Video Virtual Clinical Encounters Versus Office Visits for Postoperative Care After Pelvic Organ Prolapse Surgery: A Randomized Clinical Trial.
Video Virtual Clinical Encounters Versus Office Visits for Postoperative Care After Pelvic Organ Prolapse Surgery: A Randomized Clinical Trial.
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DOI：
10.1097/spv.0000000000000909
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发表时间：
2021-07-01
影响因子：
1.6
通讯作者：
Harvie HS
中科院分区：
文献类型：
--
作者：
Lee DD;Arya LA;Andy UU;Harvie HS
确定盆腔器官脱垂重建术后随访中，虚拟临床诊疗的患者满意度是否不劣于传统的诊室临床诊疗。女性盆腔器官脱垂手术的随机对照非劣效性试验。在术前咨询访视期间招募女性患者，并通过视频会议技术将其随机分配至虚拟临床会面或在术后30天随访访视时进行诊室临床会面。主要结局是在30天访视后通过电话进行的经验证的患者满意度问卷-18（评分范围18-90，评分越高表示满意度越高）测量的患者满意度。通过图表审查收集了关于人口统计学、术后医疗利用和并发症的其他信息，并进行了组间比较。共有52名女性被随机分配到通过视频会议技术或传统的办公室临床接触的虚拟临床接触（每组26人）。虚拟组的平均患者满意度评分为80.7 ± 2.6，办公室组为81.2 ± 2.8（差异为-0.46分; 95%置信区间为-1.95至1.03），这与非劣效性一致。虚拟组的术后并发症发生率为31%，办公室组为46%（p = 0.3）。在术后90天内，计划外电话（88% vs 77%，p = 0.5）和办公室访视（35% vs 38%，p = 0.8）、急诊室访视（15% vs 19%，p = 1.0）和再次入院（4% vs 12%，p = 0.6）的次要指标无显著组间差异。对于接受重建手术的盆腔器官脱垂患者，通过视频会议技术进行的术后虚拟临床会诊不劣于传统的诊室内临床会诊，短期患者满意度较高，术后医疗保健利用率和并发症发生率无差异。
To determine if patient satisfaction of virtual clinical encounters is non-inferior to traditional in-office clinical encounters for postoperative follow up after reconstructive surgery for pelvic organ prolapse. Randomized controlled non-inferiority trial of women undergoing surgery for pelvic organ prolapse. Women were recruited and randomized during their preoperative counseling visit to virtual clinical encounters via video conference technology or in-office clinical encounters for their 30-day postoperative follow up visits. The primary outcome was patient satisfaction measured by the validated patient satisfaction questionnaire-18 (score range 18–90 with higher scores indicating greater satisfaction) administered by telephone following the 30-day visit. Additional information regarding demographics, postoperative healthcare utilization and complications was collected via chart review and compared between groups. A total of 52 women were randomly assigned to virtual clinical encounters via videoconference technology or traditional in-office clinical encounters (26 per group). The mean patient satisfaction score was 80.7 ± 2.6 in the virtual group and 81.2 ± 2.8 in the office group (difference, −0.46 points; 95% confidence interval, −1.95 to 1.03), which was consistent with non-inferiority. Postoperative complication rates were 31% in the virtual group and 46% in the office group (p = 0.3). There were no significant between-group differences in secondary measures of unscheduled telephone calls (88% vs 77%, p = 0.5) and office visits (35% vs 38%, p = 0.8), emergency room visits (15% vs 19%, p = 1.0) and hospital readmissions (4% vs 12%, p = 0.6) within 90 days of surgery. For patients with pelvic organ prolapse undergoing reconstructive surgery, postoperative virtual clinical encounters via video conference technology are non-inferior to traditional in-office clinical encounters with high levels of short-term patient satisfaction and no differences in postoperative healthcare utilization and complications rates.