Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Department of Otolaryngology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Ann Otol Rhinol Laryngol. 2021 Feb;130(2):195-204. doi: 10.1177/0003489420939590. Epub 2020 Jul 13.
Telemedicine allows for the remote delivery of patient care and has been found to have a wide range of uses in otolaryngology. In order to achieve best practices in telemedicine, a platform must be effective and both patients and providers must be satisfied with the use of technology. As telemedicine becomes more widely used in otolaryngology clinics, particularly in the face of the current COVID-19 pandemic, it is important to assess its applicability in this field. The goal of this study was to evaluate existing literature on telemedicine and assess overall image quality, diagnostic concordance, and patient and provider satisfaction with telemedicine technologies.
A systematic review was conducted on PubMed and MEDLINE according to the PRISMA 2009 guidelines for articles from 1982 to 2019 relating to telemedicine in otolaryngology. English language studies with primary or secondary endpoints pertaining to image quality, diagnostic concordance, or patient or provider satisfaction were included. Descriptive studies, editorials, and literature reviews were excluded.
A total of 32 studies were included in our review. Studies assessing imaging quality and diagnostic concordance reported adequate results but with some heterogeneity. Patient and provider satisfaction were consistently high.
The literature supports telemedicine delivery of otorhinolaryngologic care as having achieved high rates of patient and provider satisfaction with adequate image quality and heterogeneity in diagnostic concordance. Variability in diagnostic accuracy was reported, but appears improved given proper clinical context. More standardized studies are needed specific to telemedicine in the field of otolaryngology.
远程医疗可提供患者护理服务，已在耳鼻喉科得到广泛应用。为了在远程医疗中实现最佳实践，平台必须有效，并且患者和提供者都必须对技术的使用感到满意。随着远程医疗在耳鼻喉科诊所中的应用越来越广泛，尤其是在当前 COVID-19 大流行期间，评估其在该领域的适用性非常重要。本研究的目的是评估关于远程医疗的现有文献，并评估远程医疗技术的整体图像质量、诊断一致性以及患者和提供者的满意度。
根据 PRISMA 2009 指南，对 1982 年至 2019 年期间发表的与耳鼻喉科远程医疗相关的 PubMed 和 MEDLINE 进行了系统评价。纳入了主要或次要终点为图像质量、诊断一致性或患者或提供者满意度的英语语言研究。排除描述性研究、社论和文献综述。
共有 32 项研究纳入了我们的综述。评估成像质量和诊断一致性的研究报告了足够的结果，但存在一定的异质性。患者和提供者的满意度一直很高。
文献支持远程医疗提供耳鼻喉科护理，患者和提供者对足够的图像质量和诊断一致性的异质性以及对其的满意度都很高。诊断准确性的变异性已被报道，但在适当的临床环境下，似乎有所改善。需要更具标准化的针对耳鼻喉科领域远程医疗的研究。
