{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T18:10:20Z","timestamp":1785175820087,"version":"3.55.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There is a lack of randomized controlled trials focusing on orthopedic telemedicine (TM). The objective of this research was to compare the diagnostic accuracy and pattern of TM consultations of low-risk orthopedic patients performed by general practitioners (GPs) with those of face-to-face evaluations by orthopedists at an emergency department (ED).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This randomized, single-center study was conducted between October 2021 and November 2022 on patients at an ED. Inclusion criteria were age &gt;18 years, low back pain, extremity contusion, ankle sprain, or neck pain. Eligible patients were randomized 1:1 for TM consultations by generalist physicians with subsequent face-to-face orthopedic evaluations (TM\u2013ED group) or face-to-face evaluations by orthopedic physicians (ED group). Primary outcomes were syndromic diagnosis, physical examination, and tests ordered. Secondary analysis included a satisfaction survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 99 patients were enrolled; mean age was 41 \u00b1 10.1 years, and 62.6% were female. The most common conditions were foot contusion (28.3%), ankle sprain (27.3%), hand contusion (19.2%), low back pain (19.2%), and neck pain (6.1%). Syndromic diagnosis showed no difference between groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.231). In the TM\u2013ED group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 51), self-examination demonstrated moderate to good agreement with face-to-face evaluations in several areas. Both groups showed similar tests practices. Patient satisfaction was higher in the TM\u2013ED group across multiple measures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>TM consultations for low-risk orthopedic patients by GPs are not inferior to face-to-face specialist evaluations at the ED. Virtual assessments are associated with higher patient satisfaction. Clinical Trial Identifier: NCT04981002.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2024.0312","type":"journal-article","created":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T21:00:03Z","timestamp":1724274003000},"page":"2859-2869","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Guideline-Based Telemedicine Assessment of Orthopedic Low-Risk Conditions by General Practitioners is Not Inferior to that of Face-to-Face Consultations with Specialists in the Emergency Department: A Randomized Trial"],"prefix":"10.1177","volume":"30","author":[{"given":"Noel Oizerovici","family":"Foni","sequence":"first","affiliation":[{"name":"Emergency Department, Hospital Israelita Albert Einstein, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8023-3466","authenticated-orcid":false,"given":"Tarso Augusto Duenhas","family":"Accorsi","sequence":"additional","affiliation":[{"name":"Telemedicine Department, Hospital Israelita Albert Einstein, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata Farias Vidigal","family":"Correia","sequence":"additional","affiliation":[{"name":"Emergency Department, Hospital Israelita Albert Einstein, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavio Tocci","family":"Moreira","sequence":"additional","affiliation":[{"name":"Telemedicine Department, Hospital Israelita Albert Einstein, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karine De Amicis","family":"Lima","sequence":"additional","affiliation":[{"name":"Telemedicine Department, Hospital Israelita Albert Einstein, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata Albaladejo","family":"Morbeck","sequence":"additional","affiliation":[{"name":"Telemedicine Department, Hospital Israelita Albert Einstein, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Jose Le\u00e3o de","family":"Souza","sequence":"additional","affiliation":[{"name":"Emergency Department, Hospital Israelita Albert Einstein, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos Henrique Sartorato","family":"Pedrotti","sequence":"additional","affiliation":[{"name":"Telemedicine Department, Hospital Israelita Albert Einstein, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson","family":"Wolosker","sequence":"additional","affiliation":[{"name":"Faculdade Israelita da Sa\u00fade Albert Einstein, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"TeleORTHOPEDICS 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