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Effectiveness of telehealth physical therapy for patients with pelvic floor disorders in a community hospital setting

PURPOSE: To examine whether there are differences in meeting treatment goals between pelvic floor physical therapy (PFPT) patients who participated in a majority of telehealth visits versus those who participated in mostly traditional office visits at a community hospital. METHODS: Retrospective cha...

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Autores principales: Coad, Brady, Ramani, Sangeeta, Michel, Lindsey, Peled, Amanda, Morgan, Jennifer, Hartnett, Josette, Chudnoff, Scott, Andikyan, Vaagn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10238233/
https://www.ncbi.nlm.nih.gov/pubmed/37268794
http://dx.doi.org/10.1007/s00404-023-07078-6
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author Coad, Brady
Ramani, Sangeeta
Michel, Lindsey
Peled, Amanda
Morgan, Jennifer
Hartnett, Josette
Chudnoff, Scott
Andikyan, Vaagn
author_facet Coad, Brady
Ramani, Sangeeta
Michel, Lindsey
Peled, Amanda
Morgan, Jennifer
Hartnett, Josette
Chudnoff, Scott
Andikyan, Vaagn
author_sort Coad, Brady
collection PubMed
description PURPOSE: To examine whether there are differences in meeting treatment goals between pelvic floor physical therapy (PFPT) patients who participated in a majority of telehealth visits versus those who participated in mostly traditional office visits at a community hospital. METHODS: Retrospective chart review was performed among patients who received PFPT from April 2019 to February 2021. Cohorts were defined as “Mostly Office Visits” (> 50% office visits) and “Mostly Telehealth” (> / = 50% telehealth visits). Primary outcome measures included demographic data, number/type of visit for each patient, number of no-show/cancelation appointments, and number of patients discharged meeting PFPT goals. Statistical significance was defined as p < 0.05. RESULTS: 234 subjects met criteria for the “Mostly Office Visit” cohort and 48 subjects met criteria for the “Mostly Telehealth” cohort. There were no significant differences observed in age (p = 0.919), BMI (p = 0.817), race/ethnicity (p = 0.170) or insurance type (p = 0.426) between cohorts. There was no significant difference in meeting PFPT goals between the “Mostly Office Visit” cohort (24.4%) and the “Mostly Telehealth” cohort (35.4%) (p = 0.113). There was no difference in the number of canceled visits per patient (mean cancelations “Office visit” 1.98; “Telehealth” 1.63; p = 0.246) and the number of no-show visits per patient (mean no-show’s “Office visit” 0.23; “Telehealth” 0.31; p = 0.297) between cohorts. CONCLUSION: There was no difference in meeting discharge goals regardless of whether a patient participated in mostly telehealth visits versus mostly traditional office visits. Therefore, we can conclude that participating in mostly provider-led telehealth visits can be equally efficacious at providing competent PFPT care.
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spelling pubmed-102382332023-06-06 Effectiveness of telehealth physical therapy for patients with pelvic floor disorders in a community hospital setting Coad, Brady Ramani, Sangeeta Michel, Lindsey Peled, Amanda Morgan, Jennifer Hartnett, Josette Chudnoff, Scott Andikyan, Vaagn Arch Gynecol Obstet Urogynecology PURPOSE: To examine whether there are differences in meeting treatment goals between pelvic floor physical therapy (PFPT) patients who participated in a majority of telehealth visits versus those who participated in mostly traditional office visits at a community hospital. METHODS: Retrospective chart review was performed among patients who received PFPT from April 2019 to February 2021. Cohorts were defined as “Mostly Office Visits” (> 50% office visits) and “Mostly Telehealth” (> / = 50% telehealth visits). Primary outcome measures included demographic data, number/type of visit for each patient, number of no-show/cancelation appointments, and number of patients discharged meeting PFPT goals. Statistical significance was defined as p < 0.05. RESULTS: 234 subjects met criteria for the “Mostly Office Visit” cohort and 48 subjects met criteria for the “Mostly Telehealth” cohort. There were no significant differences observed in age (p = 0.919), BMI (p = 0.817), race/ethnicity (p = 0.170) or insurance type (p = 0.426) between cohorts. There was no significant difference in meeting PFPT goals between the “Mostly Office Visit” cohort (24.4%) and the “Mostly Telehealth” cohort (35.4%) (p = 0.113). There was no difference in the number of canceled visits per patient (mean cancelations “Office visit” 1.98; “Telehealth” 1.63; p = 0.246) and the number of no-show visits per patient (mean no-show’s “Office visit” 0.23; “Telehealth” 0.31; p = 0.297) between cohorts. CONCLUSION: There was no difference in meeting discharge goals regardless of whether a patient participated in mostly telehealth visits versus mostly traditional office visits. Therefore, we can conclude that participating in mostly provider-led telehealth visits can be equally efficacious at providing competent PFPT care. Springer Berlin Heidelberg 2023-06-03 /pmc/articles/PMC10238233/ /pubmed/37268794 http://dx.doi.org/10.1007/s00404-023-07078-6 Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Urogynecology
Coad, Brady
Ramani, Sangeeta
Michel, Lindsey
Peled, Amanda
Morgan, Jennifer
Hartnett, Josette
Chudnoff, Scott
Andikyan, Vaagn
Effectiveness of telehealth physical therapy for patients with pelvic floor disorders in a community hospital setting
title Effectiveness of telehealth physical therapy for patients with pelvic floor disorders in a community hospital setting
title_full Effectiveness of telehealth physical therapy for patients with pelvic floor disorders in a community hospital setting
title_fullStr Effectiveness of telehealth physical therapy for patients with pelvic floor disorders in a community hospital setting
title_full_unstemmed Effectiveness of telehealth physical therapy for patients with pelvic floor disorders in a community hospital setting
title_short Effectiveness of telehealth physical therapy for patients with pelvic floor disorders in a community hospital setting
title_sort effectiveness of telehealth physical therapy for patients with pelvic floor disorders in a community hospital setting
topic Urogynecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10238233/
https://www.ncbi.nlm.nih.gov/pubmed/37268794
http://dx.doi.org/10.1007/s00404-023-07078-6
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