混合远程医疗和亲自代谢性减肥手术途径的随机试点研究

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2026-06-01 Epub Date: 2026-02-26 DOI:10.1016/j.amjsurg.2026.116897

Gretchen E. Ames , Jenna L. Pennella , Michael G. Heckman , Hanna J. Sledge , Scott A. Lynch , Enrique F. Elli

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引用次数: 0

摘要

目的探讨为寻求代谢性减肥手术（MBS）的患者提供远程医疗途径的可行性。方法将患者随机分为远程医疗（HTM, n = 21）和面对面医疗（F2F, n = 22）两组。比较两组患者特征、项目访视完成率、访视满意度、手术时间和保险支付者回收率。结果HTM组首次就诊完成率高于F2F组（100.0% vs 72.7%）。两组患者对就诊、手术时间或保险支付者收款比例的满意度无显著差异。在HTM组中，42.9%的患者接受了MBS，而在F2F组中，27.3%的患者接受了MBS。总体而言，30.2%的患者选择开始使用肥胖管理药物，34.8%的患者停止了该计划。结论mbs方案可通过提供HTM途径改善治疗可及性。需要更大规模的调查来证实远程医疗对MBS计划访问的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Randomized pilot study of hybrid telemedicine and in-person pathways to metabolic bariatric surgery

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Randomized pilot study of hybrid telemedicine and in-person pathways to metabolic bariatric surgery

Objective

We investigated the viability of offering a telemedicine pathway to patients seeking metabolic bariatric surgery (MBS).

Methods

Patients were randomized to receive hybrid telemedicine (HTM, n = 21) or face-to-face (F2F, n = 22) care. Patient characteristics, program visit completion, patient satisfaction with visits, time to surgery, and insurance payor collection ratio were compared between groups.

Results

The HTM group had a higher proportion of initial medical visits completed than the F2F group (100.0% vs 72.7%). Groups did not significantly differ in patient satisfaction with visits, time to surgery, or insurance payor collection ratio. In the HTM group, 42.9% of patients underwent MBS, whereas 27.3% underwent MBS in the F2F group. Overall, 30.2% of patients elected to initiate obesity management medications, and 34.8% discontinued the program.

Conclusion

MBS programs may improve treatment access by offering an HTM pathway. Larger investigations are needed to confirm the effect of telemedicine on MBS program access.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.