In addition, the systematic remote collection of data would allow for the identification of relevant differences in clinical outcomes in specific conditions or following the modification of treatment and rehabilitation protocols.


2014 ◽  
Vol 29 (9) ◽  
pp. 1723-1728 ◽  
Author(s):  
Jacquelyn D. Marsh ◽  
Dianne M. Bryant ◽  
Steven J. MacDonald ◽  
Douglas D.R. Naudie ◽  
Richard W. McCalden ◽  
...  

2017 ◽  
Vol 23 (1) ◽  
pp. 67 ◽  
Author(s):  
Marina Bitsaki ◽  
George Koutras ◽  
Hansjoerg Heep ◽  
Christos Koutras

2019 ◽  
Vol 45 (5) ◽  
pp. 443-451 ◽  
Author(s):  
Miguel Martin-Ferrero ◽  
Clarisa Simón-Pérez ◽  
Maria B. Coco-Martín ◽  
Aureliio Vega-Castrillo ◽  
Héctor Aguado-Hernández ◽  
...  

We report outcomes of 228 consecutive patients with total joint arthroplasty using the Arpe® prosthesis, among which 216 trapeziometacarpal joints in 199 patients had a minimum of 10 years follow-up. The cumulative survival rate of the 216 implants at 10 years using the Kaplan–Meyer method was 93%. Two hundred joints were functional and painless. We found good integration and positioning of the components in 184 (93%) of the joints. Sixteen prostheses failed. We conclude that this implant has acceptable long-term survival rate and restores good hand function. We also report our methods to improve implant survival and to decrease the risk of component malpositioning, and failure rate. Level of evidence: II


2019 ◽  
Vol 5 (4) ◽  
pp. 493-496 ◽  
Author(s):  
Mohamad J. Halawi ◽  
Christian Gronbeck ◽  
Lawrence Savoy ◽  
Mark P. Cote

2016 ◽  
Vol 45 (1) ◽  
pp. 243-249 ◽  
Author(s):  
Dean N. Papaliodis ◽  
Christos D. Photopoulos ◽  
Nima Mehran ◽  
Michael B. Banffy ◽  
James E. Tibone

Background: Many patients who are considering total joint arthroplasty, including hip, knee, and shoulder replacement, are concerned with their likelihood of returning to golf postoperatively as well as the effect that surgery will have on their game. Purpose: To review the existing literature on patients who have undergone major joint arthroplasty (hip, knee, and shoulder), to examine the effects of surgery on performance in golf, and to provide surgeon recommendations as related to participation in golf after surgery. A brief review of the history and biomechanics of the golf swing is also provided. Study Design: Systematic review. Methods: We performed a systematic review of the literature in the online Medline database, evaluating articles that contained the terms “golf” and “arthroplasty.” Additionally, a web-based search evaluating clinical practice recommendations after joint arthroplasty was performed. The research was reviewed, and objective and anecdotal guidelines were formulated. Results: Total joint arthroplasty provided an improvement in pain during golfing activity, and most patients were able to return to sport with variable improvements in sport-specific outcomes. Conclusion: In counseling patients regarding the return to golf after joint arthroplasty, it is our opinion, on the basis of our experience and those reported from others in the literature, that golfers undergoing total hip, knee, and shoulder arthroplasty can safely return to sport.


Author(s):  
Junwen Wang ◽  
Yuanxin Liang ◽  
Qingsong Zhang ◽  
Jing Jiao ◽  
Wusheng Kan

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