Telemedicine Consultations in Oral and Maxillofacial Surgery: A Follow-Up Study

Wood, Eric W.; Strauss, Robert A.; Janus, Charles; Carrico, Caroline K.

doi:10.1016/j.joms.2015.09.026

Cited by 59 publications

(75 citation statements)

References 7 publications

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“…Demartines et al discussed the accuracy of judging organ structure and function before digestive or endocrine surgery ( 14 ). Three studies found that preoperative diagnosis via telemedicine was as accurate as interventions carried out in usual conventional clinics ( 9 , 17 , 19 ). Wallace et al used telemedicine to allow different surgical teams to evaluate patients’ injuries before they went into the operating room.…”

Section: Resultsmentioning

confidence: 99%

“…All studies reported high satisfaction using telemedicine, with scores ranging from 4.5 to 5 out of 5. Two studies that described patient satisfaction included reference to money saved ( 12 , 19 ). Most of the patients’ comments were about avoiding unnecessary trips to hospitals, saving time and reducing the number of working days missed ( 24 , 25 ).…”

Section: Resultsmentioning

confidence: 99%

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The Use of Telemedicine in Surgical Care: a Systematic Review

et al. 2018

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Introduction:Telemedicine describes a healthcare service where physicians communicate with patients remotely using telecommunication technologies. Telemedicine is being used to provide pre-/postoperative surgical consultation and monitoring as well as surgical education.Aim:Our purpose was to investigate the broad range of telemedicine technologies used in surgical care.Material and methods:MEDLINE, EMBASE, CINAHL, and Science Direct were searched for available literature from inception to March 30, 2018 with no language restrictions. The search terms included: cell phones, telemedicine, telecommunications, video, online, videoconferencing, remote consultation, surgery, preoperative, perioperative, postoperative, and surgical procedures. Studies were included if they used telemedicine in surgery for pre-, peri-, or post-surgery periods, and if they compared traditional surgical care with surgical telemedicine. We excluded case series, case reports, and conference abstracts from our review.Results:A total of 24 studies were included in our review. The study found that the use of telemedicine in preoperative assessment and diagnosis, evaluation after surgery and follow-up visits to be beneficial. Patients reported benefits to using telemedicine such as avoiding unnecessary trips to hospitals, saving time and reducing the number of working days missed.Conclusion:Telemedicine in surgical care can provide benefits to both patients and clinicians.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Use of Telemedicine in Surgical Care: a Systematic Review

et al. 2018

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“…Various prior studies have reported high patient satisfaction with telemedicine in the surgical context, citing benefits of money saved/economic benefit, 5,6 reduced missed work, 7 reduced trips to hospital, 7,8 and preventing additional calls or visits to clinicians. 8 However, almost all of this work has been for surgical follow-up visits and not initial consultations, which was the focus of our study.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine for Surgical Consultations – Pandemic Response or Here to Stay?

et al. 2020

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This study aims to determine the public's perception of telemedicine surgical consultations, during the COVID-19 pandemic and beyond. Summary Background Data: With rapid expansion and uptake of telemedicine during the pandemic, many have posited that virtual visits will endure even as in-person visits are reinstated. The public's perception of telemedicine for an initial surgical consultation has not been previously studied. Methods: A 43-question survey assessed respondents' attitudes toward telemedicine for initial consultations with surgeons, both in the context of COVID-19 and during ''normal circumstances.'' Participants were recruited through Amazon Mechanical Turk, an online crowd-sourcing marketplace. Results: Based on 1827 analyzable responses, we found that a majority (86%) of respondents reported being satisfied (either extremely or somewhat) with telemedicine encounters. Interestingly, preference for in-person versus virtual surgical consultation reflected access to care, with preference for telemedicine decreasing from 72% to 33% when COVID-related social distancing ends. Preferences for virtual visits decreased with increasing complexity of the surgical intervention, even during the pandemic. A majority felt that ''establishing trust and comfort'' was best accomplished in person, and the vast majority felt it was important to meet their surgeons before the day of surgery. Conclusions: The public views telemedicine as an acceptable substitute for in-person visits, especially during the pandemic. However, it seems that an inperson interaction is still preferred when possible for surgical consultations. If telemedicine services are to persist beyond social distancing, further exploration of its impact on the patient-surgeon relationship will be needed.

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“…2 Furthermore, many institutions have expanded telehealth capabilities into several surgical fields including vascular, bariatric, maxillofacial, thoracic, and transplant surgery. [3][4][5][6][7] Several benefits of telehealth have been previously described, including high patient and provider satisfaction and reduced barriers related to travel. 8 With the expansion of Medicare coverage to now include telehealth services during the COVID-19 pandemic, there is an anticipated surge in usage as millions of Americans now have insurance coverage for such programs.…”

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confidence: 99%

Factors Associated with Increased Risk of Patient No-Show in Telehealth and Traditional Surgery Clinics

Kemp

Liesman

Brown

et al. 2020

Journal of the American College of Surgeons

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BACKGROUND: With the growing use of telehealth, understanding factors affecting patient follow-up in traditional and telehealth settings is important. Few data exist examining the use of telehealth compared with traditional settings. Bridging this gap is critical to optimizing telehealth use and reducing barriers. STUDY DESIGN: This is a retrospective cohort study of return and postoperative (electronic video [eClinic] and traditional) visits from January 2018 to March 2020 at single tertiary care center. There were 12,359 unique first-encounter patients with 903 eClinic and 11,456 traditional visits; 11,547 patients completed visits, while 812 patients did not show up. Multivariable logistic regression modeling was performed to identify factors associated with no-show. County-level mapping was used to identify patterns in no-show rates. RESULTS: Patients from the eClinic had twice the odds of no-show compared with those from a traditional clinic (p < 0.001). Age was inversely proportional to odds of no-show, with each additional decade associated with a 16% decrease in these odds (p < 0.001). African-American patients had greater odds of no-show compared to Caucasian patients (odds ratio [OR] 2.47; 95% CI 1.95e3.13, p < 0.001). Marital statuses of single and legal separation were associated with higher odds of no-show compared with married marital status (p < 0.001 and p ¼ 0.04, respectively). Minimally invasive and endocrine surgery clinics had lower odds of no-show compared with acute care surgery clinic (p < 0.001 for both). County-level no-show rates demonstrate similar patterns between clinic settings. CONCLUSIONS: Several factors are associated with increased odds of no-show, including the visit being in eClinic. County-level analysis suggests no-show variation is not dependent on geographic location. Understanding these patterns allows for prospective identification of barriers and development of interventions to optimize access and patient care.

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Telemedicine Consultations in Oral and Maxillofacial Surgery: A Follow-Up Study

Cited by 59 publications

References 7 publications

The Use of Telemedicine in Surgical Care: a Systematic Review

The Use of Telemedicine in Surgical Care: a Systematic Review

Telemedicine for Surgical Consultations – Pandemic Response or Here to Stay?

Factors Associated with Increased Risk of Patient No-Show in Telehealth and Traditional Surgery Clinics

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