Will videoteleconsultation have been just a stopgap in French orthopedics–traumatology? A national survey of 280 surgeons - 24/11/22

Doi : 10.1016/j.otsr.2022.103469

Pierre-Jean Lambrey ^a,^b,⁎ , Nicolas Mainard ^b,^c, Sahara Graf ^d, Boni Armand Elegbe ^e, Alexis Perrin ^f,^g
^a Service de chirurgie orthopédique et traumatologique, CHU de Lille, 2, avenue Émile-Laine, 59000 Lille, France
^b Université Lille – Hauts-de-France, 59000 Lille, France
^c Service de chirurgie infantile, CHU Lille, hôpital Jeanne-de-Flandre, avenue Eugène-Avinée, 59000 Lille, France
^d Délégation à la recherche clinique et à l’innovation, cellule de biostatistiques, groupement des hôpitaux de Lille, institut catholique de Lille, 59160 Lille, France
^e Délégation à la recherche clinique et à l’innovation, cellule de data-management, groupement des hôpitaux de Lille, institut catholique de Lille, 59160 Lille, France
^f Service de chirurgie orthopédique et traumatologique, hôpital Saint-Philibert, rue du Grand-But, 59160 Lille, France
^g Université catholique de Lille, 60, boulevard Vauban, 59800 Lille, France

^⁎Corresponding author at: Service de chirurgie orthopédique et traumatologique, CHU de Lille, 2, avenue Émile-Laine, 59000 Lille, France.Service de chirurgie orthopédique et traumatologique, CHU de Lille2, avenue Émile-LaineLille59000France

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Abstract

Introduction

There have been no studies assessing French orthopedic surgeons’ satisfaction with video and telephone consultations. These were encouraged during the coronavirus pandemic. We therefore performed a prospective study to assess (1) the profile of physicians using videoteleconsultation (VTC) during the pandemic and factors influencing use, (2) satisfaction with VTC, and (3) the pros, cons and prospects of VTC.

Hypothesis

The study hypothesis was that VTC in orthopedics–traumatology is sufficiently satisfying to be used in everyday practice outside of pandemic contexts.

Material and method

A French nationwide survey was conducted in the form of an assessment of professional practices. Orthopedic and traumatology surgeons were sent a digital questionnaire, using the mailing lists of some of the French professional and scientific societies, with an estimate of 2000 practitioners who could be reached. The survey concerned use of VTC, modalities and satisfaction and the practitioner's profile. On the basis of the questionnaire responses, a Net Promoter Score (NPS) was calculated, evaluating the number (from −100 to +100) of respondents likely to recommend VTC.

Results

In total 280 of the estimated 2000 practitioners who were contacted (14.0%) responded. Their mean age was 47.7±10.0years (range: 30–84years). The rate of use of VTC rose from 8.9% (n=25/280) before the pandemic to 55.3% (n=155/280) during it. In the 155 practitioners who had used VTC, NPS was −46.4. Only 51% (n=79/155) were in favor of continuing VTCs outside of pandemic settings. Likewise, 50.3% (n=78/155) reported that clinical examination was more time-consuming via VTC than in face-to-face consultation, and 57.4% (n=89/155) said the same about visualizing complementary examinations. Finally, 98.1% (n=152/155) found VTC less satisfying than face-to-face consultation for clinical examination, and only 18.1% (n=28/155) scheduled surgery after VTC alone.

Conclusion

To date in French orthopedics–traumatology, VTC does not satisfy surgeons, with its virtual rather than physical clinical examination; even so, it offers a solution in pandemic settings.