PMID- 33912618
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220422
IS  - 2325-9671 (Print)
IS  - 2325-9671 (Electronic)
IS  - 2325-9671 (Linking)
VI  - 9
IP  - 4
DP  - 2021 Apr
TI  - Transition to Telehealth Physical Therapy After Hip Arthroscopy for 
      Femoroacetabular Impingement: A Pilot Study With Retrospective Matched-Cohort 
      Analysis.
PG  - 2325967121997469
LID - 10.1177/2325967121997469 [doi]
LID - 2325967121997469
AB  - BACKGROUND: Telehealth use has increased significantly of late. However, outside 
      of total hip and knee arthroplasty, there is minimal evidence regarding its 
      efficacy in orthopaedics and postoperative rehabilitation. PURPOSE: To determine 
      the efficacy and cost-effectiveness of a transition to postoperative telehealth 
      physical therapy in patients undergoing hip arthroscopy for femoroacetabular 
      impingement (FAI). STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: 
      Included were 51 patients undergoing postoperative physical therapy after hip 
      arthroscopy for FAI. The intervention group consisted of patients undergoing 
      initial in-person visits followed by a transition to telehealth physical therapy 
      for 3 months postoperatively (group 1; n = 17). Comparison groups included 
      patients undergoing in-person physical therapy with the same physical therapy 
      team as the telehealth group (group 2; n = 17) and patients undergoing in-person 
      therapy with a different therapy team at the same facility (group 3; n = 17). All 
      groups were matched 1-to-1 by patient age and sex. All patients completed the 
      short version of the International Hip Outcome Tool (iHOT-12) both preoperatively 
      and at 3 months postoperatively. At 3 months postoperatively, it was determined 
      whether patients met the minimally clinically important difference (MCID; >/=13 
      points) or substantial clinical benefit (SCB; >/=28 points) or whether they reached 
      a Patient Acceptable Symptomatic State (PASS; >/=64 points). Billed charges were 
      recorded as a measure of cost. RESULTS: The overall mean age of the study 
      patients ranged from 33 to 34 years. Among the 3 groups, there was no significant 
      difference in the preoperative, postoperative, or pre- to postoperative change in 
      iHOT-12 scores or in the percentage of patients meeting MCID, SCB, or PASS at 3 
      months. Group 1 had significantly lower mean costs ($1015.67) compared with group 
      2 ($1555.62; P = .011) or group 3 ($1896.38; P < .001). CONCLUSION: In this pilot 
      study, telehealth physical therapy after hip arthroscopy was found to lead to 
      similar short-term outcomes and was cost-effective compared with in-person 
      physical therapy.
CI  - (c) The Author(s) 2021.
FAU - Horton, Brandy S
AU  - Horton BS
AD  - The Orthopedic Specialty Hospital, Intermountain Healthcare, Murray, Utah, USA. 
      RINGGOLD: 7061
FAU - Marland, Jennifer D
AU  - Marland JD
AD  - The Orthopedic Specialty Hospital, Intermountain Healthcare, Murray, Utah, USA. 
      RINGGOLD: 7061
FAU - West, Hugh S
AU  - West HS
AD  - The Orthopedic Specialty Hospital, Intermountain Healthcare, Murray, Utah, USA. 
      RINGGOLD: 7061
FAU - Wylie, James D
AU  - Wylie JD
AD  - The Orthopedic Specialty Hospital, Intermountain Healthcare, Murray, Utah, USA. 
      RINGGOLD: 7061
LA  - eng
PT  - Journal Article
DEP - 20210413
PL  - United States
TA  - Orthop J Sports Med
JT  - Orthopaedic journal of sports medicine
JID - 101620522
PMC - PMC8047830
OTO - NOTNLM
OT  - femoroacetabular impingement
OT  - hip arthroscopy
OT  - postoperative physical therapy
OT  - telehealth
OT  - value-based health care
COIS- One or more of the authors has declared the following potential conflict of 
      interest or source of funding. H.S.W. has received consulting fees from DePuy, 
      Linvatec, and Stryker and received royalties from Linvatec and DePuy. J.D.W. has 
      received grant funding from Arthrex and received education payments from Arthrex, 
      Medical Device Business Services, Smith & Nephew, and Stryker. AOSSM checks 
      author disclosures against the Open Payments Database (OPD). AOSSM has not 
      conducted an independent investigation on the OPD and disclaims any liability or 
      responsibility relating thereto.
EDAT- 2021/04/30 06:00
MHDA- 2021/04/30 06:01
PMCR- 2021/04/13
CRDT- 2021/04/29 06:30
PHST- 2020/10/22 00:00 [received]
PHST- 2020/11/24 00:00 [accepted]
PHST- 2021/04/29 06:30 [entrez]
PHST- 2021/04/30 06:00 [pubmed]
PHST- 2021/04/30 06:01 [medline]
PHST- 2021/04/13 00:00 [pmc-release]
AID - 10.1177_2325967121997469 [pii]
AID - 10.1177/2325967121997469 [doi]
PST - epublish
SO  - Orthop J Sports Med. 2021 Apr 13;9(4):2325967121997469. doi: 
      10.1177/2325967121997469. eCollection 2021 Apr.