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Orthopedic Telemedicine Outpatient Practice Diagnoses Set during the First COVID-19 Pandemic Lockdown—Individual Observation

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  • Wojciech Michał Glinkowski

    (Center of Excellence “TeleOrto” for Telediagnostics and Treatment of Disorders and Injuries of the Locomotor System, Department of Medical Informatics and Telemedicine, Medical University of Warsaw, 00-581 Warsaw, Poland
    Polish Telemedicine and eHealth Society, 03-728 Warsaw, Poland
    Gabinet Lekarski, 03-728 Warsaw, Poland
    Centrum Medyczne PZU Zdrowie, 02-715 Warsaw, Poland)

Abstract

The COVID-19 pandemic has caused a substantial intensification of the telemedicine transformation process in orthopedics since 2020. In the light of the legal regulations introduced in Poland, from the beginning of the SARS-CoV-2 pandemic, physicians, including orthopedic surgeons, have had the opportunity to conduct specialist teleconsultations. Teleconsultations increase epidemiological safety and significantly reduce the exposure of patients and medical staff to direct transmission of the viral vector and the spread of infections. The study aimed to describe diagnoses and clinical aspects of consecutive orthopedic teleconsultations (TC) during the pandemic lockdown. The diagnoses were set according to the International Classification of Diseases (ICD-10). Hybrid teleconsultations used smartphones and obligatory Electronic Health Record (EHR) with supplemental voice, SMS, MMS, Medical images, documents, and video conferencing if necessary. One hundred ninety-eight consecutive orthopedic teleconsultations were served for 615 women and 683 men (mean age 41.82 years ± 11.47 years). The most frequently diagnosed diseases were non-acute orthopedic disorders “M” (65.3%) and injuries “S” (26.3%). Back pain (M54) was the most frequent diagnosis (25.5%). Although virtual orthopedic consultation cannot replace an entire personal visit to a specialist orthopedic surgeon, in many cases, teleconsultation enables medical staff to continue to participate in providing medical services at a sufficiently high medical level to ensure patient and physician. The unified approach to TC diagnoses using ICD-10 or ICD-11 may improve further research on telemedicine-related orthopedics repeatability. Future research directions should address orthopedic teleconsultations’ practical aspects and highlight legal, organizational, and technological issues with their implementations.

Suggested Citation

  • Wojciech Michał Glinkowski, 2022. "Orthopedic Telemedicine Outpatient Practice Diagnoses Set during the First COVID-19 Pandemic Lockdown—Individual Observation," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5418-:d:805273
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    References listed on IDEAS

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    1. Tracey Smythe & Marie-Caroline Nogaro & Laura J Clifton & Debra Mudariki & Tim Theologis & Chris Lavy, 2020. "Remote monitoring of clubfoot treatment with digital photographs in low resource settings: Is it accurate?," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-9, May.
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