Implementation of a Tele-urology Program for Outpatient Hematuria Referrals: Initial Results and Patient Satisfaction

Safir, Ilan J.; Gabale, Salil; David, Sam; Huang, Jonathan; Gerhard, Robert; Pearl, Jeffrey; Lorentz, Adam; Baumgardner, James R.; Filson, Christopher P.; Issa, Muta M.

doi:10.1016/j.urology.2016.04.066

Cited by 40 publications

(32 citation statements)

References 26 publications

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“…Our study reported the data of more than 600 phone counselling for urological benign pathology: notwithstanding the simple call may seem an obsolete approach for telemedicine and may even seem inadequate for clinical visits, it perfectly matches the recommendations of the European Association of Urology [8]. In fact, the phone call, performed by using hospital phones, can be considered the rst and easiest approach for telemedicine, as reported in previously published experiences, for the management of prostate cancer [11], hematuria [12], stones [13,14], urinary incontinence [15,16] and urinary tract infections [17].…”

Section: Discussionmentioning

confidence: 64%

Implementing Telemedicine for the Management of Benign Urologic Conditions: A Single Centre Experience in Italy

Checcucci

Luca

Alessio

et al. 2020

Preprint

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Purpose: to assess the use of telemedicine with phone-call visits as practical tool to follow-up with patients affected by urological benign diseases, whose clinic visits had been cancelled during the acute phase of the COVID-19 pandemic. Methods: patients were contacted via phone-call and a specific questionnaire was administered to evaluate the health status of these patients, and to identify those who needed an “in-person” ambulatory visit due to the worsening of their condition. Secondarily, the patients’ perception of a potential shift towards a "telehealth" approach to the management of their condition and to indirectly evaluate their desire to return to “in-person” clinic visits. Results: 607 were contacted by phone-call. 87.5% (531/607) of the cases showed stability of the symptoms so no clinic in-person or emergency visits were needed. 81.5% (495/607) of patients were more concerned about the risk of contagion than their urological condition. The median score for phone visit comprehensibility and ease of communication of exams was 5/5; whilst patients’ perception of phone visits’ usefulness was scored 4/5. 53% (322/607) of the interviewees didn’t own the basic supports required to be able to perform a real telemedicine consult according to the required standards. Conclusion: Telemedicine approach limits the number of unnecessary accesses to medical facilities and represent an important tool for the limitation of the risk of transmission of infectious diseases, such as COVID-19. However, infrastructures, health workers and patients should reach out to a computerization process in order to allow a wider diffusion of more advanced forms of telemedicine, such as televisit.

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Section: Discussionmentioning

confidence: 64%

Implementing Telemedicine for the Management of Benign Urologic Conditions: A Single Centre Experience in Italy

Checcucci

Luca

Alessio

et al. 2020

Preprint

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“…7 Since then, telemedicine has continued to evolve and has been incorporated into many specialties, including urology. 8,9 In the coronavirus era, telemedicine has proven a useful tool to contain the spread of the virus. In the USA, more than 50 health institutions are using telemedicine, aiming to create a national 'forward triage' to control the surge of emergency admissions during the COVID pandemic.…”

Section: Discussionmentioning

confidence: 99%

Are telephone consultations the future of the NHS? The outcomes and experiences of an NHS urological service in moving to telemedicine

Efthymiadis

Hart

Guy

et al. 2021

Future Healthcare Journal

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“…38,39 Postoperative visits, and initial hematuria evaluations in particular, are ripe for innovation using telemedicine. 40,41 Some innovative groups go so far as to propose that registered nurses could perform "tele-cystoscopies" interpreted real time by board-certified urologists; the feasibility, safety, and legal implications of this approach are unknown and it remains an area of research. 42 Telesurgery may reduce geographic disparities to complex care in the far future, but legal, financial, and security concerns need to be addressed as well as making such a system palatable to a patient.…”

Section: Discussionmentioning

confidence: 99%

Forecasting Limited Access to Urology in Rural Communities: Analysis of the American Urological Association Census

Cohen

Fergus

Lindsey

et al. 2019

The Journal of Rural Health

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Objective: To assess an aging subspecialty workforce and growing population that portends challenges in meeting patient care needs. We hypothesized that rural physicians are retiring at higher rates than their urban counterparts in the United States and that this represents a bellwether for workforce challenges at large. Methods: We analyzed data from the 2014-2016 American Urological Association Census, a sample-weighted representative survey of urologists, as a case study for subspecialists. We compared urologists who work in rural regions to nonrural regions on available characteristics. Results: In 2016, rural urologists accounted for 2.4% of 12,186 practicing urologists in the United States. General urology remained the focus of 90% of rural urologists, compared to 59% of nonrural urologists (P = .03). Alarmingly, 48% of rural physicians were >65 years old in 2016 compared to 29% in 2014, and 33% of rural urologists were solo practitioners compared to 9% of nonrural urologists (P < .01). The planned retirement age for rural physicians increased from 68 in 2014 to 73 in 2016 (P trend = .02). The percentage of rural practice urologists has remained stable since 2014. Conclusions: Rural urologists are older and provide more general urological care than their nonrural counterparts. Rural urologists are postponing retirement. Although this might be due to personal desires and financial goals, it may also be due to a relative absence of potential junior partners. Given that almost 50% of rural urologists were older than 65 in 2016, this is not a sustainable solution to an impending shortage of physicians. Greater innovation in telemedicine or alternative care models will soon be needed.

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Implementation of a Tele-urology Program for Outpatient Hematuria Referrals: Initial Results and Patient Satisfaction

Cited by 40 publications

References 26 publications

Implementing Telemedicine for the Management of Benign Urologic Conditions: A Single Centre Experience in Italy

Implementing Telemedicine for the Management of Benign Urologic Conditions: A Single Centre Experience in Italy

Are telephone consultations the future of the NHS? The outcomes and experiences of an NHS urological service in moving to telemedicine

Forecasting Limited Access to Urology in Rural Communities: Analysis of the American Urological Association Census

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