Telemedicine in Urology: State of the Art

Ellimoottil, Chandy; Skolarus, Ted A.; Gettman, Matthew T.; Boxer, Richard J.; Kutikov, Alexander; Lee, Benjamin R.; Shelton, Jeremy B.; Morgan, Todd M.

doi:10.1016/j.urology.2016.02.061

Cited by 80 publications

(54 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For the last two decades, the United States (U.S.) Department of Veterans Affairs (VA) has been at the forefront of telemedicine. In 2014, 1.2 million telemedicine visits were conducted for approximately 700,000 Veterans across 44 different medical specialties (21). Additionally, the VA system has prioritized telemedicine utilization in furthering care to its veterans and its use is now even a healthcare performance goal for the 2014 to 2020 fiscal years with $1.2 billion allotted for telemedicine efforts in the 2016 VA budget (21,22).…”

Section: Adoption Of Telemedicine and Use In Postoperative Carementioning

confidence: 99%

The role of telemedicine in postoperative care

Williams

Bhatti

Alam

et al. 2018

mHealth

129

111

View full text Add to dashboard Cite

Telemedicine has become one of the most rapidly-expanding components of the health care system. Its adoption has afforded improved access to care, greater resource efficiency, and decreased costs associated with traditional office visits and has been well established in a wide array of fields. Telemedicine has been adopted in several domains of surgical care. In recent years, the role of telemedicine in postoperative care has caught attention as it has demonstrated excellent clinical outcomes, enhanced patient satisfaction, increased accessibility along with reduced wait times, and cost savings for patients and health care systems. In this narrative review, we describe the history of telemedicine, its adoption in the field of surgery and its various modalities, its use in the postoperative setting, and the potential benefits to both patients and healthcare systems. As telemedicine continues to emerge as a powerful tool for health care delivery, we also discuss several barriers to its widespread adoption as well as the future utility of telemedicine in postoperative care.

show abstract

Section: Adoption Of Telemedicine and Use In Postoperative Carementioning

confidence: 99%

The role of telemedicine in postoperative care

Williams

Bhatti

Alam

et al. 2018

mHealth

129

111

View full text Add to dashboard Cite

show abstract

“…33,34 Reimbursement for telemedicine, Health Insurance Portability and Accountability Act (HIPAA) compliance, technical challenges particularly in rural communities, health literacy, and lack of ability to perform procedures must be overcome prior to widespread adoption. 35,36 There is already evidence that the rural patients most likely to benefit from telemedicine are not those participating. 37 A realignment of patient education, financial incentives, and friendly legal environment may be required to increase use.…”

Section: Discussionmentioning

confidence: 99%

Forecasting Limited Access to Urology in Rural Communities: Analysis of the American Urological Association Census

Cohen

Fergus

Lindsey

et al. 2019

The Journal of Rural Health

View full text Add to dashboard Cite

Objective: To assess an aging subspecialty workforce and growing population that portends challenges in meeting patient care needs. We hypothesized that rural physicians are retiring at higher rates than their urban counterparts in the United States and that this represents a bellwether for workforce challenges at large. Methods: We analyzed data from the 2014-2016 American Urological Association Census, a sample-weighted representative survey of urologists, as a case study for subspecialists. We compared urologists who work in rural regions to nonrural regions on available characteristics. Results: In 2016, rural urologists accounted for 2.4% of 12,186 practicing urologists in the United States. General urology remained the focus of 90% of rural urologists, compared to 59% of nonrural urologists (P = .03). Alarmingly, 48% of rural physicians were >65 years old in 2016 compared to 29% in 2014, and 33% of rural urologists were solo practitioners compared to 9% of nonrural urologists (P < .01). The planned retirement age for rural physicians increased from 68 in 2014 to 73 in 2016 (P trend = .02). The percentage of rural practice urologists has remained stable since 2014. Conclusions: Rural urologists are older and provide more general urological care than their nonrural counterparts. Rural urologists are postponing retirement. Although this might be due to personal desires and financial goals, it may also be due to a relative absence of potential junior partners. Given that almost 50% of rural urologists were older than 65 in 2016, this is not a sustainable solution to an impending shortage of physicians. Greater innovation in telemedicine or alternative care models will soon be needed.

