Letter to the Editor: The Use of Telemedicine by Neurosurgeons During the Covid Era: Preliminary Results of a Cross-Sectional Research

Gadjradj, Pravesh S.; Matawlie, Roshni H.S.; Harhangi, Biswadjiet S.

doi:10.1016/j.wneu.2020.05.203

Cited by 6 publications

(7 citation statements)

References 7 publications

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“…The process and results of the review are illustrated in Figure Study characteristics are shown in Table 1. Five Literature reviews were included [7][8][9][10][11], three qualitative studies [12][13][14] and 22 quantitative studies .…”

Section: Resultsmentioning

confidence: 99%

“…Notably, the elderly utilised the telehealth media more competently and more frequently than anticipated. [13,14,17,18,37] Concerns about privacy and confidentiality can be managed with appropriate policies and protocols. [7,9,11,14,23] Additional study of the value of remote education and inter-professional consultation [8,10] can be readily extrapolated to other specialties.…”

Section: Resultsmentioning

confidence: 99%

“…[13,14,17,18,37] Concerns about privacy and confidentiality can be managed with appropriate policies and protocols. [7,9,11,14,23] Additional study of the value of remote education and inter-professional consultation [8,10] can be readily extrapolated to other specialties. It is clear that when enrolment in telehealth initiatives is enshrined in a welldefined and well publicised protocol, compliance, satisfaction and safety can be ensured.…”

Section: Resultsmentioning

confidence: 99%

“…It is clear that when enrolment in telehealth initiatives is enshrined in a welldefined and well publicised protocol, compliance, satisfaction and safety can be ensured. [7,9,11,14,23] The addition of telephone or platform support for patients to the normal protocol has not been shown to have any significant benefit [12,19,26,[31][32][33]. However, there was no loss of clinical accuracy or satisfaction when the telehealth modality replaced what previously required travel to the clinic or hospital [14, 17, 18, 20, 22-25, 28, 30, 35].…”

Section: Resultsmentioning

confidence: 99%

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The Transmogrification of Surgical Telehealth: a PRISMA Review

Taylor

Lloyd

Olley

2022

APJHM

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Telehealth has been used to care for patients at a distance in specific clinical and demographic situations, but the demand for physical isolation during the COVID-19 pandemic has expanded its application to the broader community. This systematic literature review, of very recent publications, elucidates the new ways telehealth has been implemented, confirms it’s acceptability, accessibility and safety by collating reviews, trial and cohort studies from peer reviewed journals meeting defined risk of bias criteria. Five literature reviews, three qualitative studies and 22 quantitative studies were included, which confirmed that telehealth is a safe medium for delivery of surgical health care, is accessible and efficient for the majority of patients and clinicians across the age and socioeconomic spectrum. It is time and resource efficient for providers and recipients and improves the delivery of patient-centred care. Many providers have published innovative solutions to the difficulties of telehealth, such as conducting a physical examination or technological limitations at the remote site. Health care can now be delivered directly to the home or the workplace. Routine in-person postoperative review of patients should be replaced by patient-led telehealth unless there is a specific reason for face-to-face review. Assessment and management of new cases could be managed more efficiently if a carefully planned digital referral process is developed and adopted.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The Transmogrification of Surgical Telehealth: a PRISMA Review

Taylor

Lloyd

Olley

2022

APJHM

View full text Add to dashboard Cite

show abstract

“…These prospects emphasize the need to assess and optimize the use of telemedicine to further implement the technology responsibly ( Planchard et al, 2020 ). Preliminary data suggest that geographical variation in the use of telemedicine and some shortcomings of telemedicine among neurosurgeons worldwide ( Gadjradj et al, 2020 ). By the means of this full report of an international survey, we aim to give an overview of the use of telemedicine due to COVID-19, the difficulties encountered with the use of telemedicine and the consequences of the use of telemedicine for patient care.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine use by neurosurgeons due to the COVID-19 related lockdown

2021

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Introduction Due to COVID-19 related restriction, the use of telemedicine has increased tremendously. With this increase, an evaluation in the neurosurgical field seems appropriate. Research question To what extent has telemedicine made its way in neurosurgical practice during the COVID-19 pandemic? Material and Methods A 29-question survey was distributed among members of the congress of neurological surgeons regarding (Barsom et al., 2020) the respondents demographics, (Zu et al., 2020) the current level of COVID-19 restrictions, (Greven et al., 2020) the current use of telemedicine and (LoPresti et al., 2020) potential difficulties and consequences of telemedicine for patient care. Results The average number of weekly outpatient visits decreased with 31 visits to a mean of 15 visits per week, while the average number of surgeries performed decreased with 5 to a mean of 2 procedures per week. On average 60% of the normal consultations have been converted to telehealth consults. Telemedicine was expected to increase the ability to quickly meet patients for urgent appointments (70%) but was also expected to decrease the quality of the relationship (56%) between practitioners and patients. The biggest difficulties due to use of telemedicine were the inability to perform physical examination (42%) followed by the inability of patients to use technology (24%) and working with elderly patients (20%). Discussion and Conclusion Telemedicine, however, comes with concerns regarding the quality of the relationship between patients and practitioners and regarding accessibility among certain patient groups. With these concerns, areas of improvement and further research are indicated. Due to the COVID-19 pandemic, telemedicine has become an integral part of the neurosurgical healthcare.

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Telemedicine via Smart Glasses in Critical Care of the Neurosurgical Patient—COVID-19 Pandemic Preparedness and Response in Neurosurgery

et al. 2021

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Objective The COVID-19 pandemic poses major risks to healthcare workers in neurocritical care. Recommendations are in place to limit medical personnel attending to the neurosurgical patient as a protective measure and to conserve personal protective equipment. However, the complexity of the neurosurgical patient proves to be a challenge and an opportunity for innovation. The goal of our study was to determine if telemedicine delivered through smart glasses was feasible and effective in an alternative method of conducting ward round on neurocritical care patients during the pandemic. Methods A random pair of Neurosurgery resident and specialist conducted consecutive virtual and physical ward rounds on neurocritical patients. A virtual ward round was first conducted remotely by a specialist who received real-time audiovisual information from a resident wearing smart glasses integrated with telemedicine. Subsequently, a physical ward round was performed together by the resident and specialist on the same patient. The management plans of both ward rounds were compared and the intrarater reliability was measured. On study completion a qualitative survey was performed. Results Ten paired ward rounds were performed on 103 neurocritical care patients with excellent overall intrarater reliability. Nine out of ten showed good to excellent internal consistency and one showed acceptable internal consistency. Qualitative analysis indicated wide user acceptance and high satisfaction rate with the alternative method. Conclusions Virtual ward rounds using telemedicine via smart glasses on neurosurgical patients in critical care were feasible, effective and widely accepted as an alternative to physical ward rounds during the COVID-19 pandemic.

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Letter to the Editor: The Use of Telemedicine by Neurosurgeons During the Covid Era: Preliminary Results of a Cross-Sectional Research

Cited by 6 publications

References 7 publications

The Transmogrification of Surgical Telehealth: a PRISMA Review

The Transmogrification of Surgical Telehealth: a PRISMA Review

Telemedicine use by neurosurgeons due to the COVID-19 related lockdown

Telemedicine via Smart Glasses in Critical Care of the Neurosurgical Patient—COVID-19 Pandemic Preparedness and Response in Neurosurgery

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