A Prospective Comparative Study of the Feasibility and Reliability of Telephone Follow-Up in Female Urology: The Patient Home Office Novel Evaluation (PHONE) Study

Rubilotta, Emanuele; Trabacchin, Nicolò; Mancini, Vito; Costantini, Elisabetta; Artibani, Walter; Antonelli, Alessandro

doi:10.1016/j.urology.2019.10.021

Cited by 25 publications

(21 citation statements)

References 12 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: Discussionsupporting

confidence: 58%

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: Discussionsupporting

confidence: 58%

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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“…Despite no clear guidelines on the use of telemedicine in female pelvic medicine and reconstructive surgery, recently an effort was made to provide guidance regarding management of common outpatient urogynecology scenarios during the pandemic (7). While surgeons usually feel compelled to check postoperative patients, there is growing evidence that patient stratification based on perioperative risk and postoperative risk may decrease the total number of conventional visits to enhance physical distancing (6). Recently, a pre-COVID-19 pandemic randomized clinical trial showed that telephone interview after pelvic floor surgery resulted in non-inferior patient satisfaction, without differences in clinical outcomes or adverse events (8).…”

Section: Discussionmentioning

confidence: 99%

“…Interview visits were rescheduled, and in the meanwhile a telephone interview was performed. Telephone interviews were conducted through a modified version of the questionnaire validated by Balzarro et al (6), investigating prolapse symptoms, urinary incontinence, sexual dysfunction, voiding difficulties, lower urinary tract symptoms and bowel dysfunction (Table 1). Patients were also asked if they had other symptoms or disorders, to identify patients who may need urgent hospital evaluation.…”

Section: Methodsmentioning

confidence: 99%

“…In female pelvic reconstructive surgery, telephone interview has been proposed for interview of patients undergoing midurethral tapes, as a screening tool to identify patients who need conventional clinical consultation (4,5). Recently, the Phone Study compared telephonic and clinic interview results after pelvic organ prolapse and anti-incontinence surgery in female patients and demonstrated the feasibility and reliability of a telemedical procedure (6). In the era of the COVID-19 pandemic, telephone interview may be even more J Turk Ger Gynecol Assoc 2021; 22: 8-11 appropriate, to limit the contagion.…”

Section: Introductionmentioning

confidence: 99%

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Telephone interview in urogynecology in the era of COVID-19 pandemic

Barba

Manodoro

Bosio

et al. 2021

J Turkish German Gynecol Assoc

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During the Coronavirus disease-2019 (COVID-19) pandemic deferable access, including non-urgent outpatient visits, have been suspended. In our practice non-urgent routine visits for pelvic floor symptom assessment were discontinued and rescheduled, and telephone interview was performed. The aim was to evaluate patients' satisfaction for this alternative approach. Material and Methods: Telephone interviews were conducted using a validated questionnaire to investigate pelvic floor symptoms. Patients were also asked if they had other symptoms or disorders, to identify patients who may need urgent hospital evaluation. At the end of the phone call, patients were asked to score their satisfaction with the telephone interview by grading their response to three questions from 0 (minimum) to 10 (maximum). The questions were: 1) "Was the telephone interview useful to check your state of health?"; 2) "Was the telephone interview an adequate healthcare tool in consideration of COVID-19 outbreak?"; 3) "Could the telephone interview replace the conventional visit?". Results: Fifty-three patients were evaluated. All patients showed great satisfaction with telephone interview (Q1 median: 10, IQ range: 10-10) and were similarly positive in response to the second question (Q2 median: 10, IQ range: 10-10). Although fewer patients felt that telephone interview could replace conventional clinic visits most remained positive (Q3 median: 7; IQ range: 6-8). Conclusion: This simple experience showed that phone interviews with validated questionnaires are appreciated and effective to safely perform interview of selected urogynecologic patients.

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“…The primary outcome, VT failure, was not significantly different (53% PVR VT vs. 53% PVR-free VT, p = 1.0). There were no significant differences in days of postoperative catheterization (1 [0, 4] in PVR VT vs. 1 [0,4] in PVR-free VT, p = 0.90), UTI (20% PVR VT vs. 20% PVR-free VT, p = 1.0), or postoperative voiding dysfunction (4% PVR VT vs. 5% PVR-free VT, p = 1.0). The authors concluded that it is not necessary to check a postvoid residual following reconstructive pelvic surgery, and a patient can safely go home without catheterization as long as she is able to void 50% of the retrograde filled bladder volume [112].…”

Section: Voiding Dysfunction and Retentionmentioning

confidence: 99%

A guide for urogynecologic patient care utilizing telemedicine during the COVID-19 pandemic: review of existing evidence

et al. 2020

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Introduction and hypothesis The COVID-19 pandemic and the desire to "flatten the curve" of transmission have significantly affected the way providers care for patients. Female Pelvic Medicine and Reconstructive Surgeons (FPMRS) must provide high quality of care through remote access such as telemedicine. No clear guidelines exist on the use of telemedicine in FPMRS. Using expedited literature review methodology, we provide guidance regarding management of common outpatient urogynecology scenarios during the pandemic. Methods We grouped FPMRS conditions into those in which virtual management differs from direct in-person visits and conditions in which treatment would emphasize behavioral and conservative counseling but not deviate from current management paradigms. We conducted expedited literature review on four topics (telemedicine in FPMRS, pessary management, urinary tract infections, urinary retention) and addressed four other topics (urinary incontinence, prolapse, fecal incontinence, defecatory dysfunction) based on existing systematic reviews and guidelines. We further compiled expert consensus regarding management of FPMRS patients in the virtual setting, scenarios when in-person visits are necessary, symptoms that should alert providers, and specific considerations for FPMRS patients with suspected or confirmed COVID-19. Results Behavioral, medical, and conservative management will be valuable as first-line virtual treatments. Certain situations will require different treatments in the virtual setting while others will require an in-person visit despite the risks of COVID-19 transmission.Conclusions We have presented guidance for treating FPMRS conditions via telemedicine based on rapid literature review and expert consensus and presented it in a format that can be actively referenced.

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A Prospective Comparative Study of the Feasibility and Reliability of Telephone Follow-Up in Female Urology: The Patient Home Office Novel Evaluation (PHONE) Study

Cited by 25 publications

References 12 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

Telephone interview in urogynecology in the era of COVID-19 pandemic

A guide for urogynecologic patient care utilizing telemedicine during the COVID-19 pandemic: review of existing evidence

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