Health Economic Analysis of Postoperative Video Telemedicine Visits to Patients' Homes

Demaerschalk, Bart M.; Cassivi, Stephen D.; Blegen, Rebecca N.; Borah, Bijan J.; Moriarty, James P.; Gullerud, Rachel E.; TerKonda, Sarvam P.

doi:10.1089/tmj.2020.0257

Cited by 31 publications

(22 citation statements)

References 20 publications

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“…Beyond orthopedic applications, postoperative telehealth visits have been associated with tremendous cost savings [7], and a 2.8% rate of necessary conversion to in-person follow-up [8], similar to the 1.7% rate found in this study. Combining what is now known regarding the efficacy of telehealth visits in the postoperative period, it may be reasonably concluded that telehealth incorporation represents resource savings in the postoperative period after upper extremity surgery.…”

Section: Discussionsupporting

confidence: 82%

Do Postoperative Telehealth Visits Require a High Rate of Redundant In-Person Evaluation After Upper Extremity Surgery?

Henry¹,

Maheu²,

Sodha³

et al. 2022

Cureus

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BackgroundTelehealth platforms may save resources for patients and providers, but the precise impact of their incorporation during the postoperative period is not well understood. The goal of this study is to determine whether telehealth incorporation in the postoperative period leads to an overall increase in healthcare utilization after upper extremity surgery. MethodologyPatients seen for a postoperative telehealth visit after upper extremity surgery were randomly selected and retrospectively enrolled. Complications and the total number of postoperative visits before clinical discharge were recorded and compared to controls matched by surgery type and surgeon. ResultsA total of 56 patients were seen for 60 telehealth visits. The most common surgical procedures were distal radius open-reduction internal fixation (n = 8), open carpal tunnel release (n = 8), and endoscopic carpal tunnel release (n = 6). One telehealth visit (1.7%) required conversion to in-person evaluation due to suspected superficial infection necessitating in-person physical examination. The average number of postoperative visits prior to clinical discharge was 2.6 in the telehealth group compared to 2.7 in matched controls (p = 0.886). Complication rates were similar between groups. ConclusionsThe rate of necessary in-person evaluation after postoperative telehealth visits was less than 2%. The incorporation of telehealth visits did not appear to increase healthcare utilization after upper extremity surgery. Accordingly, the postoperative period is likely an ideal application for safe and effective telehealth implementation.

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Section: Discussionsupporting

confidence: 82%

Do Postoperative Telehealth Visits Require a High Rate of Redundant In-Person Evaluation After Upper Extremity Surgery?

Henry¹,

Maheu²,

Sodha³

et al. 2022

Cureus

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“…The economic cost of telehealth may be much less than that of traditional in‐person care. 34 , 35 One study compared the cost of telehealth to in‐person postoperative visits which included the cost of travel, accommodations, meals, and missed work. 34 For patients who lived at least 1635 miles away round trip, telehealth visits had a cost savings of $1501 per visit.…”

Section: Resultsmentioning

confidence: 99%

“… 34 , 35 One study compared the cost of telehealth to in‐person postoperative visits which included the cost of travel, accommodations, meals, and missed work. 34 For patients who lived at least 1635 miles away round trip, telehealth visits had a cost savings of $1501 per visit. For patients who lived closer to providers and did not need accommodations, savings totaled $256 per visit.…”

Section: Resultsmentioning

confidence: 99%

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Acceleration of mobile health for monitoring post‐transplant in the COVID‐19 era: Applications for pediatric settings

Campagna

Tutino

Stevanovic

et al. 2021

Pediatric Transplantation

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Background Since the start of the COVID‐19 pandemic and consequent lockdowns, the use of telehealth interventions has rapidly increased both in the general population and among transplant recipients. Among pediatric transplant recipients, this most frequently takes the form of interventions on mobile devices, or mHealth, such as remote visits via video chat or phone, phone‐based monitoring, and mobile apps. Telehealth interventions may offer the opportunity to provide care that minimizes many of the barriers of in‐person care. Methods The present review followed the PRISMA guidelines. Sources up until October 2020 were initially identified through searches of PsycInfo ® and PubMed ® . Results We identified ten papers that reported findings from adult interventions and five studies based in pediatrics. Eight of the adult publications stemmed from the same two trials; within the pediatric subset, this was the case for two papers. Studies that have looked at mHealth interventions have found high acceptability rates over the short run, but there is a general lack of data on long‐term use. Conclusions The literature surrounding pediatric trials specifically is sparse with all findings referencing interventions that are in early stages of development, ranging from field tests to small feasibility trials. The lack of research highlights the need for a multi‐center RCT that utilizes robust measures of medication adherence and other outcome variables, with longer‐term follow‐up before telehealth interventions should be fully embraced.

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“…The use of telemedicine is associated with reduced costs for both patients and providers. Demaerschalk et al [ 20 ] performed a health economic analysis examining costs associated with in-person versus telehealth visits at a large, integrated practice. They considered costs of travel, accommodations, meals, and missed work, finding that telemedicine visits were estimated to save $888 per visit, on average.…”

Section: The Benefitsmentioning

confidence: 99%

Testosterone replacement therapy in the era of telemedicine

2021

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Health Economic Analysis of Postoperative Video Telemedicine Visits to Patients' Homes

Cited by 31 publications

References 20 publications

Do Postoperative Telehealth Visits Require a High Rate of Redundant In-Person Evaluation After Upper Extremity Surgery?

Do Postoperative Telehealth Visits Require a High Rate of Redundant In-Person Evaluation After Upper Extremity Surgery?

Acceleration of mobile health for monitoring post‐transplant in the COVID‐19 era: Applications for pediatric settings

Testosterone replacement therapy in the era of telemedicine

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