A Feasibility study of remote consultation to determine suitability for surgery in stroke rehabilitation

Jaap Buurke; R.F.M. Kleissen; A.V. Nene; J.K.C. Bloo; G.J. Renzenbrink; A.V.C.M. Zeegers; L. Doederlein; Hermanus J. Hermens

doi:10.1258/135763304773391567

A Feasibility study of remote consultation to determine suitability for surgery in stroke rehabilitation

Jaap Buurke, R.F.M. Kleissen, A.V. Nene, J.K.C. Bloo, G.J. Renzenbrink, A.V.C.M. Zeegers, L. Doederlein, Hermanus J. Hermens

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

We studied knowledge transfer for the determination of the suitability of stroke patients for a specialist surgical procedure (split anterior tibial tendon transfer). Gait analysis data from patients at a general hospital were discussed with an expert in another country using personal computers, an ISDN connection (128 kbit/s) and TCP/IP-based communication tools. The key issue was whether the staff in the general hospital became better able to determine suitability for surgery. Twelve patients were studied. In three of the first four cases the advice of the remote expert changed the plan for surgery. After that the treatment plans did not change after consultation. After eight cases the local clinicians did not need to ask for further advice. There was a rapid increase in skill in determining suitability for surgery. The experience and skills of the local clinicians were thought to increase more rapidly than would have been the case without the consultations with a remote expert.

Original language	Undefined
Pages (from-to)	108-112
Journal	Journal of telemedicine and telecare
Volume	10
Issue number	2
DOIs	https://doi.org/10.1258/135763304773391567
Publication status	Published - 2004

Keywords

IR-71316
METIS-219304

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1258/135763304773391567

Cite this

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abstract = "We studied knowledge transfer for the determination of the suitability of stroke patients for a specialist surgical procedure (split anterior tibial tendon transfer). Gait analysis data from patients at a general hospital were discussed with an expert in another country using personal computers, an ISDN connection (128 kbit/s) and TCP/IP-based communication tools. The key issue was whether the staff in the general hospital became better able to determine suitability for surgery. Twelve patients were studied. In three of the first four cases the advice of the remote expert changed the plan for surgery. After that the treatment plans did not change after consultation. After eight cases the local clinicians did not need to ask for further advice. There was a rapid increase in skill in determining suitability for surgery. The experience and skills of the local clinicians were thought to increase more rapidly than would have been the case without the consultations with a remote expert.",

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AU - Buurke, Jaap

AU - Kleissen, R.F.M.

AU - Nene, A.V.

AU - Bloo, J.K.C.

AU - Renzenbrink, G.J.

AU - Zeegers, A.V.C.M.

AU - Doederlein, L.

AU - Hermens, Hermanus J.

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