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How useful are virtual fracture clinics?: a systematic review

BACKGROUND: Due to the overwhelming demand for trauma services, resulting from increasing emergency department attendances over the past decade, virtual fracture clinics (VFCs) have become the fashion to keep up with the demand and help comply with the BOA Standards for Trauma and Orthopaedics (BOAS...

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Autores principales: Khan, Shehzaad A., Asokan, Ajay, Handford, Charles, Logan, Peter, Moores, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Editorial Society of Bone & Joint Surgery 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7690759/
https://www.ncbi.nlm.nih.gov/pubmed/33263108
http://dx.doi.org/10.1302/2633-1462.111.BJO-2020-0107.R1
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author Khan, Shehzaad A.
Asokan, Ajay
Handford, Charles
Logan, Peter
Moores, Thomas
author_facet Khan, Shehzaad A.
Asokan, Ajay
Handford, Charles
Logan, Peter
Moores, Thomas
author_sort Khan, Shehzaad A.
collection PubMed
description BACKGROUND: Due to the overwhelming demand for trauma services, resulting from increasing emergency department attendances over the past decade, virtual fracture clinics (VFCs) have become the fashion to keep up with the demand and help comply with the BOA Standards for Trauma and Orthopaedics (BOAST) guidelines. In this article, we perform a systematic review asking, “How useful are VFCs?”, and what injuries and conditions can be treated safely and effectively, to help decrease patient face to face consultations. Our primary outcomes were patient satisfaction, clinical efficiency and cost analysis, and clinical outcomes. METHODS: We performed a systematic literature search of all papers pertaining to VFCs, using the search engines PubMed, MEDLINE, and the Cochrane Database, according to the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) checklist. Searches were carried out and screened by two authors, with final study eligibility confirmed by the senior author. RESULTS: In total, 21 records were relevant to our research question. Six orthopaedic injuries were identified as suitable for VFC review, with a further four discussed in detail. A reduction of face to face appointments of up to 50% was reported with greater compliance to BOAST guidelines (46.4%) and cost saving (up to £212,000). CONCLUSIONS: This systematic review demonstrates that the VFC model can help deliver a safe, more cost-effective, and more efficient arm of the trauma service to patients. Cite this article: Bone Joint Open 2020;1-11:683–690.
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spelling pubmed-76907592020-11-30 How useful are virtual fracture clinics?: a systematic review Khan, Shehzaad A. Asokan, Ajay Handford, Charles Logan, Peter Moores, Thomas Bone Jt Open Systematic Review BACKGROUND: Due to the overwhelming demand for trauma services, resulting from increasing emergency department attendances over the past decade, virtual fracture clinics (VFCs) have become the fashion to keep up with the demand and help comply with the BOA Standards for Trauma and Orthopaedics (BOAST) guidelines. In this article, we perform a systematic review asking, “How useful are VFCs?”, and what injuries and conditions can be treated safely and effectively, to help decrease patient face to face consultations. Our primary outcomes were patient satisfaction, clinical efficiency and cost analysis, and clinical outcomes. METHODS: We performed a systematic literature search of all papers pertaining to VFCs, using the search engines PubMed, MEDLINE, and the Cochrane Database, according to the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) checklist. Searches were carried out and screened by two authors, with final study eligibility confirmed by the senior author. RESULTS: In total, 21 records were relevant to our research question. Six orthopaedic injuries were identified as suitable for VFC review, with a further four discussed in detail. A reduction of face to face appointments of up to 50% was reported with greater compliance to BOAST guidelines (46.4%) and cost saving (up to £212,000). CONCLUSIONS: This systematic review demonstrates that the VFC model can help deliver a safe, more cost-effective, and more efficient arm of the trauma service to patients. Cite this article: Bone Joint Open 2020;1-11:683–690. The British Editorial Society of Bone & Joint Surgery 2020-11-01 /pmc/articles/PMC7690759/ /pubmed/33263108 http://dx.doi.org/10.1302/2633-1462.111.BJO-2020-0107.R1 Text en © 2020 Author(s) et al. https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/.
spellingShingle Systematic Review
Khan, Shehzaad A.
Asokan, Ajay
Handford, Charles
Logan, Peter
Moores, Thomas
How useful are virtual fracture clinics?: a systematic review
title How useful are virtual fracture clinics?: a systematic review
title_full How useful are virtual fracture clinics?: a systematic review
title_fullStr How useful are virtual fracture clinics?: a systematic review
title_full_unstemmed How useful are virtual fracture clinics?: a systematic review
title_short How useful are virtual fracture clinics?: a systematic review
title_sort how useful are virtual fracture clinics?: a systematic review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7690759/
https://www.ncbi.nlm.nih.gov/pubmed/33263108
http://dx.doi.org/10.1302/2633-1462.111.BJO-2020-0107.R1
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