دورية أكاديمية
ThTP1.8 Comparison of clinic outcomes between face-to-face and virtual appointments in patients with gallstone pathology: a single-centre retrospective observational study
| العنوان: | ThTP1.8 Comparison of clinic outcomes between face-to-face and virtual appointments in patients with gallstone pathology: a single-centre retrospective observational study |
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| المؤلفون: | Park, Eunsoo, Trung Le, Ha Bao, John, Jomcy, Couper, Jasper, Raja, Asdaq, Malik, Momin |
| المصدر: | British Journal of Surgery ; volume 110, issue Supplement_6 ; ISSN 0007-1323 1365-2168 |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Surgery |
| الوصف: | Aims Precautions relating to the COVID-19 pandemic increased the use of virtual telephone and video consultations in the outpatient setting. This study aims to see whether the increased adoption of remote, virtual appointments affected clinic outcomes in patients presenting with gallstone pathology at a district general hospital. Methods Data on mode of consultation and clinic outcome was collected retrospectively for all patients reviewed at our department’s outpatient clinics between 01/04/2019 – 01/07/2019 and 01/04/2022 – 01/07/2022 (n=1243). Only patients with a primary diagnosis of gallstones, choledocholithiasis and cholecystitis were included in this study (n=179). Additional details on demographics and co-morbidities (age, ASA, BMI, previous abdominal surgery, abnormal LFTs) were collected for analysis of confounding factors. Results 60 patients had face-to-face (F2F) appointments and 119 patients had virtual (Virt) appointments (video (VV) n=52, telephone (VT) n=67). Patients who had virtual appointments had a higher rate of discharge (Virt=18.5%, F2F=11.7%) and a lower proportion was offered an operation (Virt=68.1%, F2F=80.0%), although these differences were not statistically significant. When compared to F2F, VT appointments had a significantly higher rate of discharge (26.9%, p-value=0.0540) and a significantly lower proportion were offered operations (58.2%, p-value=0.0144). There were no significant differences in demographics or co-morbidities between the patient groups. Conclusions The use of virtual telephone consultations was associated with significantly lower operation offers and higher rates of discharge when compared to face-to-face appointments. Further continuous auditing across multiple centres is required to uphold the standard of care for patients requiring intervention for gallstone pathology following the widespread introduction of virtual outpatient appointments. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1093/bjs/znad241.247 |
| الإتاحة: | https://doi.org/10.1093/bjs/znad241.247Test https://academic.oup.com/bjs/article-pdf/110/Supplement_6/znad241.247/51302445/znad241.247.pdfTest |
| حقوق: | https://academic.oup.com/pages/standard-publication-reuse-rightsTest |
| رقم الانضمام: | edsbas.B98FF1B3 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/bjs/znad241.247 |
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