A Commentary on “Impact of the Coronavirus (COVID-19) pandemic on surgical practice - Part 1” (International Surgery 2020; 79:168–179) The Effectiveness of Telemedicine during the COVID-19 Pandemic

Hassan, Mustafa; Alradhawi, Mohammad; Alhussein, M. Wafa Hamoud; Dewji, Aliakber

doi:10.1016/j.ijsu.2020.09.008

Cited by 7 publications

(11 citation statements)

References 3 publications

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“…60,[66][67][68][69][70] Nearly 40% of all patients in the United Kingdom did not have access to online consultations in 2019 and additional patients were unfamiliar with the technology. 69 Elderly, immigrant, and lower-income populations are traditionally considered to have a disadvantage to accessing telemedicine. 60,65,[67][68][69][70] The limited availability of broadband and its high costs in some regions are major barriers for the patient population, as well as an inadequate infrastructure for information technology.…”

Section: Resultsmentioning

confidence: 99%

“…These fault lines existed long before the pandemic, but they have been highlighted in terms of testing and treatment for SARS-CoV-2 and technological barriers to accessing telemedicine. 60,65,[67][68][69][70][71][72]100,101 These factors should be considered, as many patients with CLTI fall into these categories, and they are significantly likely to have worse outcomes (and undergo amputations). 16 There are likely other examples that we must bear in mind as we go forward.…”

Section: Discussionmentioning

confidence: 99%

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The impact of the SARS‐CoV‐2 pandemic on the management of chronic limb‐threatening ischemia and wound care

Driver

Couch

Eckert

et al. 2021

Wound Repair Regeneration

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In the wake of the coronavirus pandemic, the critical limb ischemia (CLI) Global Society aims to develop improved clinical guidance that will inform better care standards to reduce tissue loss and amputations during and following the new SARS‐CoV‐2 era. This will include developing standards of practice, improve gaps in care, and design improved research protocols to study new chronic limb‐threatening ischemia treatment and diagnostic options. Following a round table discussion that identified hypotheses and suppositions the wound care community had during the SARS‐CoV‐2 pandemic, the CLI Global Society undertook a critical review of literature using PubMed to confirm or rebut these hypotheses, identify knowledge gaps, and analyse the findings in terms of what in wound care has changed due to the pandemic and what wound care providers need to do differently as a result of these changes. Evidence was graded using the Oxford Centre for Evidence‐Based Medicine scheme. The majority of hypotheses and related suppositions were confirmed, but there is noticeable heterogeneity, so the experiences reported herein are not universal for wound care providers and centres. Moreover, the effects of the dynamic pandemic vary over time in geographic areas. Wound care will unlikely return to prepandemic practices. Importantly, Levels 2–5 evidence reveals a paradigm shift in wound care towards a hybrid telemedicine and home healthcare model to keep patients at home to minimize the number of in‐person visits at clinics and hospitalizations, with the exception of severe cases such as chronic limb‐threatening ischemia. The use of telemedicine and home care will likely continue and improve in the postpandemic era.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The impact of the SARS‐CoV‐2 pandemic on the management of chronic limb‐threatening ischemia and wound care

Driver

Couch

Eckert

et al. 2021

Wound Repair Regeneration

View full text Add to dashboard Cite

show abstract

“…The COVID-19 pandemic created a need for alternative routes of communication and patient care. 21 , 22 Telemedicine has remarkable potential to improve the efficiency of the current healthcare system and also reduces costs associated with travel, which is particularly relevant for tertiary services where patients may need to travel a significant distance. 21 , 23 The limitations and barriers to patients accessing these newer technologies must also be considered.…”

Section: Discussionmentioning

confidence: 99%

“… 21 , 22 Telemedicine has remarkable potential to improve the efficiency of the current healthcare system and also reduces costs associated with travel, which is particularly relevant for tertiary services where patients may need to travel a significant distance. 21 , 23 The limitations and barriers to patients accessing these newer technologies must also be considered. Previous NHS reports have discovered that up to 40% of individuals had no access to online consultations.…”

Section: Discussionmentioning

confidence: 99%

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Postoperative surveillance after surgery for colorectal liver metastasis: a cross-sectional study

Nzenwa

Pathak

Knight

et al. 2024

annals

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Introduction Colorectal liver metastases (CRLM) are associated with a high recurrence rate after surgery. There is paucity of high-quality evidence regarding the nature and overall benefit of surveillance after hepatectomy for CRLM. As part of a broader programme of research, this study aimed to assess current strategies for surveillance after liver resection for CRLM and outline surgeons’ opinions regarding the benefit of postoperative surveillance. Methods An online survey was sent to clinicians performing surgery for CRLM at tertiary hepatobiliary centres in the UK. Results There were responses from a total of 23 centres (88% response rate); 15/23 centres used standardised surveillance protocols for all patients. Most centres followed patients up at six months, but there is variation in postoperative surveillance at 3, 9, 18 and beyond 60 months. Patient comorbidities, indeterminate findings on imaging, margin status and assessment of recurrence risk were identified as the major factors influencing personalised surveillance strategies. There was clear clinician equipoise regarding the costs and benefits of surveillance. Conclusion There is heterogeneity in postoperative follow-up for CRLM in the UK. High-quality prospective studies and randomised trials are necessary to elucidate the value of postoperative surveillance and identify optimal follow-up strategies.

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Comparing stapler and sutured mesh fixation techniques for laparoscopic TAPP repair: a study on chronic groin pain on 3-year follow-up

Elhadidi,

Negm,

Shouma

2024

Updates Surg

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Trans-abdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) repairs are the available surgeries for inguinal hernias, with both methods of laparoscopic repairs requiring mesh applications. This study analyzes the correlation between sutured versus stapler mesh fixation in a laparoscopic TAPP for unilateral groin hernia regarding chronic pain during 3-year follow-up. A total of 130 patients with laparoscopic hernia undergoing TAPP repair were randomized into 2 groups based on their fixation technique—one with sutures and the other with stapler. Postoperative complications and chronic groin pain were noted for each technique. Equal number of participants was present in the stapler and suture groups, with the majority having an ASA score of one. The mean age was 42.50 ± 13.86 years, and the body mass index (BMI) was 27.47 ± 5.88. The stapler group presented a shorter mean operative time than the suture group. However, the stapler group had a significantly higher mean VAS score than the suture group. Most participants in the suture group (89.2%) had LOS for 1 day, while a 2-day LOS was significantly higher in the stapler group (12.3%) than in the suture group (9.2%). No patient reported mesh erosion, conversion, recurrence, testicular atrophy, and mesh infection. Early postoperative pain was more in stapler group along with long hospital stay, but both were non-significant. Chronic postoperative pain results and recurrence incidences over 3-year follow-up were also similar. Re-admission rates were minimal, no significant complications occurred.

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A Commentary on “Impact of the Coronavirus (COVID-19) pandemic on surgical practice - Part 1” (International Surgery 2020; 79:168–179) The Effectiveness of Telemedicine during the COVID-19 Pandemic

Cited by 7 publications

References 3 publications

The impact of the SARS‐CoV‐2 pandemic on the management of chronic limb‐threatening ischemia and wound care

The impact of the SARS‐CoV‐2 pandemic on the management of chronic limb‐threatening ischemia and wound care

Postoperative surveillance after surgery for colorectal liver metastasis: a cross-sectional study

Comparing stapler and sutured mesh fixation techniques for laparoscopic TAPP repair: a study on chronic groin pain on 3-year follow-up

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