Impact of Postoperative Telemedicine Visit vs In-person Visit on Patient Satisfaction During the COVID-19 Pandemic

Covid19 Clinical Trial

Official title:

Impact of Postoperative Telemedicine Visit vs In-person Visit on Patient Satisfaction During the COVID-19 Pandemic

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04652674
• Other study ID #: STUDY00000944
• Status: Completed
• Phase: N/A
• Start date: September 28, 2020
• Est. completion date: June 30, 2022

Study information

• Verified date: December 2022
• Source: Cedars-Sinai Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 58
• Est. completion date: June 30, 2022
• Est. primary completion date: June 30, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 100 Years

Eligibility

Inclusion Criteria:

1. Patients over 18 years of age inclusive at the time of the study who underwent colorectal surgery and are presenting for their first postoperative visit

2. Patients with a computer or phone device with video and audio capabilities

Exclusion Criteria:

1. Children <18 years of age

2. Patients with mental disability

3. Patients without a computer or phone device with video and audio capabilities

4. Patients who require physical intervention during their first postoperative visit (e.g. drain removal, suture removal, staple removal)

5. Patients who are readmitted to the hospital prior to their first postoperative visit will be excluded.

Related Conditions & MeSH terms

• COVID-19
• Covid19
• Satisfaction, Patient
• Telemedicine

Intervention

Behavioral:
• Telemedicine visit
A postoperative visit with the patient's surgeon conducted remotely via audio/video smartphone app
• In-person postoperative visit
A standard-of-care in-person postoperatively visit with the patient's surgeon

Locations

Country	Name	City	State
United States	Cedars Sinai Medical Center	Los Angeles	California

Sponsors (1)

Lead Sponsor	Collaborator
Cedars-Sinai Medical Center

Country where clinical trial is conducted

United States, 

References & Publications (6)

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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Patient satisfaction	Patient satisfaction score measured by electronic survey sent to all participating patients after their first postoperative visit	7 to 14 days postoperatively
Secondary	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
Secondary	Length of visit	Length of postoperative visit	7 to 14 days postoperatively
Secondary	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
Secondary	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
Secondary	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
Secondary	60-day rate of hospital readmission	Incidence of hospital readmission 60 days postoperatively	60 days postoperatively
Secondary	60-day rate of re-operation	Incidence of re-operation 60 days postoperatively	60 days postoperatively

External Links

•   Sealed Envelope tool for randomization