Use of Telehealth by Surgical Specialties During the COVID-19 Pandemic

Chao, Grace F.; Li, Kathleen; Zhu, Ziwei; McCullough, Jeff; Thompson, Michael P.; Claflin, Jake; Fliegner, Maximilian; Steppe, Emma; Ryan, Andrew M.; Ellimoottil, Chad

doi:10.1001/jamasurg.2021.0979

Cited by 128 publications

(112 citation statements)

References 14 publications

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“…This is a pattern that has emerged across orthopaedic subspecialties. Through a statewide cohort study, Chao et al[ 8 ] analyzed telehealth utilization across surgical subspecialties during the pandemic through September 2020. Their results found neurosurgery and urology to be highest and orthopaedic surgery to be either be the lowest or second lowest in converting clinic appointments to telehealth.…”

Section: Discussionmentioning

confidence: 99%

Multicenter Evaluation of Telehealth Utilization in Hip and Knee Arthroplasty Before and for One Year During the COVID-19 Pandemic

et al. 2021

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Background The Coronavirus Disease 2019 (COVID-19) pandemic has led to an increase in telehealth utilization across healthcare. It is unknown if telehealth use among hip and knee arthroplasty clinics has remained an important healthcare delivery platform. The purpose of the present study was to analyze telehealth utilization prior to and for one-year during the pandemic among four, varied hip and knee arthroplasty clinics. Methods Retrospective data was available from four, regionally diverse hip and knee arthroplasty centers. Data on volume of patient visits, demographics, visit types (new visit, follow-up, postoperative visit, other), visit modality (in-person, telehealth, telephone) was available from January 2020 through April 2021. Data from the centers was analyzed as a total and separately, using Chi-squared and Fisher exact tests. Results Among the four centers, there were 296,540 hip and knee arthroplasty outpatient clinic visits between January 2020 through April 2021. Of those, 15,240 (5%) were telehealth visits. Prior to March 2020, less than 0.1% of visits across centers occurred over telehealth. The highest utilization of telehealth visits occurred in March 2020 (>55%) and April 2020 (>25%). From August 2020 until April 2021, telehealth visits accounted for 2-3% of total visits. Younger patients (<50 years old) were most likely to utilize telehealth. Follow-up and postoperative were the most likely telehealth visits. Conclusion Telehealth utilization peaked during March and April of 2020 and has since reverted to near pre-pandemic levels. Younger patients and lower complexity visits such as postoperative or follow-up visits are more likely to utilize telehealth.

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Section: Discussionmentioning

confidence: 99%

Multicenter Evaluation of Telehealth Utilization in Hip and Knee Arthroplasty Before and for One Year During the COVID-19 Pandemic

et al. 2021

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“…26 During the COVID-19 pandemic, there was a substantial increase in telemedicine use across the specialty of thoracic surgery. 27 Similarly, the ASA recognizes that many anesthesiologists may have increased or explored the use of telehealth and telemedicine visits during the COVID-19 pandemic. [click here] Pre-anesthesia evaluation must be performed by a qualified anesthesiologist.…”

Section: Preoperative Evaluation and Telemedicinementioning

confidence: 99%

Thoracic Anesthesia during the COVID-19 Pandemic: 2021 Updated Recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee

Şentürk

El-Tahan

Shelley

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…6 Rapid regulatory changes implemented in the US pushed telehealth forward in a paradigm shift that allowed some patients to connect to their clinicians more safely from home than a clinic or hospital for nonurgent medical issues. While national data on trends in telehealth across surgical specialties are limited, evidence from Michigan 7 suggests that the use of telehealth use for preoperative and postoperative follow-up visits is substantially higher across all surgical specialties compared with prepandemic levels and substantial variation exists in the use of this care approach across surgical specialties. The major shift to telehealth in the health care system represents another important opportunity for surgical outcomes researchers to study.…”

Section: Surgical Reentry After Covid-19: the Potential For Provoking Existing Disparitiesmentioning

confidence: 99%

Using Health Services Research to Address the Unique Challenges of the COVID-19 Pandemic

2021

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Use of Telehealth by Surgical Specialties During the COVID-19 Pandemic

Abstract: IMPORTANCE While telehealth use in surgery has shown to be feasible, telehealth became a major modality of health care delivery during the COVID-19 pandemic.OBJECTIVE To assess patterns of telehealth use across surgical specialties before and during the COVID-19 pandemic.

Cited by 128 publications

References 14 publications

Multicenter Evaluation of Telehealth Utilization in Hip and Knee Arthroplasty Before and for One Year During the COVID-19 Pandemic

Multicenter Evaluation of Telehealth Utilization in Hip and Knee Arthroplasty Before and for One Year During the COVID-19 Pandemic

Thoracic Anesthesia during the COVID-19 Pandemic: 2021 Updated Recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee

Using Health Services Research to Address the Unique Challenges of the COVID-19 Pandemic

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