5G-assisted telementored surgery

Lacy, Antonio M.; Bravo, Raquel; Otero-Piñeiro, Ana; Pena, Romina; Lacy, F. Borja de; Menchaca, R; Balibrea, José María

doi:10.1002/bjs.11364

Cited by 99 publications

(86 citation statements)

References 10 publications

(9 reference statements)

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“…Thus, physicians cannot visualize these important examinations. The fifth-generation (5G) wireless network with a high data rate and low latency could be useful to overcome these limitations in the future [19,20].…”

Section: Discussionmentioning

confidence: 99%

Preliminary assessment of patient and physician satisfaction with the use of teleconsultation in urology during the COVID-19 pandemic

et al. 2020

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Purpose Lockdown during the COVID-19 pandemic compelled urologists to change access to healthcare, especially for oncology patients. Teleconsultation is a safe way to receive medical advice without a risk of infection, and was implemented urgently in our academic centres. Our purpose was to evaluate patient and physician satisfaction with teleconsultation set up during the COVID-19 pandemic. Methods From March 16th 2020, all face-to-face consultations were cancelled in France, except for emergencies. Teleconsultation was started immediately by five senior urologists in two academic hospitals. All patients received an email survey including the validated Teleconsultation Satisfaction Questionnaire (TSQ) and demographic questions. Data were collected prospectively. Physicians also responded to the TSQ. Patient satisfaction was measured objectively with the validated 14-item TSQ. Each item was scored on a 5-point Likert scale. Factors associated with positive satisfaction with teleconsultation were assessed by multivariable logistic regression. Results Overall, 105 patients replied to the survey (91.3%). Median age was 66 years (IQR: 55-71) and 95 were men (90.5%). Median overall TSQ score was 67 (IQR: 60-69); teleconsultation was judged to be a good experience by 88 patients (83.8%) and four physicians (80%). Patients who met their surgeon for the first time were more likely to have a good experience (OR = 1.2 [95% CI 1.1-1.5], p = 0.03). Conclusion Introduced rapidly during the COVID-19 lockdown, urology teleconsultation attained a high level of satisfaction among both patients and physicians. A major change in telemedicine use is foreseen in the post COVID-19 era.

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Section: Discussionmentioning

confidence: 99%

Preliminary assessment of patient and physician satisfaction with the use of teleconsultation in urology during the COVID-19 pandemic

et al. 2020

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“…There have been considerable advances in the implementation of telemedicine and the development of technology. Telemedicine applications are continually emerging to new areas, such as surgical telementoring, emergency medicine collaboration, education of medical personnel, multidisciplinary team meetings and postoperative follow‐up.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine in postoperative follow-up of STOMa PAtients: a randomized clinical trial (the STOMPA trial)

Augestad

Sneve

Lindsetmo

2020

British Journal of Surgery

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Background A stoma has severe impact on the patient's quality of life (QoL). Postoperative home community follow‐up by teleconsultation (TC) and stoma nurses may reduce the burden of travel and improve QoL. Methods A university hospital and five district medical centres participated. Patients with a stoma were randomized to follow‐up by either TC (intervention) or hospital (control). Stoma nurses performed the clinical examination at the TC studio, aided remotely by hospital nurses and surgeons. The primary endpoint was the EQ‐5D™ index score; secondary endpoints were the Stoma Quality‐of‐Life Scale, the OutPatient Experiences Questionnaire, and use of hospital resources. Results A total of 110 patients were randomized to hospital (58 patients) or TC (52) follow‐up; 64 patients (hospital 38, TC 26) were followed for more than 12 months and 246 consultations (hospital 151, TC 95) were performed. There were no differences in QoL: EQ‐5D™ index score (P = 0·301) and EQ‐5D™ visual analogue scale (VAS) score (P = 0·775); Work/Social Function (P = 0·822); Sexuality/Body Image (P = 0·253) and Stoma Function (P = 0·074). Hospital follow‐up performed better for organization of care (staff collaboration, P = 0·004; met same persons, P = 0·003) and communication (surgeon understandable, P < 0·001; surgeon caring P = 0·003). TC did not increase the number of hospital consultations (P = 0·684) and reduced the number of journeys of more than 8 h (P = 0·007). Conclusion Telemedicine follow‐up by stoma nurses did not improve the QoL of patients, but decreased the readmission rate and burden of travel. Registration number NCT01600508 ( https://www.clinicaltrials.gov).

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“…The introduction of 5G and haptic feedback technology have alleviated some of these technical challenges posted by the delivery of telesurgery 10 . With the increased speed and improved quality of data transmission, real time telementored surgery is now possible to train surgeons' procedural skills through mentors from remote locations 11 …”

Section: The Development Of Telehealth Surgical Practicementioning

confidence: 99%

Telehealth practice in surgery: Ethical and medico‐legal considerations

Lee¹,

Tong

Lai

2021

Surgical Practice

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There was rapid growth of telehealth practice during the COVID‐19 outbreak in 2020. In surgery, there were beneficial effects in terms of saving time and avoiding physical contact between healthcare professionals and patients when using telehealth in the delivery of perioperative care. As telehealth is gaining momentum, the evolving ethical and medico‐legal challenges arising from this alternative mode of doctor–patient interaction cannot be underestimated. With reference to the “Ethical Guidelines on Practice of Telemedicine” issued by the Medical Council of Hong Kong and some published court and disciplinary cases from other common law jurisdictions, this article discusses relevant ethical and medico‐legal issues in telehealth practice with emphasis on the following areas: duty of care; communication and contingency; patient‐centred care and informed consent; limitations and standard of care; keeping medical records, privacy, and confidentiality; and cross‐territory practice. Whilst existing ethical and legal obligations of practicing medicine are not changed when telehealth is used as opposed to in‐person care, telehealth practitioners are advised to familiarize themselves with the ethical guidelines, to keep abreast of the medico‐legal developments in this area, and to observe the licensure requirements and regulatory regimes of both the jurisdiction where they practice and where their patients are located.

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5G-assisted telementored surgery

Cited by 99 publications

References 10 publications

Preliminary assessment of patient and physician satisfaction with the use of teleconsultation in urology during the COVID-19 pandemic

Preliminary assessment of patient and physician satisfaction with the use of teleconsultation in urology during the COVID-19 pandemic

Telemedicine in postoperative follow-up of STOMa PAtients: a randomized clinical trial (the STOMPA trial)

Telehealth practice in surgery: Ethical and medico‐legal considerations

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