Video orthopaedics non-inferior to clinic

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Remote video orthopaedic consultations met the trial’s non-inferiority margin versus standard outpatient visits.

Source

Quality of care for remote orthopaedic consultations using telemedicine: a randomised controlled trial

Buvik A, Bugge E, Knutsen G, et al. · BMC health services research · 2016

doi.org/10.1186/s12913-016-1717-7 Read the full paper ↗194 citationscc by

Study at a glance

Design: RCT — Videoconference orthopaedic consultations vs usual hospital outpatient visits; non-inferiority
N: N=389 · 389 patients; 559 consultations analysed
Population: Orthopaedic outpatients referred for specialist consultation
Outcome: Specialist-rated consultation quality (non-inferiority)

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Video orthopaedics non-inferior to clinic

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389 patients; 559 consultations.

A total of 559 consultations (257 at UNN and 302 at RMC) from 389 patients (190 at UNN and 199 at RMC) were included. Th

Hypothesis?

The study hypothesis examines the non-inferiority of telemedicine consultation versus conventional outpatient consultation. O

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What they did

Patients were randomised to videoconference orthopaedic consultations versus usual hospital outpatient visits; specialists scored quality.

What they found

389 patients (559 consultations) analysed. The 90% CI for score difference (0.05–0.17) stayed within the non-inferiority margin; all video visits ran as planned.

The limits

What it doesn't show

Non-inferiority depends on the pre-specified margin; some patient-reported outcomes were reported separately.

Key terms

Telemedicine: Real-time videoconference care.
Non-inferiority: Not unacceptably worse than standard.
UNN: Hospital outpatient site.
RMC: Remote video site.
Sum score: Specialist quality score.
Orthopaedic outpatient: Bone/joint clinic visits.

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Patients:

Common questions

Patients?

389.

Consultations?

559.

Non-inferior?

Yes.

Questionnaires?

98%.