Utilization of a handheld telemedicine device in postoperative pediatric surgical care

DeAntonio, Jonathan H.; Kang, Hae Sung; Cockrell, Hannah; Rothstein, William G.; Oiticica, Claudio; Lanning, David A.

doi:10.1016/j.jpedsurg.2019.01.032

Cited by 22 publications

(9 citation statements)

References 14 publications

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“…Willard et al 12 studied the use of telemedicine to evaluate patients following discharge from a neonatal intensive care unit, with 76% of their population having undergone a surgery at some point during the admission. DeAntonio et al 13 conducted a pilot study where patients were seen both via an electronic device and in person to determine the feasibility of conducting remote postoperative follow-up appointments.…”

Section: Telemedicine Research In Pediatric Surgery Prior To Covid-19mentioning

confidence: 99%

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State of telemedicine use in pediatric surgery in the USA—where we stand and what we can gain from the COVID-19 pandemic: a scoping review

Metzger

Jatana

Apfeld

et al. 2021

World Jnl Ped Surgery

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BackgroundWithin the last decade, the use of telemedicine within in primary care in the USA has greatly expanded; however, use remains uncommon in surgical specialties. The spread of Coronavirus disease 2019 (COVID-19) prompted healthcare institutions to limit in-person contact, resulting in an increase in telemedicine across all specialties, including pediatric surgery. The aims of this review were to evaluate potential barriers that limited the use of telemedicine in pediatric surgery prior to the COVID-19 period and to define how best to incorporate its use into a pediatric surgical practice going forward.MethodsA scoping review was performed to identify gaps in the literature pertaining to the use of telemedicine within general pediatric surgery in the USA prior to the outbreak of COVID-19. Next, a focused evaluation of the legislative and organizational policies on telemedicine was performed. Lastly, findings were summarized and recommendations for future research developed in the context of understanding and overcoming barriers that have plagued widespread adoption in the past.ResultsDespite evidence of telemedicine being safe and well received by adult surgical patients, a total of only three studies representing original research on the use of telemedicine within pediatric surgery were identified. Legislative and organizational policies regarding telemedicine have been altered in response to COVID-19, likely resulting in an increase in the use of telemedicine among pediatric surgeons.ConclusionsTelemedicine offers a safe and effective option for patients seeking an alternative to the in-person clinic appointment. The increased utilization of telemedicine during the COVID-19 pandemic will provide an opportunity to learn how best to leverage the technology to decrease disparities and to overcome previous barriers.

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Section: Telemedicine Research In Pediatric Surgery Prior To Covid-19mentioning

confidence: 99%

“…DeAntonio et al 13 evaluated patients remotely and then immediately completed an in-person visit. There were no differences observed regarding physical examination findings or treatment recommendations between the virtual meeting and in-person encounter.…”

Section: Telemedicine Research In Pediatric Surgery Prior To Covid-19mentioning

confidence: 99%

State of telemedicine use in pediatric surgery in the USA—where we stand and what we can gain from the COVID-19 pandemic: a scoping review

Metzger

Jatana

Apfeld

et al. 2021

World Jnl Ped Surgery

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“…In many cases researchers create their own measures for examining telemedicine satisfaction [22]. In some cases, the measures that are used are entirely new or specific to the study [23]. In others they are combinations or modifications of items from previous questionnaires [24,25].…”

Section: Literature Reviewmentioning

confidence: 99%

Content Validity and Telemedicine Satisfaction Measures

Garcia

Kallio²,

Adelakun

2021

Proceedings of the Annual Hawaii International Conference on System Sciences

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Confirming the relevance of measures through content validity can be among the most important but often overlooked aspects of measurement design. With the growing need to evaluate telemedicine satisfaction it is important that researchers pay more consideration to the relevance of measures used to represent studied constructs. This research discusses a content-validity effort using a formative approach for designing measures. By presenting insights gained during this process this research contributes to the knowledge by demonstrating both the importance and challenges of content validity and measure development in practice. Results identify several issues with differences in nonexpert views, measurement modifications, participant matching strategies and form usability.

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“…Delivery of postoperative care via telemedicine has been successfully incorporated into other fields such as urology and pediatrics with promising results. [ 7 8 9 10 11 12 ] Although this modality of care in gynecology only recently gained traction due social distancing guidelines implemented to mitigate the SARS-COV2 pandemic, there is a current lack of data regarding the safety of this practice. [ 13 ] In addition, information regarding patient perception and satisfaction is also lacking.…”

Section: Introductionmentioning

confidence: 99%

Utilizing telemedicine for delivery of postoperative care following minimally invasive gynecologic surgery: A randomized controlled trial

Radtke

Umeh

Chavez

et al. 2021

Gynecol Minim Invasive Ther

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Objectives: Determine if patient satisfaction is greater after delivering postoperative care via telemedicine following minimally invasive gynecologic surgery. Materials and Methods: University-based outpatient clinic; Randomized controlled trial (Canadian Task Force classification I). Females between 18 and 60 years of age scheduled to undergo laparoscopic hysterectomy or laparoscopic excision of endometriosis were invited to participate. Eligible patients were randomized to receive postoperative care either through a traditional office visit or via telemedicine. PSQ-18 satisfaction surveys were performed by phone after the visit. Results: Forty-one patients were analyzed out of which 25 were in the office group and 16 in the telemedicine group. Groups were homogenous to age (41.4 vs. 43.3 p. 48), body mass index (31.9 vs. 30.6 P = 0.52), distance in miles from home (12.7 vs. 12.4 P = 0.92), and parity ( P = 0.51). PSQ-18 questionnaire was scored and each category was compared between the office and telemedicine groups. When comparing medians (interquartile range), the general satisfaction and time spent with doctor categories were significantly higher in the telemedicine group (4.0 [4.0, 4.5] vs. 4.5 [4.5, 5.0] P = 0.05), (4.0 [4.0, 4.5] vs. 4.5 [4.0, 5.0] P = 0.05). The remainder of the categories analyzed were not different between groups Technical Quality (4.0 [3.8, 4.5] vs. 4.5 [3.9, 5.0] P = 0.13), Interpersonal Manner (4.0 [4.0, 4.5] vs. 4.5 [4.0, 5.0] P = 0.34), Communication (4.5 [4.0, 4.5] vs. 4.5 [4.3, 5.0] P = 0.21), Accessibility and Convenience (4.0 [3.5, 4.5] v 4.0 [3.6, 4.5] P = 0.84). A chart review was performed, examining the first 30 days after surgery. One (4%) patient in the office group went to the ER after postoperative visit, and 0 in the telemedicine group ( P = 0.42). Conclusion: Postoperative care via telemedicine after gynecologic surgery results in higher patient satisfaction.

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Utilization of a handheld telemedicine device in postoperative pediatric surgical care

Cited by 22 publications

References 14 publications

State of telemedicine use in pediatric surgery in the USA—where we stand and what we can gain from the COVID-19 pandemic: a scoping review

State of telemedicine use in pediatric surgery in the USA—where we stand and what we can gain from the COVID-19 pandemic: a scoping review

Content Validity and Telemedicine Satisfaction Measures

Utilizing telemedicine for delivery of postoperative care following minimally invasive gynecologic surgery: A randomized controlled trial

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