Telemedicine—An efficient and cost‐effective approach in parathyroid surgery

Urquhart, Andrew C.; Antoniotti, Nina; Berg, Richard L.

doi:10.1002/lary.21812

Cited by 62 publications

(83 citation statements)

References 21 publications

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“…56,57 Seven studies examined the potential for replacing follow-up clinic visits with a telephone call 47,54 or an online videoconference, either from the patient’s home 45,48,49 or from an affiliated remote clinic site. 50,52,53 Among the studies using telemedicine for ongoing monitoring, patients’ reported symptoms were collected either by automated telephone survey 43 or videophone with live patient interviews. 51 Specific objective clinical data were collected using text messages for daily surgical drain output, 55 electronic transmission of home spirometry results, 58 and more complex multi-modal monitoring of symptoms, blood pressure, and medication adherence.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies reported no complications in either group. 47,50,52 Though too heterogeneous in design to perform a formal meta-analysis, taken as a whole, the overall rate of complications in patients receiving care via telemedicine was 2.8% (7 of 254) compared with a rate of 0.4% (1 of 242) in patients receiving usual care. Beyond complication rates, Cleeland and colleagues 43 reported more rapid improvement in postoperative symptoms in patients after thoracotomy for lung cancer or lung metastases through the use of telemedicine.…”

Section: Resultsmentioning

confidence: 99%

“…1, Sathiyakumar et al 48 ; 2, Viers et al 45 ; 3, Urquhart et al 50 ; 4, Eisenberg et al 54 ; 5, Stypulkowski et al 62 ; 6, Hwa et al 47 ; 7, Costa et al 53 ; 8, Canon et al 52 …”

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Current Use of Telemedicine for Post-Discharge Surgical Care: A Systematic Review

Gunter

Chouinard

Fernandes‐Taylor

et al. 2016

Journal of the American College of Surgeons

217

212

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Current Use of Telemedicine for Post-Discharge Surgical Care: A Systematic Review

Gunter

Chouinard

Fernandes‐Taylor

et al. 2016

Journal of the American College of Surgeons

217

212

View full text Add to dashboard Cite

“…12 The previous studies noted in the literature for surgical subspecialties were generally same-day, non-reconstructive surgeries with little visual assessment required. 13 Our study group contained patients undergoing hypospadias repair, which is comparatively more complex and has a greater need for visualization of the surgical site during follow-up. This suggests that telemedicine can be used for follow-up in patients having both complex and less complex post-operative evaluations.…”

Section: Discussionmentioning

confidence: 99%

A pilot study of telemedicine for post-operative urological care in children

et al. 2014

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We conducted a retrospective study of paediatric urological surgery patients over a 12-month period. We compared patients followed up by telemedicine with those who had post-operative follow-up on site at the Arkansas Children's Hospital (ACH) in Little Rock. All pre-operative patients living in northwest Arkansas were given the opportunity to use telemedicine from a satellite clinic at Lowell, 328 km from the hospital. Of 61 patients, 10 chose telemedicine and 51 chose to be evaluated at the ACH clinic. All telemedicine visits were completed successfully, but in four cases, the video clarity of the telemedicine images was not sufficient for decision-making, and a digital photograph was sent by email to the physician at the ACH. There were no post-operative surgical complications in either patient group. In the telemedicine group, the median distance to the ACH was 330 km, and the median distance to the remote clinic was 35 km. In the on-site group, the median distance to the ACH was 293 km, which was significantly less (P=0.03). In the on-site group, the median travel time to the ACH was 174 min. If the telemedicine group had driven to the hospital, the median travel time would have been 192 min. Logistic regression showed that for every 37 km increase in distance to ACH, patients had a 111% increase in the odds of receiving telemedicine compared to receiving on-site care (OR=2.1, 95% CI: 1.0, 4.4). The pilot study supports the use of telemedicine for the post-operative evaluation of paediatric urology surgery patients and suggests that substantial travel distance and time savings can be made.

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“…18 Postoperative telehealth visits for patients who had undergone parathyroidectomy were found to be cost-effective and efficient. 19 In Europe, costs for implantable cardiac defibrillator remote follow-up visits were found to be essentially the same as those for in-office follow-up visits. 20 A few studies provide information about the knowledge, attitudes, and adoption of telehealth services among health care providers.…”

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confidence: 93%

Family Physicians Report Considerable Interest in, but Limited Use of, Telehealth Services

et al. 2017

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Purpose:Little is known about the attitudes toward and adoption of telehealth services among family physicians (FPs), the largest primary care physician group. We conducted a national survey of FPs, randomly sampled from membership organization files, to investigate use of and barriers to using telehealth services.Methods: Using bivariate analyses, we examined how telehealth usage affected FPs' identified barriers to using telehealth services. Logistic regressions show the factors associated both with using telehealth services and with barriers to using telehealth services.Results: Surveys reached 4980 FPs; 1557 surveys were eligible for analysis (31% response rate). Among FPs, 15% reported using telehealth services during 2014. After controlling for the characteristics of the physicians and their practice, FPs who were based in a rural setting, worked in a practice owned by an integrated health system or other ownership structure, and provided hospital/urgent/emergency care were more likely to use telehealth. Physician and practice characteristics by telehealth use status, sex of the physician, practice location, years in practice, care provided, and practice ownership were associated with the barriers identified. As health care delivery in the United States transitions to a patient-centered, value-based system with improved access to services, physician availability is a challenge. Telehealth could help address this problem. Although the term telehealth has been widely applied and well recognized for more than 4 decades, it lacks a singular definition. Broadly, telehealth is the use of technology to deliver health care services and information from a distance. Telehealth usage has evolved from static "store-and-forward" applications in which information, such as radiologic images, is stored and then forwarded for diagnostic review or a second opinion. Today's clinicians are providing virtual visits in real time through secure, interactive video exchange. These telehealth visits address a wide range of issues, from urgent to chronic, from primary care to subspecialty consultation, and from initial diagnosis to follow-up and management.As the largest health care delivery platform in the United States, the primary care setting 1 offers great potential for expanding telehealth use. TeleThis article was externally peer reviewed.

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Telemedicine—An efficient and cost‐effective approach in parathyroid surgery

Abstract: TeleHealth is a cost-effective and efficient way to follow-up with patients who have undergone parathyroidectomy, with significant convenience and financial benefits for the patient and healthcare system.

Cited by 62 publications

References 21 publications

Current Use of Telemedicine for Post-Discharge Surgical Care: A Systematic Review

Current Use of Telemedicine for Post-Discharge Surgical Care: A Systematic Review

A pilot study of telemedicine for post-operative urological care in children

Family Physicians Report Considerable Interest in, but Limited Use of, Telehealth Services

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