Telehealth in paediatric orthopaedic surgery in Queensland: a 10-year review

Rowell, Philip D., Pincus, Paul, White, Megan and Smith, Anthony C. (2014) Telehealth in paediatric orthopaedic surgery in Queensland: a 10-year review. ANZ Journal of Surgery, 84 12: 955-959. doi:10.1111/ans.12753

Author Rowell, Philip D.
Pincus, Paul
White, Megan
Smith, Anthony C.
Title Telehealth in paediatric orthopaedic surgery in Queensland: a 10-year review
Journal name ANZ Journal of Surgery   Check publisher's open access policy
ISSN 1445-1433
Publication date 2014-07-18
Sub-type Article (original research)
DOI 10.1111/ans.12753
Volume 84
Issue 12
Start page 955
End page 959
Total pages 5
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell
Language eng
Formatted abstract
Background: Telemedicine is a patient consultation method commonly available to patients in rural and remote areas throughout Australia. Its use in paediatric orthopaedics has been rarely described. The primary aim of this study was to identify the patient cohort accessing the orthopaedic paediatric telehealth service through the Royal Children's Hospital Queensland, so as to better allocate this resource. The secondary aims were to identify the orthopaedic conditions the patients utilizing this service suffered and to follow-up on treatment outcomes to potentially assess clinical benefit.

Method: A retrospective review of prospectively collected data of paediatric orthopaedic patients consulted using telehealth at the Royal Children's Hospital, Queensland over a 10-year period between January 2004 and September 2012 was conducted.

Results: One hundred and twenty-six patient records were assessed with a mean age of 6 years. Results showed that 40% of patients seen using telehealth in paediatric orthopaedics had documented cerebral palsy, an intellectual disability or congenital syndrome. Common paediatric orthopaedic conditions were seen, with lower limb malalignment being the most common presenting complaint. About 58% of patients were seen exclusively via telehealth and did not require in-person consultation or operative therapy.

Conclusion: We found that the orthopaedic telepaedriatic consultation service at the Royal Children's Hospital reviewed a large proportion of patients with a known disability. We believe there is a role for telehealth medicine for all patients; however, we propose that even greater benefit can be obtained from telehealth consultation in patients with a disability where the cost and inconvenience of patient transport is considerably increased.
Keyword Orthopaedic surgery
Rural medicine
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
Centre for Online Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 5 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 23 Jul 2014, 21:13:42 EST by Burke, Eliza on behalf of Centre for On-Line Health