General Surgery, Hospital Universitari Germans Trias I Pujol, Spain.
General Surgery, Hospital Universitari Doctor Josep Trueta, Spain.
Am J Surg. 2020 Jun;219(6):882-887. doi: 10.1016/j.amjsurg.2020.03.023. Epub 2020 Mar 26.
Telemedicine is becoming more popular in many medical specialties but few studies have been conducted in General Surgery. This study aims to evaluate the feasibility of its introduction in this specialty.
A prospective randomized clinical trial (RCT) was conducted in 200 patients to compare conventional vs telemedicine follow-up in the outpatient clinics. The primary outcome was the feasibility of telemedicine follow-up and the secondary outcomes were its clinical impact and patient satisfaction.
Patients were enrolled between March 2017 and April 2018 and there were no statistically significant differences between the groups' characteristics. The primary outcome was achieved in 90% of the conventional follow-up group and in 74% of the telemedicine group (P = 0.003). No differences were found in clinical outcomes (P = 0.832) or patient satisfaction (P = 0.099).
Telemedicine is a good complementary service to facilitate follow-up management in selected patients from a General Surgery department.
远程医疗在许多医学专业中越来越受欢迎，但普外科中进行的研究很少。本研究旨在评估将其引入普外科的可行性。
对 200 例患者进行前瞻性随机临床试验（RCT），比较传统门诊随访与远程医疗随访。主要结局是远程医疗随访的可行性，次要结局是其临床影响和患者满意度。
患者于 2017 年 3 月至 2018 年 4 月入组，两组患者特征无统计学差异。传统随访组 90%和远程医疗组 74%达到主要结局（P=0.003）。临床结局（P=0.832）或患者满意度（P=0.099）无差异。
远程医疗是普外科中一种很好的辅助服务，可以为选定患者的随访管理提供便利。
