Virtual postoperative visits following robotic gynecologic surgery: a study of patient satisfaction, safety, and feasibility

Mezes, Christina; Klebanoff, Jordan S.; Grebenyuk, Ekaterina; Gobern, Joseph M.; Meske, S; Amdur, Richard L.; Moawad, Gaby

doi:10.1007/s11701-021-01354-w

Cited by 5 publications

(1 citation statement)

References 15 publications

(19 reference statements)

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“…With the widespread adoption of telemedicine during the COVID-19 pandemic, some minimally invasive gynecologic surgeons transitioned postoperative visits to telemedicine [22]. A prospective cohort study of 33 patients who had robotic gynecologic surgeries showed high patient satisfaction with a 2-week postoperative video virtual visit rather than an office visit [23 ▪ ]. Although the study was not powered to assess broad feasibility or safety, only two patients required an in-person visit for complications.…”

Section: Postoperative Visitsmentioning

confidence: 99%

Perioperative visits in minimally invasive gynecologic surgery

Ingraham

Makai

2023

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of reviewPerioperative visits for gynecologic surgery patients have traditionally included in-person examinations and counseling, but the advent of telemedicine has prompted clinicians to consider varying approaches to perioperative care. We aim to educate readers on the optimal setting and context of perioperative visits and provide insight from our experience to optimize care. Recent findingsThe widespread adoption of telemedicine and a focus on equity and access has prompted gynecologic surgeons to reconsider traditional preoperative and postoperative visits.

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Section: Postoperative Visitsmentioning

confidence: 99%

Perioperative visits in minimally invasive gynecologic surgery

Ingraham

Makai

2023

Current Opinion in Obstetrics &Amp; Gynecology

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Patient Experience with Telehealth Medicine During the Ongoing COVID-19 Pandemic in New York City

Aquino

Cyr

Hoskins

et al. 2023

Telemedicine and e-Health

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Virtual Compared With In-Office Postoperative Visits After Urogynecologic Surgery

Lua-Mailland,

Nowacki,

Paraiso

et al. 2024

Obstetrics &Amp; Gynecology

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OBJECTIVE: To compare patient satisfaction, health care resource utilization, and adverse events among patients receiving a virtual video compared with in-office postoperative visit after urogynecologic surgery. We hypothesized that virtual video visits would be noninferior to in-office visits. METHODS: This was a randomized noninferiority clinical trial of patients undergoing surgery for pelvic organ prolapse and urinary incontinence at a single academic tertiary referral center. Participants were randomized to receive either a virtual video postoperative visit or a standard in-office postoperative visit. The primary outcome was patient satisfaction measured by the validated PSQ-18 (Patient Satisfaction Questionnaire-18) (noninferiority margin 5 points) at the 6-week postoperative visit. Secondary outcomes included PSQ-18 domain scores (noninferiority margin 0.5 points) and composite health care resource utilization and adverse events after the 6-week postoperative visit up to 12 weeks after surgery (noninferiority margin 10%). A sample size of 100 participants (50 per group) would allow 80% power to assess a 5-point noninferiority margin on the total PSQ-18 with an SD of 10 and α=0.05. RESULTS: From January 2023 to September 2023, 265 patients were screened for eligibility, and 104 were randomized. A total of 100 participants (50 per arm) completed the study and were included in the analysis. The mean±SD age of all participants was 57.0±13.2 years. The mean±SD PSQ-18 total score was 75.18±8.15 in the virtual group and 75.14±8.7 in the in-office group. The mean PSQ-18 total score was 0.04 points higher (ie, greater degree of satisfaction) in the virtual group, with a 95% CI of −2.75 to 2.83, which met the criterion for noninferiority. Between-group differences for all PSQ-18 domain scores likewise met criterion for noninferiority. Composite health care resource utilization was 14.0% lower in the virtual group than in the in-office group (20.0% vs 34.0%, 95% CI, −28.0% to 1.0%). For composite adverse events, the between-group difference was 2.0% (2.0% in virtual group vs 0.0% in in-office group, 95% CI,−3.0% to 8.0%). CONCLUSION: Virtual video postoperative visits were noninferior to in-office visits with regard to patient satisfaction, health care resource utilization, and adverse events and can be offered as an alternative to in-office visits for postoperative follow-up after urogynecologic surgery. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT05641077.

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Virtual postoperative visits following robotic gynecologic surgery: a study of patient satisfaction, safety, and feasibility

Cited by 5 publications

References 15 publications

Perioperative visits in minimally invasive gynecologic surgery

Perioperative visits in minimally invasive gynecologic surgery

Patient Experience with Telehealth Medicine During the Ongoing COVID-19 Pandemic in New York City

Virtual Compared With In-Office Postoperative Visits After Urogynecologic Surgery

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