The use of telemedicine for delivering healthcare to bariatric surgery patients: A literature review

Coldebella, Belinda; Armfield, Nigel R; Bambling, Matthew; Hansen, Julie Bolvig; Edirippulige, Sisira

doi:10.1177/1357633x18795356

Cited by 56 publications

(61 citation statements)

References 38 publications

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“…The use of frequent, multi-disciplinary appointments can, in turn, lead to higher treatment compliance, increased satisfaction, and better outcomes. 13 Fig. 1 Telemedicine use in response to the COVID-19 pandemic.…”

Section: Expansion Of Telemedicine Services During the Covid-19 Pandemicmentioning

confidence: 99%

Telemedicine: Patient-Provider Clinical Engagement During the COVID-19 Pandemic and Beyond

Contreras

Metzger

Beane

et al. 2020

Journal of Gastrointestinal Surgery

309

315

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Background The novel coronavirus pandemic has drastically affected healthcare organizations across the globe. Methods We sought to summarize the current telemedicine environment in order to highlight the important changes triggered by the novel coronavirus pandemic, as well as highlight how the current crisis may inform the future of telemedicine.Results At many institutions, the number of telemedicine visits dramatically increased within days following the institution of novel coronavirus pandemic restrictions on in-person clinical encounters. Prior to the pandemic, telemedicine utilization was weak throughout surgical specialties due to regulatory and reimbursement barriers. As part of the pandemic response, the USA government temporarily relaxed various telemedicine restrictions and provided additional telemedicine funding. Discussion The post-pandemic role of telemedicine is dependent on permanent regulatory solutions. In the coming decade, telemedicine and telesurgery are anticipated to mature due to the proliferation of interconnected consumer health devices and high-speed 5G data connectivity.

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Section: Expansion Of Telemedicine Services During the Covid-19 Pandemicmentioning

confidence: 99%

Telemedicine: Patient-Provider Clinical Engagement During the COVID-19 Pandemic and Beyond

Contreras

Metzger

Beane

et al. 2020

Journal of Gastrointestinal Surgery

309

315

View full text Add to dashboard Cite

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Section: Discussionmentioning

confidence: 99%

“…On the other hand, results of the available literature suggest that the use of telemedicine has the potential to improve the basic knowledge of bariatric surgery patients in the preoperative period, and also to support patients in changing their lifestyle after surgery [11,16,18]. The results of these studies [11,16,18] were supportive of telemedicine for providing health services in patients undergoing bariatric surgery. Coldebella et al [16] also showed that only two randomized controlled trials are available on this topic and that telemedicine in association with standard dietary advices improved eating psychiatric disorders, but did not impact weight and/or quality of life changes.…”

Section: Discussionmentioning

confidence: 99%

“…The bene cial value of telemedicine as a unique postoperative care is not yet established, but its association to standard care could improve clinical outcomes. A recent review by Coldebella et al [16] analyzing the use of telemedicine showed that the available literature is poor, but that it improved some psychiatric disorders without signi cant impact on weight loss and quality of life [16]. The two RCTs included in this review did not report any data on physical activity.…”

Section: Introductionmentioning

confidence: 94%

“…Interestingly, some studies showed that the most important key factor to affect aftercare is the distance of patient's home from urban areas [14,15]. In order to improve long-term results and follow-up after surgery, the use of telemedicine or eHealth has been proposed for delivering healthcare to operated patients [11,[15][16][17][18]. The concept consists in the delivery of health-related services and information using telecommunication technologies or digital devices.…”

Section: Introductionmentioning

confidence: 99%

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Telemedicine Intervention Efficiency on Mobility Recovery After Bariatric Surgery: The MyGoodTrip Randomized Controlled Trial

