Leveraging Collaboration in Pediatric Multidisciplinary Colorectal Care Using a Telehealth Platform.
PURPOSE: Pediatric colorectal problems often require complex multidisciplinary care (MDC), which has been affected by the SARS-CoV-2-2019 (COVID-19) pandemic. We describe our utilization and implementation of telehealth (TH) for pediatric colorectal surgery MDC visits and collate patient satisfaction using TH compared to in-person (IP) visits.
METHODS: Implementation of a single-institution MDC TH platform to perform patient visits on February 1, 2020 was studied. Following 6 months of implementation, TH visits' characteristics were compared with IP visits in the 3 months before implementation by patient volume, length of clinic visits, and patient satisfaction survey results.
RESULTS: Before implementation, 152 (100%) of clinic visits were IP. During the implementation, 87 (37.7%) were TH visits. Seventy-four (49%) were MDC visits, 17 (23%) of these using the TH platform. Each TH visit's median length was 25 minutes (IQR 15-30), while the median length of IP visits was 45 minutes (IQR 30-45). Pre-implementation satisfaction scores were 88.6% positive, while satisfaction scores after implementation were 96.8% positive. None of the patients who utilized the TH platform had an unplanned hospital admission within 24 hours of being seen.
CONCLUSION: Our experience demonstrates that the TH platform can provide an efficient avenue for established patients and families to receive highly complex multidisciplinary follow-up care. High levels of patient satisfaction indicated that TH should become part of the routine care plan for patients who require long-term or consistent follow-up.
The American surgeon
COVID-19; Child; Colorectal Neoplasms; Humans; Patient Satisfaction; SARS-CoV-2; Telemedicine
Hirschsprung disease; anorectal malformation; colorectal; pediatric surgery; telehealth
Lopez JJ, Svetanoff WJ, Rosen JM, Carrasco A, Rentea RM; Comprehensive Colorectal Center of Children’s Mercy Hospital, Kansas City, MO. Leveraging Collaboration in Pediatric Multidisciplinary Colorectal Care Using a Telehealth Platform. Am Surg. 2022;88(9):2320-2326. doi:10.1177/00031348211023428