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10.1016/j.arth.2020.08.019

http://scihub22266oqcxt.onion/10.1016/j.arth.2020.08.019
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32893060!7428443!32893060
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suck abstract from ncbi


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pmid32893060      J+Arthroplasty 2021 ; 36 (3): 816-822.e1
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  • Effectiveness, Patient Satisfaction, and Cost Reduction of Virtual Joint Replacement Clinic Follow-Up of Hip and Knee Arthroplasty #MMPMID32893060
  • El Ashmawy AH; Dowson K; El-Bakoury A; Hosny HAH; Yarlagadda R; Keenan J
  • J Arthroplasty 2021[Mar]; 36 (3): 816-822.e1 PMID32893060show ga
  • BACKGROUND: Total hip and knee arthroplasties are increasingly performed operations, and routine follow-up places huge demands on orthopedic services. This study investigates the effectiveness, patients' satisfaction, and cost reduction of Virtual Joint Replacement Clinic (VJRC) follow-up of total hip arthroplasty and total knee arthroplasty patients in a university hospital. VJRC is especially valuable when in-person appointments are not advised or feasible such as during the COVID-19 pandemic. METHODS: A total of 1749 patients who were invited for VJRC follow-up for knee or hip arthroplasty from January 2017 to December 2018 were included in this retrospective study. Patients were referred to VJRC after their 6-week postoperative review. Routine VJRC postoperative review was undertaken at 1 and 7 years and then 3-yearly thereafter. We evaluated the VJRC patient response rate, acceptability, and outcome. Patient satisfaction was measured in a subgroup of patients using a satisfaction survey. VJRC costs were calculated compared to face-to-face follow-up. RESULTS: The VJRC had a 92.05% overall response rate. Only 7.22% required further in-person appointments with only 3% being reviewed by an orthopedic consultant. VJRC resulted in an estimated saving of pound42,644 per year at our institution. The patients' satisfaction survey showed that 89.29% of the patients were either satisfied or very satisfied with VJRC follow-up. CONCLUSION: VJRC follow-up for hip and knee arthroplasty patients is an effective alternative to in-person clinic assessment which is accepted by patients, has high patient satisfaction, and can reduce the cost to both health services and patients.
  • |*Arthroplasty, Replacement, Hip[MESH]
  • |*Arthroplasty, Replacement, Knee[MESH]
  • |*COVID-19[MESH]
  • |Follow-Up Studies[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |Patient Satisfaction[MESH]
  • |Retrospective Studies[MESH]


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