Bruzzi

Carette

Puerto

et al. 2020

Preprint

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Background: The use of telemedicine may improve mobility recovery in patients with severe obesity undergoing bariatric surgery. Our aim was to evaluate a telemedicine intervention program dedicated to the promotion of physical activity including teleconsultation and telemonitoring on patients’ number of steps in the six first months following bariatric surgery. Methods: This study was an open label randomized controlled trial. Patients were included during the first week after bariatric surgery. Patients were randomized in two groups of telemedicine intervention: (i) physical coaching focusing on mobility (=TelePhys group) or (ii) dietary coaching (=TeleDiet group). The primary outcome was the difference in the delta number of steps measured during a period of 14 days at the first and sixth postoperative months between the TelePhys and the TeleDiet groups. Data were collected using the connected wireless watch pedometer. Body weight evolution and health-related quality of life were also evaluated. An additional qualitative approach was conducted to evaluate patients’ perception of the connected devices used in the trial.Results: Ninety patients with mean age (SD) 40.6 years (±10.3) were included. Seventy-three patients were females (81.1%) and 62 had gastric bypass (69%). The two intervention groups were comparable at inclusion except for the number of steps significantly higher in the TelePhys group (1073.102 ± 471.102 versus 839.102 ± 437.102, p=0.045). An increase of the mean number of steps between the first and the sixth month was found in both groups but this delta was significant only in the TeleDiet group (p=0.010). No difference was found when comparing the delta between the two intervention groups. A significant increase in quality of life was observed in both groups without any significant differences between the two interventions. Conclusions: Our study was not able to show a significant superiority of a telemedicine intervention dedicated to physical activity in mobility recovery after bariatric surgery. The early postoperative time frame for our intervention may explain the null findings. Further research will need to focus on long-term interventions.Trial registration: This study was registered the 23th of March 2016 (ClinicalTrials.gov Identifier: NCT02716480).

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Clinical Outcomes and Hospital Utilization Among Patients Undergoing Bariatric Surgery With Telemedicine Preoperative Care

et al. 2023

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ImportanceBariatric surgery is the mainstay of treatment for medically refractory obesity; however, it is underutilized. Telemedicine affords patient cost and time savings and may increase availability and accessibility of bariatric surgery.ObjectiveTo determine clinical outcomes and postoperative hospital utilization for patients undergoing bariatric surgery who receive fully remote vs in-person preoperative care.Design, Setting, and ParticipantsThis cohort study comparing postoperative clinical outcomes and hospital utilization after telemedicine or in-person preoperative surgical evaluation included patients treated at a US academic hospital. Participants underwent laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy after telemedicine or in-person preoperative surgical evaluation between July 1, 2020, to December 22, 2021, or January 1, 2018, to December 31, 2019, respectively. Follow-up was 60 days from date of surgery.ExposuresTelemedicine-based preoperative care.Main Outcomes and MeasuresClinical outcomes, including operating room delay, procedure duration, length of hospital stay (LOS), and major adverse events (MAE), and postoperative hospital resource utilization, including emergency department (ED) visit or hospital readmission within 30 days of the surgical procedure.ResultsA total of 1182 patients were included; patients in the telemedicine group were younger (mean [SD] age, 40.8 [12.5] years vs 43.0 [12.2] years; P = .01) and more likely to be female (230 of 257 [89.5%] vs 766 of 925 [82.8%]; P = .01) compared with the control group. The control group had a higher frequency of comorbidity (887 of 925 [95.9%] vs 208 of 257 [80.9%]; P &lt; .001). The telemedicine group was found to be noninferior to the control group with respect to operating room delay (mean [SD] minutes, 7.8 [25.1]; 95% CI, 5.1-10.5 vs 4.2 [11.1]; 95% CI, 1.0-7.4; P = .002), procedure duration (mean [SD] minutes, 134.4 [52.8]; 95% CI, 130.9-137.8 vs 105.3 [41.5]; 95% CI, 100.2-110.4; P &lt; .001), LOS (mean [SD] days, 1.9 [1.1]; 95% CI, 1.8-1.9 vs 2.1 [1.0]; 95% CI, 1.9-2.2; P &lt; .001), MAE within 30 days (3.8%; 95% CI, 3.0%-5.7% vs 1.6%; 95% CI, 0.4%-3.9%; P = .001), MAE between 31 and 60 days (2.2%; 95% CI, 1.3%-3.3% vs 1.6%; 95% CI, 0.4%-3.9%; P &lt; .001), frequency of ER visits (18.8%; 95% CI, 16.3%-21.4% vs 17.9%; 95% CI, 13.2%-22.6%; P = .03), and hospital readmission (10.1%; 95% CI, 8.1%-12.0% vs 6.6%; 95% CI, 3.9%-10.4%; P = .02).Conclusions and RelevanceIn this cohort study, clinical outcomes in the telemedicine group were not inferior to the control group. This observation suggests that telemedicine can be used safely and effectively for bariatric surgical preoperative care.

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The use of telemedicine for delivering healthcare to bariatric surgery patients: A literature review

Cited by 56 publications

References 38 publications

Telemedicine: Patient-Provider Clinical Engagement During the COVID-19 Pandemic and Beyond

Telemedicine: Patient-Provider Clinical Engagement During the COVID-19 Pandemic and Beyond

Telemedicine Intervention Efficiency on Mobility Recovery After Bariatric Surgery: The MyGoodTrip Randomized Controlled Trial

Clinical Outcomes and Hospital Utilization Among Patients Undergoing Bariatric Surgery With Telemedicine Preoperative Care

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