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The purpose of this clinical study is to evaluate whether remote video/audio postoperative visits (telemedicine visits) affects patient satisfaction compared to in-person visits during the COVID-19 pandemic. If the primary objective of the study is achieved, it would allow better understanding of how telemedicine can be integrated into modern surgical practice to take care of postoperative patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group I | Experimental | Patients who will undergo telemedicine visit approximately 1 week postoperatively, then an in-person clinic visit approximately 4 weeks postoperatively |
|
| Group II | Active Comparator | Patients who will undergo in-person clinic visit approximately 1 week postoperatively, then a telemedicine visit approximately 4 weeks postoperatively |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telemedicine visit | Behavioral | A postoperative visit with the patient's surgeon conducted remotely via audio/video smartphone app |
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction | Patient satisfaction score measured by electronic survey sent to all participating patients after their first postoperative visit | 7 to 14 days postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Patient-reported rating of safety | Patient-reported sense of safety score rated from 1 to 5 with higher scores indicating greater sense of safety. This is designed to gauge how safe patients feel visiting the clinic in-person vs. online via telemedicine during the COVID pandemic | 7 to 14 days postoperatively |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Karen Zaghiyan, MD | Associate Professor of Surgery | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cedars Sinai Medical Center | Los Angeles | California | 90048 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32675529 | Background | Grenda TR, Whang S, Evans NR 3rd. Transitioning a Surgery Practice to Telehealth During COVID-19. Ann Surg. 2020 Aug;272(2):e168-e169. doi: 10.1097/SLA.0000000000004008. | |
| 27016900 | Background | Gunter RL, Chouinard S, Fernandes-Taylor S, Wiseman JT, Clarkson S, Bennett K, Greenberg CC, Kent KC. Current Use of Telemedicine for Post-Discharge Surgical Care: A Systematic Review. J Am Coll Surg. 2016 May;222(5):915-27. doi: 10.1016/j.jamcollsurg.2016.01.062. Epub 2016 Feb 13. No abstract available. |
| Label | URL |
|---|---|
| CDC Guidelines for Healthcare Facilities | View source |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D017060 | Patient Satisfaction |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| In-person postoperative visit | Behavioral | A standard-of-care in-person postoperatively visit with the patient's surgeon |
|
| Length of visit |
Length of postoperative visit |
| 7 to 14 days postoperatively |
| Patient willingness to recommend provider to peers rated from 1 to 5 | Patient willingness to recommend provider to peers rated from 1 to 5 | 7 to 14 days postoperatively |
| Combined patient satisfaction score from 1st and 2nd postoperative visits | Combined patient satisfaction score from 1st and 2nd postoperative visits | 7 to 31 days postoperatively |
| Distance (in kilometers) of patient's primary residence to the clinic location | Distance (in kilometers) of patient's primary residence to the clinic location | 7 to 31 days postoperatively |
| 60-day rate of hospital readmission | Incidence of hospital readmission 60 days postoperatively | 60 days postoperatively |
| 60-day rate of re-operation | Incidence of re-operation 60 days postoperatively | 60 days postoperatively |
| 31350010 | Background | Huang EY, Knight S, Guetter CR, Davis CH, Moller M, Slama E, Crandall M. Telemedicine and telementoring in the surgical specialties: A narrative review. Am J Surg. 2019 Oct;218(4):760-766. doi: 10.1016/j.amjsurg.2019.07.018. Epub 2019 Jul 18. |
| 32336519 | Background | Hakim AA, Kellish AS, Atabek U, Spitz FR, Hong YK. Implications for the use of telehealth in surgical patients during the COVID-19 pandemic. Am J Surg. 2020 Jul;220(1):48-49. doi: 10.1016/j.amjsurg.2020.04.026. Epub 2020 Apr 21. |
| 23842982 | Background | Hwa K, Wren SM. Telehealth follow-up in lieu of postoperative clinic visit for ambulatory surgery: results of a pilot program. JAMA Surg. 2013 Sep;148(9):823-7. doi: 10.1001/jamasurg.2013.2672. |
| 32324855 | Background | Mann DM, Chen J, Chunara R, Testa PA, Nov O. COVID-19 transforms health care through telemedicine: Evidence from the field. J Am Med Inform Assoc. 2020 Jul 1;27(7):1132-1135. doi: 10.1093/jamia/ocaa072. |
| Sealed Envelope tool for randomization | View source |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |