Telemedicine in orthopedics: a Web of Science-based literature analysis

doi:10.3969/j.issn.2095-4344.2014.22.026

Abstract

Abstract:

BACKGROUND: Telemedicine technology has been widely used in many fields including plastic surgery, burns and dermatology. However, there are few reports on telemedicine in orthopedics.

OBJECTIVE: Based on Web of Science literature, telemedicine in orthopedics was analyzed from multiple perspectives.

METHODS: An online retrieval of Web of Science was performed by the first author using key words “tele*medicine” “orthopaedic”. The retrieved data were statistically and quantitatively analyzed and the publication distribution information was demonstrated in words and graphs. The peer-reviewed published original articles regarding telemedicine in orthopedics were included. Articles excluded are those meeting one of the following criteria: (1) articles on telemedicine but unrelated to orthopedics; (2) articles that required manual searching or telephone access; (3) documents that were not published in the public domain; (4) reviews, commentaries and corrected papers from the total number of articles.

RESULTS AND CONCLUSION: 165 papers regarding telemedicine in orthopedics were retrieved from Web of Science. Among these papers, 126 were original articles and rank first in number, with 6 papers highly cited (total citations > 50). The number of included papers gradually increased over the study period. Among the included journals, Journal of Telemedicine and Telecare published a great number of papers (n=36, 30.95%), followed by Telemedicine and E Health (n=8). Telemedicine in orthopedics has become one of the latest areas of interest since 2000. A SCI database-based literature analysis on telemedicine in orthopedics can help understand the current status and progress within this research field and provide valuable information for future studies.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: telemedicine, orthopedics, cost-benefit analysis

CLC Number:

R318

Zhai Yun-kai, Zhu Wei-jun, Sun Dong-xu, Zhao Jie. Telemedicine in orthopedics: a Web of Science-based literature analysis[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(22): 3597-3602.

Figures/Tables 4

2.5 Web of Science数据库收录远程医疗在骨科领域应用研究的作者数量分析见表3。在126篇文献中，澳大利亚昆士兰大学(University of Queensland)的Wootton R，意大利利佐里骨科康复医疗研究院 (Rizzoli Orthopaedic Institute)的Baruffaldi F及Mattioli P作者发表文献以7篇，6篇，5篇分别列于前3位。其中，意大利利佐里骨科康复医疗研究院创建于1896年，是世界著名的骨科专科医院，也是最早提供骨科远程会诊的医院之一。远程会诊服务是由医院信息管理系统负责提供，以信息技术为基础建立的外部远距外科网络，该服务受限于国民医疗保健制度(包括保健站，医院及门诊诊所)，涉及范围几乎囊括意大利全境。医院信息管理系统还提供国际联络服务，以使必要的远程会诊设备功能得以实现。患者需要提前在远程会诊系统进行预约，预约成功的患者可通过视频联系医师，该医师会向患者展示检查流程，并与患者直接交流。医师还会提供一份附有治疗建议的报告。 Swinfen慈善信托基金的远程医疗网络将发展中国家的卫生保健工作者与国际的咨询专家池连接起来。该网络总部设在英国，由完全的志愿者组织Swinfen慈善信托(SCT)运营管理。自从1999 年第一个远程医疗链接起，这个网络处于持续发展状态，至今已拥有60多个国家的193所转诊医院和诊所。Swinfen慈善信托网络每年接收大约250例转诊，转诊卫生保健工作者初始发布和咨询医生第一次响应之间的平均间隔时间为19-24 h。 2.6 Web of Science数据库中收录远程医疗在骨科领域应用研究的出版文献来源期刊分析见表4。 2.7 Web of Science数据库中收录远程医疗在骨科领域应用研究的出版文献单篇论文被引情况分析见表5。 2.8 Web of Science数据库中收录远程医疗在骨科领域应用研究的临床有效性及成本费用分析见表6。"

References

[1] WHO. A health telematics policy in support of WHO’s Health-For-All strategy for global health development: report of the WHO group consultation on health telematics, 11–16 December, Geneva, 1997. Geneva, World Health Organization, 1998.
[2] Einthoven W. Le télécardiogramme [The telecardiogram]. Arch Int Physiol, 1906;4:132-164.
[3] Craig J, Patterson V. Introduction to the practice of telemedicine. J Telemed Telecare. 2005;11(1):3-9.
[4] Currell R, Urquhart C, Wainwright P, et al. Telemedicine versus face to face patient care: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2000;(2):CD002098.
[5] Clayman RV. Transatlantic robot-assisted telesurgery. J Urol. 2002;168(2):873-874.
[6] Froehlich W, Seitaboth S, Chanpheaktra N, et al. Case report: an example of international telemedicine success. J Telemed Telecare. 2009;15(4):208-210.
[7] Mukundan S Jr, Vydareny K, Vassallo DJ, et al. Trial telemedicine system for supporting medical students on elective in the developing world. Acad Radiol. 2003;10(7): 794-797.
[8] Viñals F1, Mandujano L, Vargas G, et al. Prenatal diagnosis of congenital heart disease using four-dimensional spatio-temporal image correlation (STIC) telemedicine via an Internet link: a pilot study. Ultrasound Obstet Gynecol. 2005; 25(1):25-31.
[9] Heinzelmann PJ, Jacques G, Kvedar JC. Telemedicine by email in remote Cambodia. J Telemed Telecare. 2005;11 Suppl 2:S44-47.
[10] Latifi R, Merrell RC, Doarn CR, et al. "Initiate-build- operate-transfer"--a strategy for establishing sustainable telemedicine programs in developing countries: initial lessons from the balkans. Telemed J E Health. 2009;15(10):956-969.
[11] Chanussot-Deprez C1, Contreras-Ruiz J. Telemedicine in wound care. Int Wound J. 2008;5(5):651-654.
[12] Vassallo DJ, Hoque F, Roberts MF, et al. An evaluation of the first year's experience with a low-cost telemedicine link in Bangladesh. J Telemed Telecare. 2001;7(3):125-138.
[13] Vassallo DJ, Swinfen P, Swinfen R, et al. Experience with a low-cost telemedicine system in three developing countries. J Telemed Telecare. 2001;7 Suppl 1:56-58.
[14] Wallace DL, Jones SM, Milroy C, et al. Telemedicine for acute plastic surgical trauma and burns. J Plast Reconstr Aesthet Surg. 2008;61(1):31-36.
[15] Jones SM, Milroy C, Pickford MA. Telemedicine in acute plastic surgical trauma and burns. Ann R Coll Surg Engl. 2004; 86(4):239-242.
[16] Gardiner S, Hartzell TL. Telemedicine and plastic surgery: a review of its applications, limitations and legal pitfalls. J Plast Reconstr Aesthet Surg. 2012;65(3):e47-53.
[17] Roa L, Gómez-Cía T, Acha B, Serrano C. Digital imaging in remote diagnosis of burns. Burns. 1999;25(7):617-623.
[18] Knobloch K, Rennekampff HO, Vogt PM. Cell-phone based multimedia messaging service (MMS) and burn injuries. Burns. 2009;35(8):1191-1193.
[19] Saffle JR, Edelman L, Theurer L, et al. Telemedicine evaluation of acute burns is accurate and cost-effective. J Trauma. 2009;67(2):358-365.
[20] Warshaw EM, Lederle FA, Grill JP, et al. Accuracy of teledermatology for pigmented neoplasms. J Am Acad Dermatol. 2009;61(5):753-765.
[21] Scott WW Jr, Rosenbaum JE, Ackerman SJ, et al. Subtle orthopedic fractures: teleradiology workstation versus film interpretation. Radiology. 1993;187(3):811-815.
[22] Scott WW Jr, Bluemke DA, Mysko WK, et al. Interpretation of emergency department radiographs by radiologists and emergency medicine physicians: teleradiology workstation versus radiograph readings. Radiology. 1995;195(1):223-229.
[23] Wallace P, Haines A, Harrison R, et al. Joint teleconsultations (virtual outreach) versus standard outpatient appointments for patients referred by their general practitioner for a specialist opinion: a randomised trial. Lancet. 2002;359(9322):1961- 1968.
[24] Vassallo DJ, Hoque F, Roberts MF, et al. An evaluation of the first year's experience with a low-cost telemedicine link in Bangladesh. J Telemed Telecare. 2001;7(3):125-138.
[25] Crowther JB, Poropatich R. Telemedicine in the U.S. Army: case reports from Somalia and Croatia. Telemed J. 1995;1(1): 73-80.
[26] Wallace DL, Smith RW, Pickford MA. A cohort study of acute plastic surgery trauma and burn referrals using telemedicine. J Telemed Telecare. 2007;13(6):282-7.
[27] Houtchens BA, Clemmer TP, Holloway HC, et al. Telemedicine and international disaster response. Medical consultation to Armenia and Russia via a Telemedicine Spacebridge. Prehosp Disaster Med. 1993;8(1):57-66.
[28] McManus J, Salinas J, Morton M, et al. Teleconsultation program for deployed soldiers and healthcare professionals in remote and austere environments. Prehosp Disaster Med. 2008;23(3):210-6; discussion 217.
[29] Scerri GV, Vassallo DJ. Initial plastic surgery experience with the first telemedicine links for the British Forces. Br J Plast Surg. 1999 Jun;52(4):294-8.
[30] Tangtrakulwanich B, Kwunpiroj W, Chongsuvivatwong V, et al. Teleconsultation with digital camera images is useful for fracture care. Clin Orthop Relat Res. 2006;449:308-312.
[31] Syed TA，Sadiq Z， Shah YR, et al. Role of mobile multimedia messaging service (MMS) in trauma and orthopaedic telediagnosis. Eur J Orthop Surg Traumatol. 2007; 17: 603-607.
[32] Bertani A, Launay F, Candoni P, et al. Teleconsultation in paediatric orthopaedics in Djibouti: evaluation of response performance. Orthop Traumatol Surg Res. 2012;98(7): 803-807.
[33] Archbold HA, Guha AR, Shyamsundar S, et al. The use of multi-media messaging in the referral of musculoskeletal limb injuries to a tertiary trauma unit using: a 1-month evaluation. Injury. 2005;36(4):560-566.
[34] Jacobs MJ, Edmondson MJ, Lowry JC. Accuracy of diagnosis of fractures by maxillofacial and accident and emergency doctors using plain radiography compared with a telemedicine system: a prospective study. Br J Oral Maxillofac Surg. 2002 Apr;40(2):156-162.
[35] Seemann R, Guevara G, Undt G, et al. Clinical evaluation of tele-endoscopy using UMTS cellphones. Surg Endosc. 2010 Nov;24(11):2855-2859.
[36] Korim M, Soobrah R, Hull P. To admit or not: The use of a camera mobile phone in trauma and orthopaedics at night in a UK hospital. Eur J Orthop Surg Traumatol. 2009;19:217-221.
[37] 王军强,赵春鹏,胡磊,等.远程外科机器人辅助胫骨髓内钉内固定系统的初步应用[J].中华骨科杂志.2006;26(10):682-686.