Patient Acceptance of Teleurology via Telephone vs Face-to-Face Clinic Visits for Hematuria Consultation at a Veterans Affairs Medical Center

Safir, Ilan J.; Zholudev, Vitaly; Laganosky, Dean; Aliperti, Louis A.; Al-Qassab, Usama; Lindelow, Jennifer; Filson, Christopher P.; Issa, Muta M.

doi:10.1016/j.urpr.2017.06.004

Cited by 6 publications

(11 citation statements)

References 23 publications

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“… * Safir et al [11] used convenience sampling and adds 150 cases and 150 controls to the participants of Safir et al [12]. …”

Section: Resultsmentioning

confidence: 99%

“…Time‐to‐be‐seen was significantly shorter in the VC compared to the FTF group (12 vs 72 days; P < 0.001), as was median time to cystoscopy after initial consultation (16 vs 141 days; P < 0.001) [11]. Initial appointment ‘did not attend’ rates were higher in the FTF group compared to the VC group ( n = 24, 16.0% vs n = 17, 5.7%; P < 0.001).…”

Section: Resultsmentioning

confidence: 99%

“…The search identified 18 original articles [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] containing 5813 participants: two RCTs [8,13], 10 prospective studies, and six retrospective studies (Table 1). Urology sub-specialities comprised: uro-oncology (n = 6); general urology (n = 8); endo-urology (n = 2); and LUTS/incontinence (n = 2).…”

Section: Overviewmentioning

confidence: 99%

“…In the USA, Safir et al [12] first reported a pilot study of 150 VCs for haematuria in a veteran population, and later added 150 more with 150 FTF clinic controls [11] (totals: 300 VCs, 150 FTF consultations). Men were referred by primary care with microscopic (≥3 red blood cells/microscopy field) or macroscopic haematuria.…”

Section: Haematuria Clinicmentioning

confidence: 99%

“…Total participant numbers 5813 (excluding duplication populations as listed below). Safir et al[11] used convenience sampling and adds 150 cases and 150 controls to the participants of Safir et al[12]. Education Jensen et al[8] conducted an RCT to investigate the efficacy of nurse-led educational telephone calls in the immediate post-prostatectomy period.…”

mentioning

confidence: 99%

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Understanding virtual urology clinics: a systematic review

et al. 2020

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To perform a systematic review to identify the clinical, fiscal and environmental evidence on the use of urological telehealth and/or virtual clinic (VC) strategies, and to highlight research gaps in this rapidly evolving field. Methods Our PROSPERO-registered (CRD42019151946) systematic search of Embase, Medline and the Cochrane Review Database was performed to identify original research articles pertaining to adult urology telehealth or VC strategies. Risk-of-bias (RoB) assessment was performed according to the Cochrane 2.0 RoB tool or the Joanna Briggs Institute Checklist for nonrandomized studies. Results A total of 5813 participants were included from 18 original articles (two randomized controlled trials [RCTs], 10 prospective studies, six retrospective studies). Urology sub-specialities comprised: uro-oncology (n = 6); general urology (n = 8); endourology (n = 2); and lower urinary tract symptoms and/or incontinence (n = 2). Across all sub-specialties, prospective studies using VCs reported a primary median (interquartile range [IQR]) VC discharge rate of 16.6 (14.7-29.8)% and a primary median (IQR) face-to-face (FTF) clinic referral rate of 32.4 (15.5-53.3)%. Direct cost analysis demonstrated median (IQR) annual cost savings of £56 232 (£46 260-£61 116). Grade II and IIIb complications were reported in two acute ureteric colic studies, with rates of 0.20% (3/1534) and 0.13% (2/1534), respectively. The annual carbon footprint avoided ranged from 0.7 to 4.35 metric tonnes of CO 2 emissions, depending on the mode of transport used. Patient satisfaction was inconsistently reported, and assessments lacked prospective evaluation using validated questionnaires. Conclusion Urology VCs are a promising new platform which can offer clinical, financial and environmental benefits to support an increasing urological referral burden. Further prospective evidence is required across urological sub-specialties to confirm equivalency and safety against traditional FTF assessment.

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“… * Safir et al [11] used convenience sampling and adds 150 cases and 150 controls to the participants of Safir et al [12]. …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Overviewmentioning

confidence: 99%

Section: Haematuria Clinicmentioning

confidence: 99%

mentioning

confidence: 99%

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Understanding virtual urology clinics: a systematic review

et al. 2020

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Patient satisfaction and savings, and clinical outcomes of televisits in female pelvic medicine and reconstructive surgery at an urban academic center

Shin

Allen

Zhu

et al. 2021

Neurourology and Urodynamics

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Aim To evaluate patient satisfaction and savings, and compare visit outcomes based on chief complaint (CC) of women presenting for a televisit to a female pelvic medicine and reconstructive surgery (FPMRS) clinic at an urban academic center. Methods A cross‐sectional study of women completing a televisit with an FPMRS specialist at our institution from June 19, 2020 to July 17, 2020 was conducted. A telephone questionnaire was administered to patients to assess satisfaction and savings (travel costs/time avoided). Electronic medical records were reviewed to collect patient demographics and comorbidities, CC, and televisit outcomes (e.g., face‐to‐face (F2F) exam scheduled, orders placed). Logistic regression was used to analyze predictors of satisfaction and need for F2F follow‐up. Results One hundred eighty‐seven of 290 (64.5%) women called completed the survey, of whom 168 (89.8%) were satisfied with their televisit. Eighty‐eight (48.1%) saved at least an hour and 54 (28.9%) saved more than $25 on transportation. There were no significant associations between patient characteristics, CC, or televisit outcomes and satisfaction. Ninety‐nine (52.9%) televisits resulted in F2F follow‐up, with CC of prolapse (odds ratio [OR] = 4.2 (1.7–10.3); p = 0.002), new patient (OR = 2.2 (1.2–4.2); p = 0.01), and Hispanic ethnicity (OR = 3.9 (1.2–13.6); p=.03) as significant predictors. Conclusion Most patients were satisfied with FPMRS televisits at our urban academic center. Televisits resulted in patient travel time and cost savings. Women presenting with prolapse and for new patient visits would likely benefit from initial F2F visits instead of televisits. Televisits are an important mode of health care and in some cases can replace F2F visits.

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