Feasibility, Effectiveness and Costs Associated with a Web-Based Follow-Up Assessment Following Total Joint Arthroplasty

The purpose of this study was to assess the feasibility, effectiveness and costs of a web-based follow-up compared to in-person assessment following primary total hip or total knee arthroplasty. Patients who were at least 12months postoperative were randomized to follow-up method. We excluded patien...

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Bibliographic Details
Published in:The Journal of arthroplasty Vol. 29; no. 9; pp. 1723 - 1728
Main Authors: Marsh, Jacquelyn D., Bryant, Dianne M., MacDonald, Steven J., Naudie, Douglas D.R., McCalden, Richard W., Howard, James L., Bourne, Robert B., McAuley, James P.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01.09.2014
Subjects:
Adult
Aged
Aged, 80 and over
Ambulatory Care - economics
Arthroplasty, Replacement, Hip - economics
Arthroplasty, Replacement, Hip - rehabilitation
Arthroplasty, Replacement, Knee - economics
Arthroplasty, Replacement, Knee - rehabilitation
cost
feasibility
Feasibility Studies
Female
follow-up
Follow-Up Studies
Health Care Costs
Humans
Internet
Male
Middle Aged
Orthopedics
Osteoarthritis, Hip - economics
Osteoarthritis, Hip - rehabilitation
Osteoarthritis, Hip - surgery
Osteoarthritis, Knee - economics
Osteoarthritis, Knee - rehabilitation
Osteoarthritis, Knee - surgery
Outcome Assessment (Health Care)
Postoperative Care - economics
Postoperative Period
total hip arthroplasty
total knee arthroplasty
web-based
feasibility
follow-up
total hip arthroplasty
total knee arthroplasty
cost
web-based
ISSN:0883-5403, 1532-8406, 1532-8406
Online Access:Get full text
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Summary:The purpose of this study was to assess the feasibility, effectiveness and costs of a web-based follow-up compared to in-person assessment following primary total hip or total knee arthroplasty. Patients who were at least 12months postoperative were randomized to follow-up method. We excluded patients who had revision surgery, osteolysis, complications or identified radiographic issues. 229 patients (118 Web, 111 in-person) completed the study. There were no patients who had an issue missed by the web-based follow-up. Patients in the web-based group travelled less (28.2km vs 103.7km, (P<0.01)), had lower associated costs ($10.45 vs $21.36, (P<0.01)) and took less time to complete (121.7min web vs 228.7min usual). Web-based follow-up is a feasible, clinically effective alternative with lower associated costs than in-person clinic assessment.
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ISSN:0883-5403
1532-8406
1532-8406
DOI:10.1016/j.arth.2014.04.003