The use of telemedicine in pre-surgical evaluation: a retrospective cohort study of a neurosurgical oncology practice.
Brain tumor
Conversion rate
Pituitary adenoma
Telemedicine
Journal
Journal of neuro-oncology
ISSN: 1573-7373
Titre abrégé: J Neurooncol
Pays: United States
ID NLM: 8309335
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
04
05
2022
accepted:
19
07
2022
pubmed:
29
7
2022
medline:
20
9
2022
entrez:
28
7
2022
Statut:
ppublish
Résumé
To determine if there was a discrepancy between telemedicine versus in-person New Patient Visits (NPVs) regarding the conversion rate to operative and radiosurgery cases at a tertiary surgical neuro-oncology practice. A retrospective analysis was performed of patients who had an outpatient encounter with a neurosurgeon from the Tumor Division at our institution's Department of Neurosurgery between February 1, 2021 and April 30, 2021. NPVs during this period were registered as either telemedicine or in-person appointments. The primary endpoint of the study was to compare the rate at which telemedicine NPVs and in-person NPVs underwent surgery or radiosurgery, reported as the surgical conversion rate. A total of 206 patients were included in this study. Of them, 119 (57.8%) were seen using telemedicine and 87 (42.2%) were seen in clinic via an in-person visit. A total of 70 (34%) of all patients underwent surgery or radiosurgery. Of the 119 patients seen via telemedicine, 40 (33.6%) underwent surgery or radiosurgery; during the same period, 87 NPVs were conducted in person and 30 (34.5%, p = 1.0) received an intervention. Further stratification revealed no differences between the two groups across measured criteria including diagnosis, number of pre-operative visits, elapsed time from appointment to surgery, follow-up visits, and distance from home address to neurosurgical clinic. Telemedicine NPVs did not differ significantly from in-person NPVs when evaluating the likelihood of a new patient committing to surgical treatment. This study provides quantifiable evidence that telemedicine is an effective means of meeting new patients and planning complex neurosurgical interventions.
Identifiants
pubmed: 35900618
doi: 10.1007/s11060-022-04102-8
pii: 10.1007/s11060-022-04102-8
pmc: PMC9331029
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
621-626Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Neufeld JD, Doarn CR (2012) Telemedicine spending by medicare: a snapshot from 2012. Telemed J E Health 21:686–693
doi: 10.1089/tmj.2014.0185
Mouchtouris N et al (2020) Telemedicine in neurosurgery: lessons learned and transformation of care during the COVID-19 pandemic. World Neurosurg 140:e387–e394
doi: 10.1016/j.wneu.2020.05.251
Eichberg DG et al (2020) Telemedicine in neurosurgery: lessons learned from a systematic review of the literature for the COVID-19 era and beyond. Neurosurgery 88:E1–E12
doi: 10.1093/neuros/nyaa306
Gardner MM, Aslanzadeh FJ, Zarrella GV, Braun SE, Loughan AR, Parsons MW (2021) Cancer, cognition, and COVID: delivering direct-to-home teleneuropsychology services to neuro-oncology patients. Neurooncol Pract 8:485–496
pubmed: 34267923
pmcid: 8083492
Chalouhi N et al (2013) Intravenous tissue plasminogen activator administration in community hospitals facilitated by telestroke service. Neurosurgery 73:667–671
doi: 10.1227/NEU.0000000000000073
Udeh C, Udeh B, Rahman N, Canfield C, Campbell J, Hata JS (2018) Telemedicine/virtual ICU: where are we and where are we going? Methodist Debakey Cardiovasc J 14:126–133
doi: 10.14797/mdcj-14-2-126
Zanaty M et al (2014) Epidemiology of a large telestroke cohort in the Delaware valley. Clin Neurol Neurosurg 125:143–147
doi: 10.1016/j.clineuro.2014.06.006
Mouchtouris N et al (2019) Revascularization and functional outcomes after mechanical thrombectomy: an update to key metrics. J Neurosurg. https://doi.org/10.3171/2019.6.JNS183649
doi: 10.3171/2019.6.JNS183649
pubmed: 31518981
Chaganty SS, Walter H, Smith F, Sharma H (2021) Evaluating patient and neurosurgeon perspectives on virtualisation of neurosurgery clinics in the COVID-19 era: a prospective mirror survey study. Br J Neurosurg. https://doi.org/10.1080/02688697.2021.1979192
doi: 10.1080/02688697.2021.1979192
pubmed: 34546116
Mrugala MM et al (2021) The state of neuro-oncology during the COVID-19 pandemic: a worldwide assessment. Neurooncol Adv 3:035
Schäfer N et al (2021) Implementation, relevance, and virtual adaptation of neuro-oncological tumor boards during the COVID-19 pandemic: a nationwide provider survey. J Neurooncol 153:479–485
doi: 10.1007/s11060-021-03784-w
Cifarelli DT, Weir JS, Slusser JD, Smith TM, DeWitt R, Cifarelli CP (2022) Telemedicine for cranial radiosurgery patients in a rural U.S. population: patterns and predictors of patient utilization. Telemed J E Health. https://doi.org/10.1089/tmj.2021.0519
doi: 10.1089/tmj.2021.0519
pubmed: 35076292
Mouchtouris N et al (2022) Telemedicine in neurosurgery during the COVID-19 outbreak: where we are one year later. World Neurosurg 163:150
doi: 10.1016/j.wneu.2022.04.062
Ryu WHA, Kerolus MG, Traynelis VC (2021) Clinicians’ user experience of telemedicine in neurosurgery during COVID-19. World Neurosurg 146:e359–e367
doi: 10.1016/j.wneu.2020.10.101
Adepoju OE, Chae M, Liaw W, Angelocci T, Millard P, Matuk-Villazon O (2022) Transition to telemedicine and its impact on missed appointments in community-based clinics. Ann Med 54:98–107
doi: 10.1080/07853890.2021.2019826
Zhang X, Huang Y, Lee J, Ganta R, Chandawarkar A, Linwood SL (2021) Measuring telehealth visit length and schedule adherence using videoconferencing data. Telemed J E Health. https://doi.org/10.1089/tmj.2021.0382
doi: 10.1089/tmj.2021.0382
pubmed: 34748431
pmcid: 8380794
Daggubati LC et al (2020) Telemedicine for outpatient neurosurgical oncology care: lessons learned for the future during the COVID-19 pandemic. World Neurosurg 139:e859–e863
doi: 10.1016/j.wneu.2020.05.140
Bailes JE, Poole CC, Hutchison W, Maroon JC, Fukushima T (1997) Utilization and cost savings of a wide-area computer network for neurosurgical consultation. Telemed J 3:135–139
doi: 10.1089/tmj.1.1997.3.135
Davis LE, Coleman J, Harnar J, King MK (2014) Teleneurology: successful delivery of chronic neurologic care to 354 patients living remotely in a rural state. Telemed J E Health 20:473–477
doi: 10.1089/tmj.2013.0217