Teleconsultation versus traditional clinical assessment of patients undergoing circumcision: A retrospective cohort study

IF 0.2 Q4 UROLOGY & NEPHROLOGY
J. Natale, J. Pascoe, C. Horn, J. Coode‐Bate, A. Dickinson
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引用次数: 2

Abstract

To determine whether standalone teleconsultation is an effective alternative to face-to-face assessment of patients requiring circumcision. To determine what environmental and efficiency benefits may arise as a result of service alteration. All cases listed for circumcision during first UK lockdown (1 February to 30 September 2020) were reviewed. Cases were collated from operative lists, theatre logs and secretarial records. Cancellations and rationale were recorded. Local audit approval was granted for conduct of this study. Statistical analysis was conducted in JASP. A total of 101 patients were listed for circumcision during the study period. The overall odds of cancellation was 0.063. There was no significant difference in odds of cancellation between telephone clinic and face-to-face clinic odds ratio 0.371 (confidence interval (CI): 0.039–3.46). Telephone clinic could achieve a per-patient cost reduction of £81 and a total reduction in CO2 emissions of 637 kg. This is the first study to demonstrate teleconsultation as a suitable method to list patients for circumcision without a face-to-face appointment. The COVID pandemic has accelerated transformational change in outpatient service design instigated by the National Health Service (NHS) Long-Term plan. The environmental and efficiency savings demonstrated suggest sustainable change beyond the pandemic. Level 3 (cohort study)
包皮环切术患者远程咨询与传统临床评估的回顾性队列研究
确定独立远程咨询是否是对需要包皮环切的患者进行面对面评估的有效替代方案。确定服务变更可能带来的环境和效率效益。对英国第一次封锁期间(2020年2月1日至9月30日)列出的所有包皮环切病例进行了审查。病例是从手术名单、手术室日志和秘书记录中整理出来的。记录了取消和理由。本研究获得了当地审计部门的批准。在JASP中进行了统计分析。在研究期间,共有101名患者接受了包皮环切术。取消的总几率为0.063。电话诊所和面对面诊所之间取消的几率没有显著差异,比值比为0.371(置信区间(CI):0.039–3.46)。电话诊所可以实现每位患者减少81英镑的成本和637公斤的二氧化碳排放总量。这是第一项证明远程咨询是在没有面对面预约的情况下列出包皮环切患者名单的合适方法的研究。新冠肺炎疫情加速了国家医疗服务体系(NHS)长期计划推动的门诊服务设计的变革。所展示的环境和效率节约表明,在新冠疫情之后会发生可持续的变化。3级(队列研究)
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来源期刊
Journal of Clinical Urology
Journal of Clinical Urology UROLOGY & NEPHROLOGY-
CiteScore
0.60
自引率
0.00%
发文量
0
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