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dc.contributor.authorGood, Daniel W
dc.contributor.authorLui, Darren F
dc.contributor.authorLeonard, Michael
dc.contributor.authorMorris, Seamus
dc.contributor.authorMcElwain, John P
dc.date.accessioned2012-11-15T12:32:22Z
dc.date.available2012-11-15T12:32:22Z
dc.date.issued2012-03
dc.identifier.citationSkype: a tool for functional assessment in orthopaedic research. 2012, 18 (2):94-8 J Telemed Telecareen_GB
dc.identifier.issn1758-1109
dc.identifier.pmid22247538
dc.identifier.doi10.1258/jtt.2011.110814
dc.identifier.urihttp://hdl.handle.net/10147/252241
dc.description.abstractSkype is a free program which enables PC users to make video calls to other users with Internet access. We carried out a prospective review of all acromioclavicular joint hook plates for lateral-third clavicle fractures over a five-year period. Functional assessment with Oxford and Constant shoulder scores were carried out using Skype and compared to outpatient review using the Bland-Altman method. Of 36 patients (mean age 36 years), 33 had a computer with a video camera, all 33 had Internet access and 22 were already users of Skype. In total 29 patients were happy to take part in Skype assessment (83%). In comparison with outpatient review, there was a mean difference in the Oxford score of -0.48 (95% confidence interval -0.84, -0.12); the mean difference for the Constant score was -0.68 (95% confidence interval -1.08, -0.29). These differences were not clinically significant, confirming that Skype can be used as an alternative to goniometry in this clinical setting. A survey showed that 93% of 29 patients surveyed preferred the use of Skype for follow-up, mainly due to the convenience and cost-saving involved. The study demonstrates the potential for this new technique in providing patients with more options for follow-up.
dc.language.isoenen
dc.publisherJournal of telemedicine and telecareen_GB
dc.rightsArchived with thanks to Journal of telemedicine and telecareen_GB
dc.subject.meshAcromioclavicular Joint
dc.subject.meshAdult
dc.subject.meshBone Plates
dc.subject.meshClavicle
dc.subject.meshFemale
dc.subject.meshFollow-Up Studies
dc.subject.meshFracture Fixation, Internal
dc.subject.meshFractures, Bone
dc.subject.meshHumans
dc.subject.meshInternet
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshOrthopedics
dc.subject.meshProspective Studies
dc.subject.meshRange of Motion, Articular
dc.subject.meshTelemedicine
dc.subject.meshTreatment Outcome
dc.subject.meshYoung Adult
dc.titleSkype: a tool for functional assessment in orthopaedic research.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Trauma, Orthopaedics, Pelvic and Acetabular Reconstructive Surgery, Adelaide and Meath Incorporating the National Children's Hospital, Tallaght, Dublin 24, Ireland. goodd@tcd.ieen_GB
dc.identifier.journalJournal of telemedicine and telecareen_GB
dc.description.provinceLeinsteren
html.description.abstractSkype is a free program which enables PC users to make video calls to other users with Internet access. We carried out a prospective review of all acromioclavicular joint hook plates for lateral-third clavicle fractures over a five-year period. Functional assessment with Oxford and Constant shoulder scores were carried out using Skype and compared to outpatient review using the Bland-Altman method. Of 36 patients (mean age 36 years), 33 had a computer with a video camera, all 33 had Internet access and 22 were already users of Skype. In total 29 patients were happy to take part in Skype assessment (83%). In comparison with outpatient review, there was a mean difference in the Oxford score of -0.48 (95% confidence interval -0.84, -0.12); the mean difference for the Constant score was -0.68 (95% confidence interval -1.08, -0.29). These differences were not clinically significant, confirming that Skype can be used as an alternative to goniometry in this clinical setting. A survey showed that 93% of 29 patients surveyed preferred the use of Skype for follow-up, mainly due to the convenience and cost-saving involved. The study demonstrates the potential for this new technique in providing patients with more options for follow-up.


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