show abstract

“…Thinking about it, we believe it is the role of colleges and specialty associations to promote this method of communication and exchange of experience between academic professionals and other professionals in their primary care clinics. Several areas of medicine and dentistry have already observed this mode of communication and have begun to discuss the issue as the best results [28,29].…”

Section: Health Team-related Factorsmentioning

confidence: 99%

“…A specialty such as Urology has discussed this form of communication [29]. Thinking about it, perhaps we could start a discussion on the important modes of communication including mobile phone applications for the exchange of information between different locations in order to provide a new tool in the early diagnosis of oral cancer, reducing time and particularly cost in the treatment of these patients.…”

Section: Public Health System-related Factorsmentioning

confidence: 99%

How to improve the early diagnosis of oral cancer?

Bandeira

Almeida

Carta

et al. 2017

BDS

View full text Add to dashboard Cite

25 ResumoObjetivo: o carcinoma de células escamosas de cavidade bucal (CCECB) é uma das neoplasias malignas mais comuns, com cerca de 300 mil novos casos diagnosticados anualmente no mundo. Embora esteja na quinta posição entre os mais frequentes em homens no Brasil, o diagnóstico tardio continua a ser a principal causa de mau prognóstico. Revisamos a literatura para avaliar fatores que possam contribuir para o atraso de diagnóstico no câncer bucal considerando aspectos relacionados ao paciente, equipe de saúde e o Sistema de Saúde Pública. Material e Métodos: Foram pesquisados os bancos de dados Medline (PubMed), Scopus, Web of Science e Embase nos últimos 5 anos utilizando os seguintes descritores MeSH: carcinoma de células escamosas, neoplasias de boca e atraso diagnóstico. Os artigos deveriam conter em seus objetivos fatores que possam ter contribuído para o diagnóstico tardio do CCECB relacionado ao paciente, aos profissionais de saúde e ao Sistema de Saúde Pública em geral. Resultados: Cento e vinte artigos foram recuperados, sendo elegíveis, vinte e sete relacionados ao diagnóstico tardio de câncer bucal. Conclusão: a literatura mostrou que o atraso no diagnóstico e tratamento de pacientes com câncer bucal poderia ser minimizado, fornecendo informações sobre saúde, particularmente sobre fatores de risco a população, melhorando o treinamento e reciclagem de médicos e dentistas e melhorando o acesso ao sistema de saúde. As tecnologias de comunicação, dentre elas a telemedicina, pode desempenhar um papel fundamental no diagnóstico precoce de câncer bucal. ABsTRACTObjective: Oral squamous cell carcinoma (OSCC) is one of the most common malignant neoplasms, with 300,000 new cases annually diagnosed in the world. Although it appears in the fifth position among men in Brazil, late diagnosis continues to be a leading cause of poor prognosis. We reviewed the literature to evaluate factors that contribute to diagnostic delay in oral cancer considering aspects related to the patient, health team and public health system. Material and Methods: The Medline (PubMed), Scopus, Web of Science and Embase databases were searched in the last 5 years using the following MeSH descriptors: carcinoma, squamous cell; mouth neoplasms; delayed diagnosis. The articles should contain in their objectives factors contributing to the delayed diagnosis of OSCC related to the patient, healthcare professionals and public health system in general. Results: One hundred twenty articles were retrieved and 27 on the delayed diagnosis of oral cancer were eligible. Conclusion: The literature showed that the delay in the diagnosis and treatment of patients with oral cancer could be minimized by providing health information, particularly about risk factors, by improving the training and retraining of physicians and dentists and by improving access to the health system. The communication technologies such as telemedicine, can play a key role in the early diagnosis of oral cancer.

show abstract

Telemedicine in Urology: State of the Art

Cited by 80 publications

References 45 publications

The role of telemedicine in postoperative care

The role of telemedicine in postoperative care

Forecasting Limited Access to Urology in Rural Communities: Analysis of the American Urological Association Census

How to improve the early diagnosis of oral cancer?

Contact Info

Product

Resources

About