Telemedicine in thoracic surgery

Cerfolio, Robert J.; Ferrari-Light, Dana; Shah, Savan

doi:10.21037/jovs.2019.04.04

Cited by 11 publications

(15 citation statements)

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“…In postoperative satisfaction surveys, patients reported high marks for surgeon communication. 18 Feedback from this survey corroborates the success of telemedicine in the preoperative or long-term follow upsetting.…”

Section: Discussionsupporting

confidence: 58%

Implications for Telemedicine for Surgery Patients After COVID-19: Survey of Patient and Provider Experiences

Zhu

Williamson

Lin

et al. 2020

The American Surgeon

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Introduction The coronavirus disease 2019 (COVID-19) pandemic has expanded the utilization of telemedicine in clinical practice to minimize potential risks to both patients and providers. We aim to describe the perception of telemedicine by both surgical patients and providers to understand the preferences for future incorporation in future surgical practice. Methods An anonymous survey was administered to providers that transitioned clinic visits to telemedicine encounters since the start of the COVID-19 pandemic. In the second part of the study, patients who underwent video telemedicine appointments answered survey questions via telephone. Results Twenty-six out of 36 (72.7%) providers responded. Over 75% reported that they could effectively communicate with patients over telemedicine. Six (23.1%) reported that they could adequately assess surgical sites. Of 361 patients, 187 consented to the study (consent rate 51.8%). Among patients, the most common result to choose a telemedicine appointment was to avoid the risk of COVID-19 transmission (84, 44.9%), though the minority reported that they would choose telemedicine after the pandemic (64, 34.2%). Those patients who would choose an in-person visit were more likely to have a higher Charlson Comorbidity Score, body mass index, and use friends or family for transportation. In open-ended feedback, patients suggested that telemedicine would be better suited for long-term follow-up rather than the immediate postoperative setting. Conclusions Patients and providers reported a high degree of satisfaction using telemedicine during the COVID-19 pandemic but noted concern with limited physical examinations. Telemedicine may be suited for preoperative evaluation and medium-term and long-term postoperative follow-up for surgical patients.

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Section: Discussionsupporting

confidence: 58%

Implications for Telemedicine for Surgery Patients After COVID-19: Survey of Patient and Provider Experiences

Zhu

Williamson

Lin

et al. 2020

The American Surgeon

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“…1,6 Furthermore, telehealth offers patients timely visits, often sooner than an inperson visit, and has high rates of satisfaction from patients and clinicians. 1,5,6 Surgical subspecialties and oncologic resections lend themselves well to telehealth preoperative surgical evaluations, as demonstrated in a study by Cerfolio et al published in June 2019, with 55 of 56 patients enrolled underwent thoracic oncology surgeries. 5 Postoperatively, telemedicine offers a variety of modalities easily accessible by patients and surgeons.…”

mentioning

confidence: 89%

“…While no current guidelines exist for preoperative evaluations or general surgery consults, the literature suggests that all preoperative telehealth evaluations should undergo an in-person evaluation by the operative surgeon on the morning of the surgery. 1,5,6 While telehealth is limited by the lack of physical exam, this can be overcome by through using video conferencing for consults. Telehealth evaluations provide the unique advantage of allowing a local primary care physician or mid-level to consult the surgeon remotely, and perform a supervised physical exam.…”

mentioning

confidence: 99%

Implications for the use of telehealth in surgical patients during the COVID-19 pandemic

Hakim

Kellish

Atabek

et al. 2020

The American Journal of Surgery

100

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“…Our own research has examined the safety and feasibility of using telemedicine both in the preoperative and postoperative phase of patient care. Our prospective study of 56 patients undergoing major thoracic surgery who had both pre-and postoperative telemedicine visits showed maintenance of excellent outcomes with no major morbidity or mortalities (6). Unscheduled telemedicine visits prevented six unnecessary emergency room visits.…”

Section: Thoracic Surgerymentioning

confidence: 75%

“…An additional benefit is to reduce the need for the total number of postoperative office and emergency department visits. As we have shown in our previous experience, perioperative telemedicine use in patients undergoing major thoracic surgery is a safe and effective means of communication and care and has significant travel, cost, and time savings without compromising clinical outcomes (6).…”

Section: Introductionmentioning

confidence: 84%

Novel Pre- and Postoperative Care Using Telemedicine

et al. 2020

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The use of telemedicine and telehealth services has grown exponentially over the past decade and has become increasingly relevant and necessary during the coronavirus 2019 (COVID-19) pandemic. There remains ample opportunity to electronically connect cardiothoracic surgeons with their patients during both preoperative and postoperative visits. In this review, we examine the various implementations of telemedicine within thoracic surgery and explore future applications in this quickly developing field.

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Telemedicine in thoracic surgery

Cited by 11 publications

References 0 publications

Implications for Telemedicine for Surgery Patients After COVID-19: Survey of Patient and Provider Experiences

Implications for Telemedicine for Surgery Patients After COVID-19: Survey of Patient and Provider Experiences

Implications for the use of telehealth in surgical patients during the COVID-19 pandemic

Novel Pre- and Postoperative Care Using Telemedicine

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