Shankar Dhruv S, Li Zachary I, Hoberman Alexander R, Blaeser Anna M, Gonzalez-Lomas Guillem, Youm Thomas
Department of Orthopedic Surgery, New York University Langone Health, New York, New York, USA.
Telemed J E Health. 2024 Feb;30(2):464-471. doi: 10.1089/tmj.2023.0157. Epub 2023 Aug 16.
The purpose of this study was to compare satisfaction with postoperative telemedicine visits versus in-office visits among patients undergoing primary hip arthroscopy. A prospective cohort study was conducted involving subjects ≥18 years old undergoing primary hip arthroscopy at a single center from January 2020 to February 2021. Subjects chose between a telemedicine or in-office visit for 6-week follow-up. Patient satisfaction after the 6-week visit was assessed using an electronic survey. The primary outcome was satisfaction on a scale from 0 to 10. Intergroup comparisons of outcomes were performed using Student's -test, Mann-Whitney test, or Fisher's exact test. -Values <0.05 were considered significant. Seventy-five patients (28M and 47F) were enrolled in the study with mean age 41.2 ± 12.7 years. Forty-four patients (58.7%) attended in-office visits and 31 (41.3%) attended telemedicine visits. There were no significant intergroup differences in age, gender, body mass index, or American Society of Anesthesiologists (ASA) classification ( > 0.05). There were no significant intergroup differences in satisfaction with overall care (in-office 9.6 vs. telemedicine 9.3, = 0.08) or the 6-week visit (in-office 9.0 vs. telemedicine 8.0, = 0.06). The telemedicine group more frequently reported visits taking <20 min ( = 0.002) and spending >10 min with their surgeon ( = 0.01). However, 51.6% of the telemedicine group and 74.7% of the entire cohort expressed a retrospective preference for in-office visits. There were no significant differences in satisfaction scores between hip arthroscopy patients assigned to telemedicine versus in-office visits for 6-week follow-up, but most patients expressed a preference for in-office visits.
本研究的目的是比较初次髋关节镜检查患者对术后远程医疗随访与门诊随访的满意度。进行了一项前瞻性队列研究,纳入了2020年1月至2021年2月在单一中心接受初次髋关节镜检查且年龄≥18岁的受试者。受试者在远程医疗或门诊随访中选择一种进行6周的随访。6周随访后,使用电子调查问卷评估患者满意度。主要结局指标是0至10分的满意度评分。使用学生t检验、曼-惠特尼检验或费舍尔精确检验对结局进行组间比较。P值<0.05被认为具有统计学意义。75例患者(28例男性和47例女性)纳入研究,平均年龄41.2±12.7岁。44例患者(58.7%)参加了门诊随访,31例(41.3%)参加了远程医疗随访。在年龄、性别、体重指数或美国麻醉医师协会(ASA)分级方面,组间无显著差异(P>0.05)。在对整体护理的满意度方面(门诊9.6分 vs. 远程医疗9.3分,P=0.08)或6周随访的满意度方面(门诊9.0分 vs. 远程医疗8.0分,P=0.06),组间无显著差异。远程医疗组更频繁地报告随访时间<20分钟(P=0.002)以及与外科医生相处时间>10分钟(P=0.01)。然而,51.6%的远程医疗组患者和74.7%的整个队列患者表示回顾性地更倾向于门诊随访。对于6周随访被分配至远程医疗或门诊随访的髋关节镜检查患者,满意度评分无显著差异,但大多数患者表示更倾向于门诊随访。