AUTHOR=Canon Stephen , Whitt Jedidiah , Spray Beverly , Patel Ashay , Zamilpa Ismael 

TITLE=Efficacy and satisfaction of preoperative telemedicine evaluation of pediatric urologic patients

JOURNAL=Frontiers in Urology

VOLUME=Volume 2 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/urology/articles/10.3389/fruro.2022.951036

DOI=10.3389/fruro.2022.951036

ISSN=2673-9828

ABSTRACT=Introduction: Minimal data exists on the accuracy of preoperative assessment with
telemedicine compared to in-person preoperative evaluation. The aim of the study was to
compare the efficacy of telemedicine in a clinic or home setting to an in-person approach for
pediatric patients with urologic surgical problems.
Methods: Preoperative pediatric urologic telemedicine patients between 5 days and 7 years
evaluated at our institution were reviewed between January 2011 and June 2020. Both
traditional clinic telemedicine patients (TM) and home telemedicine patients (TMH) were
included and compared to an in-person (IP) control cohort. Caregivers were invited to complete
a National Research Council (NRC) satisfaction phone survey. Data on demographics,
preoperative diagnosis/surgical plan, diagnosis at surgery, and surgical procedure were
collected.
Results: 96 patients with completed surveys were included in the study (34 TM, 24 TMH, 38 IP).
Median age was 10 months TM, 4 months TMH, and 6 months IP. Ethnicity was predominantly
non-Hispanic white: 82.4% TM, 91.7% TMH, and 89.5% IP (p=0.413). Preoperative assessment
accuracy was equivalent in the three groups with 29/34 (85.3%) TM patients, 22/24 (91.7%)
TMH patients, and 35/38 (92.1%) IP patients having an accurate surgical plan (p=0.69). Overall
caregiver satisfaction was equivalent (p=0.231).
Conclusion: Utilization of telemedicine for pediatric urological surgical planning may be as
effective in accuracy and caregiver satisfaction as that of in-person evaluation.