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Randomized Controlled Trial
. 2020 Apr;29(4):775-783.
doi: 10.1016/j.jse.2019.12.004.

The role of telehealth as a platform for postoperative visits following rotator cuff repair: a prospective, randomized controlled trial

Liam T Kane  1 , Ocean Thakar  1 , Grant Jamgochian  1 , Mark D Lazarus  1 , Joseph A Abboud  1 , Surena Namdari  1 , John G Horneff  2
Affiliations
Randomized Controlled Trial

The role of telehealth as a platform for postoperative visits following rotator cuff repair: a prospective, randomized controlled trial

Liam T Kane et al. J Shoulder Elbow Surg. 2020 Apr.

Abstract

Background: The application of telehealth for surgical follow-up has gained recent exposure in orthopedic care. Although the results following joint arthroplasty are encouraging, the role of telemedicine for postoperative care following arthroscopic rotator cuff repair still needs to be defined. The goal of this study was to evaluate the safety, efficacy, and socioeconomic benefits of telehealth as a platform for postoperative follow-up.

Methods: This was a prospective, randomized controlled trial that enrolled 66 patients who underwent follow-up in the office vs. via telemedicine for postoperative visits at 2, 6, and 12 weeks after surgery. Post-visit surveys were administered to patients and physicians via e-mail, and the Student t test and Fisher exact test were used to compare responses.

Results: In total, 58 patients (88%) completed the study (28 telehealth vs. 30 control). Patients in each group demonstrated similar pain scores at each follow-up visit (P = .638, P = .124, and P = .951) and similar overall satisfaction scores (P = .304). Patients in the telehealth group expressed a stronger preference for telehealth than their control counterparts (P < .001). Telehealth visits were less time-consuming from both a patient (P < .001) and physician (P = .002) perspective. Telehealth visits also required less time off work for both patients (P = .001) and caregivers (P < .001).

Conclusion: Patients undergoing arthroscopic rotator cuff surgery were able to receive safe and effective early postoperative follow-up care using telemedicine. The preference for telehealth increased for both surgeons and patients following first-hand experience. The use of a telehealth platform is a reasonable follow-up model to consider for patients seeking convenient and efficient care following arthroscopic rotator cuff repair.

Keywords: Telehealth; early rehabilitation; economics of care; remote care; rotator cuff surgery; rotator cuff tear; telemedicine.

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