Clinical implications of telemedicine for providers and patients

Berg, Wendy K.; Goldstein, Marc; Melnick, A.P.; Rosenwaks, Zev

doi:10.1016/j.fertnstert.2020.10.048

Cited by 23 publications

(17 citation statements)

References 23 publications

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“…Telemedicine—involuntarily adopted mainly in 2020—has proven to be a valuable tool that will most probably be heavily used and perfected in the post-pandemic period. For cancer patients, the possibility of online consultations and counseling was an effective way of reducing hospital and clinic visits and the risk of contracting SARS-CoV-2 [ 88 , 89 ].…”

Section: What Are the Issues That Might Hamper A Safe Oncofertility P...mentioning

confidence: 99%

Oncofertility and COVID-19: At the Crossroads between Two Time-Sensitive Fields

Varlas

Borş

Pop

et al. 2022

JCM

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Background: COVID-19 infection has dominated our lives and left its mark on it. The impact on fertility is major, and the long-term consequences may be disastrous. When we talk about oncofertility, we are talking about those patients worried about the delay in receiving medical services (possible cancelation of surgery, decreased availability of medical services, reorientation of medical resources) due to COVID-19. Finally, patients’ worsening biological and reproductive statuses, associated with high levels of anxiety and depression, are closely related to social restrictions, economic impact, reorientation of medical resources, health policies, and fears of SARS-CoV-2 infection. Aim: We reviewed the current literature on fertility during the COVID-19 pandemic and its effect on cancer patients. Specifically, how cancer treatment can affect fertility, the options to maintain fertility potential, and the recovery options available after treatment are increasingly common concerns among cancer patients. Methods: A systematic literature search was conducted using two main central databases (PubMed®/MEDLINE, and Web of Science) to identify relevant studies using keywords SARS-CoV-2, COVID-19, oncofertility, young cancer patient, cryopreservation, assisted reproductive techniques (ART), psychosocial, telemedicine. Results: In the present study, 45 papers were included, centered on the six main topics related to COVID-19. Conclusions: Fertility preservation (FP) should not be discontinued, but instead practiced with adjustments to prevent SARS-CoV-2 transmission. The increased risk of SARS-CoV-2 infection in cancer patients requires screening for COVID-19 before FP procedures, among both patients and medical staff in FP clinics, to prevent infection that would rapidly worsen the condition and lead to severe complications.

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Section: What Are the Issues That Might Hamper A Safe Oncofertility P...mentioning

confidence: 99%

Oncofertility and COVID-19: At the Crossroads between Two Time-Sensitive Fields

Varlas

Borş

Pop

et al. 2022

JCM

View full text Add to dashboard Cite

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“…The Centers for Medicare and Medicaid Services lifting restrictions on telehealth billing likely facilitated this long overdue expansion to access. It is unclear if reimbursement for telehealth will continue outside of the pandemic, but it has the opportunity to significantly improve access to care, and with the increased convenience for patients a decreased clinic space for providers, the medical community is prepared to continue offering telehealth [35].…”

Section: Quick Adoption Of Telemedicinementioning

confidence: 99%

We are here for you: infertility clinic communication during the first wave of the COVID-19 pandemic

Mehr

Jackson-Bey

et al. 2021

J Assist Reprod Genet

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Purpose To study how SART-member fertility clinics communicated via clinic websites during the first wave of the COVID-19 pandemic following publication of ASRM COVID-19 Task Force recommendations. Methods SART-member fertility clinic websites were systematically surveyed for the presence of an REI-specific COVID-19 message (REI-CM) and analyzed for their adherence to ASRM guidance. Results Of the 381 active clinic websites, 249 (65.3%) had REI-specific COVID messaging. The presence of REI-CM was more common in private than in academic practices (73% vs 38%, p < 0.001) and with increasing practice volume: 38% of clinics with < 200 annual cycles vs 91% of clinics with > 1000 cycles ( p < 0.001). Adherence to ASRM guidance was more common in academic than in private practices (54% vs 31%, p = 0.02). Additionally, 9% of REI-CM ( n = 23) announced continued treatment regardless of a patient’s clinical urgency. This messaging was more common in groups doing > 1000 cycles a year (18%, p = 0.009) . Clinics treating all-comers were less likely to cite ASRM than other clinics (41% vs 62%, p = 0.045). However, 75% ( n = 14) cited COVID-19 guidance from WHO, CDC, and state and local governments. Conclusions Clinic response to ASRM recommendations during the first wave of COVID-19 pandemic was heterogeneous. Although academic practices were more likely to follow ASRM guidance, there was a lower extent of patient-facing messaging among academic practices than private clinics. In event of further escalations of this and future pandemics, clinics can learn from experiences to provide clear messaging to patients.

