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Use of telemedicine in the postoperative assessment of proctological patients: a case–control study

BACKGROUND: Telemedicine is emerging as an easy way to communicate between patients and surgeons. Use of telemedicine increased during the coronavirus disease 2019 (COVID-19) pandemic. WhatsApp is one of the most common smartphone applications for user-friendly telemedicine. The aim of this study wa...

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Autores principales: Gaj, F., Peracchini, M., Passannanti, D., Quaresima, S., Giovanardi, F., Lai, Q.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9629887/
https://www.ncbi.nlm.nih.gov/pubmed/36324014
http://dx.doi.org/10.1007/s10151-022-02723-9
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author Gaj, F.
Peracchini, M.
Passannanti, D.
Quaresima, S.
Giovanardi, F.
Lai, Q.
author_facet Gaj, F.
Peracchini, M.
Passannanti, D.
Quaresima, S.
Giovanardi, F.
Lai, Q.
author_sort Gaj, F.
collection PubMed
description BACKGROUND: Telemedicine is emerging as an easy way to communicate between patients and surgeons. Use of telemedicine increased during the coronavirus disease 2019 (COVID-19) pandemic. WhatsApp is one of the most common smartphone applications for user-friendly telemedicine. The aim of this study was to evaluate patient perception of health quality and positive outcomes using a diary sent by the patient to the surgeon via WhatsApp during the first post-discharge week after proctologic surgery. METHODS: Ninety-eight patients discharged after proctologic surgery at the Israelite Hospital of Rome and the AOU Policlinico Umberto I of Rome in 1 January–31 December 2019 were divided into two groups: the WhatsApp group (group A), (n = 36) and the no WhatsApp group (group B) (n = 62). Group A patients received a protocol to follow for the day-by-day diary during the first post-discharge week and sending it by WhatsApp to the surgeon. Group B patients only received recommendations at discharge. The tool's usefulness was assessed by a questionnaire one month after the intervention. RESULTS: The two groups were homogeneous for age, sex, schooling, employment, and proctologic pathology. Group A patients had less difficulty keeping a diary (p < 0.0001). Group A patients had the perception of better follow-up post-discharge (p = 0.002). The use of the diary sent by WhatsApp significantly improved the perception of positive post-intervention outcomes (p = 0.007). WhatsApp was the only independent predictor of perception of post-surgical positive outcomes (odds ratio = 4.06; 95% CI 1.35–12.24; p = 0.01). CONCLUSIONS: The use of WhatsApp in the post-discharge period improves the lifestyle quality of the patients and their perception of the safety and quality of care received.
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spelling pubmed-96298872022-11-03 Use of telemedicine in the postoperative assessment of proctological patients: a case–control study Gaj, F. Peracchini, M. Passannanti, D. Quaresima, S. Giovanardi, F. Lai, Q. Tech Coloproctol Original Article BACKGROUND: Telemedicine is emerging as an easy way to communicate between patients and surgeons. Use of telemedicine increased during the coronavirus disease 2019 (COVID-19) pandemic. WhatsApp is one of the most common smartphone applications for user-friendly telemedicine. The aim of this study was to evaluate patient perception of health quality and positive outcomes using a diary sent by the patient to the surgeon via WhatsApp during the first post-discharge week after proctologic surgery. METHODS: Ninety-eight patients discharged after proctologic surgery at the Israelite Hospital of Rome and the AOU Policlinico Umberto I of Rome in 1 January–31 December 2019 were divided into two groups: the WhatsApp group (group A), (n = 36) and the no WhatsApp group (group B) (n = 62). Group A patients received a protocol to follow for the day-by-day diary during the first post-discharge week and sending it by WhatsApp to the surgeon. Group B patients only received recommendations at discharge. The tool's usefulness was assessed by a questionnaire one month after the intervention. RESULTS: The two groups were homogeneous for age, sex, schooling, employment, and proctologic pathology. Group A patients had less difficulty keeping a diary (p < 0.0001). Group A patients had the perception of better follow-up post-discharge (p = 0.002). The use of the diary sent by WhatsApp significantly improved the perception of positive post-intervention outcomes (p = 0.007). WhatsApp was the only independent predictor of perception of post-surgical positive outcomes (odds ratio = 4.06; 95% CI 1.35–12.24; p = 0.01). CONCLUSIONS: The use of WhatsApp in the post-discharge period improves the lifestyle quality of the patients and their perception of the safety and quality of care received. Springer International Publishing 2022-11-02 2023 /pmc/articles/PMC9629887/ /pubmed/36324014 http://dx.doi.org/10.1007/s10151-022-02723-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Gaj, F.
Peracchini, M.
Passannanti, D.
Quaresima, S.
Giovanardi, F.
Lai, Q.
Use of telemedicine in the postoperative assessment of proctological patients: a case–control study
title Use of telemedicine in the postoperative assessment of proctological patients: a case–control study
title_full Use of telemedicine in the postoperative assessment of proctological patients: a case–control study
title_fullStr Use of telemedicine in the postoperative assessment of proctological patients: a case–control study
title_full_unstemmed Use of telemedicine in the postoperative assessment of proctological patients: a case–control study
title_short Use of telemedicine in the postoperative assessment of proctological patients: a case–control study
title_sort use of telemedicine in the postoperative assessment of proctological patients: a case–control study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9629887/
https://www.ncbi.nlm.nih.gov/pubmed/36324014
http://dx.doi.org/10.1007/s10151-022-02723-9
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