Virtual Care in Rhinology.


Journal

Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
ISSN: 1916-0216
Titre abrégé: J Otolaryngol Head Neck Surg
Pays: England
ID NLM: 101479544

Informations de publication

Date de publication:
13 Apr 2021
Historique:
received: 10 10 2020
accepted: 22 02 2021
entrez: 14 4 2021
pubmed: 15 4 2021
medline: 22 4 2021
Statut: epublish

Résumé

The SARS-CoV-2 (COVID) pandemic has resulted in an increase in virtual care. While some specialties are well suited to virtual care, Otolaryngology - Head and Neck Surgery could be limited due to reliance on physical examination and nasal endoscopy, including Rhinology. It is likely virtual care will remain integrated for the foreseeable future and it is important to determine the strengths and weaknesses of this treatment modality for rhinology. A survey on virtual care in rhinology was distributed to 61 Canadian rhinologists. The primary objective was to determine how virtual care compared to in-person care in each area of a typical appointment. Other areas focused on platforms used to deliver virtual care and which patients could be appropriately assessed by virtual visits. 43 participants responded (response rate 70.5%). The majority of participants use the telephone as their primary platform. History taking and reviewing results (lab work, imaging) were reported to be equivalent in virtual care. Non-urgent follow up and new patients were thought to be the most appropriate for virtual care. The inability to perform exams and nasal endoscopy were reported to be significant limitations. It is important to understand the strengths and limitations of virtual care. These results identify the perceived strengths and weaknesses of virtual care in rhinology, and will help rhinologists understand the role of virtual care in their practices.

Sections du résumé

BACKGROUND BACKGROUND
The SARS-CoV-2 (COVID) pandemic has resulted in an increase in virtual care. While some specialties are well suited to virtual care, Otolaryngology - Head and Neck Surgery could be limited due to reliance on physical examination and nasal endoscopy, including Rhinology. It is likely virtual care will remain integrated for the foreseeable future and it is important to determine the strengths and weaknesses of this treatment modality for rhinology.
METHODS METHODS
A survey on virtual care in rhinology was distributed to 61 Canadian rhinologists. The primary objective was to determine how virtual care compared to in-person care in each area of a typical appointment. Other areas focused on platforms used to deliver virtual care and which patients could be appropriately assessed by virtual visits.
RESULTS RESULTS
43 participants responded (response rate 70.5%). The majority of participants use the telephone as their primary platform. History taking and reviewing results (lab work, imaging) were reported to be equivalent in virtual care. Non-urgent follow up and new patients were thought to be the most appropriate for virtual care. The inability to perform exams and nasal endoscopy were reported to be significant limitations.
CONCLUSION CONCLUSIONS
It is important to understand the strengths and limitations of virtual care. These results identify the perceived strengths and weaknesses of virtual care in rhinology, and will help rhinologists understand the role of virtual care in their practices.

Identifiants

pubmed: 33849641
doi: 10.1186/s40463-021-00505-1
pii: 10.1186/s40463-021-00505-1
pmc: PMC8042468
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

24

Références

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pubmed: 32298018
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pubmed: 32393101
Am J Otolaryngol. 2020 Nov - Dec;41(6):102569
pubmed: 32683188
Otolaryngol Head Neck Surg. 2020 Jul 14;:194599820943523
pubmed: 32662749
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pubmed: 32703000
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pubmed: 32479413
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pubmed: 32423323
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pubmed: 32307192
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pubmed: 32191675

Auteurs

Kristine A Smith (KA)

Department of Otolaryngology - Head and Neck Surgery, University of Manitoba, GB421B - 820 Sherbrook Street, Winnipeg, Manitoba, Canada. kristine.smith2012@gmail.com.

Andrew Thamboo (A)

Division of Otolaryngology - Head & Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, Canada.

Yvonne Chan (Y)

Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, Canada.

Christopher J Chin (CJ)

Divsion of Otolaryngology-Head and Neck Surgery, Dalhousie University, Saint John, NB, Canada.

Megan Werger (M)

McMaster University, Toronto, Canada.

Brian Rotenberg (B)

Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, Canada.

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Classifications MeSH