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“…The coronavirus disease 2019 (COVID-19) pandemic has greatly challenged and overwhelmed economic and health systems, leading to the deaths of more than 1 million people, although many countries have controlled the initial outbreak, there is still the risk of resurgence (1)(2)(3). In order for continuous surveillance, risk management, disease mitigation, and complete containment, health systems need to reorganize resources and rearrange clinical services at the population level so that they could meet the public health requirements and minimize the risk of transmission by providing timely healthcare services (3,4). To overcome this critical challenge, new, unique, and efficient solutions must be added to traditional methods.…”

Section: Introductionmentioning

confidence: 99%

“…Remote medical and health activities could decrease unnecessary visits and provide prompt medical services in a timely manner (1). With the development of technology and the Internet and incrementing the video-based communication potential over the last decade, a new and effective paradigm has been formed to provide telehealth and telemedicine (2,3). Telehealth refers to the utilization of information and communication technologies (ICTs) to deliver remote healthcare-related services, while telemedicine is defined as the use of electronic data and telecommunication technologies to improve clinical healthcare delivery to patients at long distances (3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

“…With the development of technology and the Internet and incrementing the video-based communication potential over the last decade, a new and effective paradigm has been formed to provide telehealth and telemedicine (2,3). Telehealth refers to the utilization of information and communication technologies (ICTs) to deliver remote healthcare-related services, while telemedicine is defined as the use of electronic data and telecommunication technologies to improve clinical healthcare delivery to patients at long distances (3)(4)(5)(6). Given the purpose of telemedicine and the model of clinical care delivery, we preferred to use the term "telemedicine" in this article to refer to all forms of ICT-based medical care.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Telemedicine solutions for clinical care delivery during COVID-19 pandemic: A scoping review

Ganjali

Jajroudi

Kheirdoust

et al. 2022

Front. Public Health

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Background:The unexpected emergence of coronavirus disease 2019 (COVID-19) has changed mindsets about the healthcare system and medical practice in many fields, forcing physicians to reconsider their approaches to healthcare provision. It is necessary to add new, unique, and efficient solutions to traditional methods to overcome this critical challenge. In this regard, telemedicine offers a solution to this problem. Remote medical activities could diminish unnecessary visits and provide prompt medical services in a timely manner.ObjectiveThis scoping review aimed to provide a map of the existing evidence on the use of telemedicine during the COVID-19 pandemic by focusing on delineation functions and technologies, analyzing settings, and identifying related outcomes.MethodsThis review was conducted following the Arksey and O'Malley framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist. PubMed and Scopus databases were systematically searched based on specific eligibility criteria. The English publications included in this study focused on telemedicine systems implemented during the COVID-19 pandemic to provide clinical care services. Two independent reviewers screened the articles based on predefined inclusion and exclusion criteria. The relevant features of telemedicine systems were summarized and presented into the following four domains and their subcategories, including functionality, technology, context, and outcomes.ResultsOut of a total of 1,602 retrieved papers, 66 studies met the inclusion criteria. The most common function implemented was counseling, and telemedicine was used for diagnosis in seven studies. In addition, in 12 studies, tele-monitoring of patients was performed by phone, designed platforms, social media, Bluetooth, and video calls. Telemedicine systems were predominantly implemented synchronously (50 studies). Moreover, 10 studies used both synchronous and asynchronous technologies. Although most studies were performed in outpatient clinics or centers, three studies implemented a system for hospitalized patients, and four studies applied telemedicine for emergency care. Telemedicine was effective in improving 87.5% of health resource utilization outcomes, 85% of patient outcomes, and 100% of provider outcomes.ConclusionThe benefits of using telemedicine in medical care delivery systems in pandemic conditions have been well–documented, especially for outpatient care. It could potentially improve patient, provider, and healthcare outcomes. This review suggests that telemedicine could support outpatient and emergency care in pandemic situations. However, further studies using interventional methods are required to increase the generalizability of the findings.

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Clinical implications of telemedicine for providers and patients

Cited by 23 publications

References 23 publications

Oncofertility and COVID-19: At the Crossroads between Two Time-Sensitive Fields

Oncofertility and COVID-19: At the Crossroads between Two Time-Sensitive Fields

We are here for you: infertility clinic communication during the first wave of the COVID-19 pandemic

Telemedicine solutions for clinical care delivery during COVID-19 pandemic: A scoping review

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