Efficacy and satisfaction of preoperative telemedicine evaluation of pediatric urologic patients

Abstract

IntroductionMinimal data exist on the accuracy of preoperative assessment with telemedicine compared to in-person preoperative evaluation. The study compared the efficacy of telemedicine in a clinic or home setting with an in-person approach for pediatric patients with urologic surgical problems.MethodsPreoperative pediatric urologic telemedicine patients between 5 days and 7 years evaluated at our institution were reviewed between January 2011 and June 2020. Both traditional clinic telemedicine patients (TM) and home telemedicine patients (TMH) were included and compared with an in-person (IP) control cohort. Caregivers were invited to complete a National Research Council (NRC) satisfaction phone survey. Data on demographics, preoperative diagnosis/surgical plan, diagnosis at surgery, and surgical procedure were collected.ResultsNinety-six patients with completed surveys were included in the study (34 TM, 24 TMH, and 38 IP). The median age was 10 months TM, 4 months TMH, and 6 months IP. Ethnicity was predominantly non-Hispanic white: 82.4% TM, 91.7% TMH, and 89.5% IP (p = 0.413). Preoperative assessment accuracy was equivalent in the three groups, with 29/34 (85.3%) TM patients, 22/24 (91.7%) TMH patients, and 35/38 (92.1%) IP patients having an accurate surgical plan (p = 0.69). Overall caregiver satisfaction was equivalent (p = 0.231).ConclusionUse of telemedicine for pediatric urological surgical planning may be as effective in accuracy and caregiver satisfaction as in-person evaluation.