Long-term real-life outcomes in a georrefered cohort of acromegalic patients in Brazil

Porto, Lara Benigno; Rosa, José Wilson Corrêa; Rosa, João; Casulari, Luíz Augusto; Zimmermann, Ivan Ricardo; Naves, Luciana Ansaneli

doi:10.1007/s12020-020-02240-5

Cited by 3 publications

(2 citation statements)

References 39 publications

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“…Considering the exceptionality conferred by the pandemic, telemedicine became the only accessible option to maintain adequate medical assistance. That being said, the adherence in the study group was similar to that observed in face-to-face consultations carried out in previous years [13][14][15] and the medical effectiveness of the remote medical assistance seemed to be comparable to the conventional protocol in our service.…”

Section: Discussionsupporting

confidence: 82%

“…These results were comparable to adherence observed in conventional face-to-face consultations over the last 10 years, as previously published by our group. [13][14][15] In the survey applied after the second virtual visit, 52.4% of patients reported the desire to schedule a face-to-face consultation within the next 3 months.…”

Section: Treatment and Monitoring Of Acromegalymentioning

confidence: 99%

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Implementation and Monitoring of a Telemedicine Model in Acromegalic Outpatients in a Low-Income Country During the COVID-19 Pandemic

Naves

Rosa

Lima

et al. 2021

Telemedicine and e-Health

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Background: Telemedicine is a resource to provide health care to patients social distancing and prevent their exposure to the risk of contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in medical-hospital settings. This study evaluated a virtual model of care in acromegalic patients. Methods: We recruited 78 acromegalic patients, 65% female, median age 63 years. Outpatient management was remodeled to simplify access to care by (1) adoption of virtual meetings;(2) collection of blood samples at home; (3) abolishment of printed prescription and provision of electronic files directly to central pharmacy; and (4) drugs delivered to patients' home. Patients and physicians filled electronic surveys 48 h after each consultation.Results: The patients expressed satisfaction with convenience (91.1%), decreased wait time (85.1%), and saving money (79.2%) compared to face-to-face visits. Most patients felt supported by the medical team (89.1%) and kept the prescriptions updated (84.8%). The physicians reported resolutive appointments in 92.2% of cases, despite longer time to reach the patients and subsequent calls to complement missing information. Satisfaction and patient-provider relationship were maintained during the study, but the choice for virtual appointment for the next appointment fell from 78.7% to 34.8% after 6 months. Coronavirus disease 2019 (COVID-19) was confirmed in 13% of patients, mostly mild and moderate manifestations. Conclusion:Telemedicine is a tool for medical care in underserved populations, feasible even in low-income countries. This study suggests that it is difficult to sustain exclusive remote care for more than 6 months. The method could be adopted interchangeably with in-person consultations in acromegalic patients with stable disease.

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Section: Discussionsupporting

confidence: 82%

Section: Treatment and Monitoring Of Acromegalymentioning

confidence: 99%