Telemedicine in Spine Surgery: Global Perspectives and Practices.

Autor:	Riew GJ; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA., Lovecchio F; Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA., Samartzis D; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.; The International Spine Research and Innovation Initiative, Rush University Medical Center, Chicago, IL, USA., Louie PK; Neuroscience Institute, Virginia Mason Medical Center, Seattle, WA, USA., Germscheid N; Research Department, AO Spine International, Davos, Switzerland., An H; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.; The International Spine Research and Innovation Initiative, Rush University Medical Center, Chicago, IL, USA., Cheung JPY; Department of Orthopaedics & Traumatology, The University of Hong Kong, Hong Kong SAR, China., Chutkan N; Department of Orthopaedic Surgery, University of Arizona College of Medicine, Phoenix, AZ, USA., Mallow GM; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.; The International Spine Research and Innovation Initiative, Rush University Medical Center, Chicago, IL, USA., Neva MH; Department of Orthopaedic and Trauma Surgery, Tampere University Hospital, Tampere, Finland., Phillips FM; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.; The International Spine Research and Innovation Initiative, Rush University Medical Center, Chicago, IL, USA., Sciubba D; Department of Neurosurgery, John Hopkins University, Baltimore, MD, USA., El-Sharkawi M; Department of Orthopaedic and Trauma Surgery, Assiut University Medical School, Assiut, Egypt., Valacco M; Department of Orthopaedics, Churruca Hospital de Buenos Aires, Buenos Aires, Argentina., McCarthy MH; Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA., Makhni MC; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA., Iyer S; Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Jazyk:	angličtina
Zdroj:	Global spine journal [Global Spine J] 2023 Jun; Vol. 13 (5), pp. 1200-1211. Date of Electronic Publication: 2021 Jun 14.
DOI:	10.1177/21925682211022311
Abstrakt:	Study Design: Cross-sectional, anonymous, international survey. Objectives: The COVID-19 pandemic has resulted in the rapid adoption of telemedicine in spine surgery. This study sought to determine the extent of adoption and global perspectives on telemedicine in spine surgery. Methods: All members of AO Spine International were emailed an anonymous survey covering the participant's experiences with and perceptions of telemedicine. Descriptive statistics were used to depict responses. Responses were compared among regions. Results: 485 spine surgeons participated in the survey. Telemedicine usage rose from <10.0% to >39.0% of all visits. A majority of providers (60.5%) performed at least one telemedicine visit. The format of "telemedicine" varied widely by region: European (50.0%) and African (45.2%) surgeons were more likely to use phone calls, whereas North (66.7%) and South American (77.0%) surgeons more commonly used video ( P < 0.001). North American providers used telemedicine the most during COVID-19 (>60.0% of all visits). 81.9% of all providers "agreed/strongly agreed" telemedicine was easy to use. Respondents tended to "agree" that imaging review, the initial appointment, and postoperative care could be performed using telemedicine. Almost all (95.4%) surgeons preferred at least one in-person visit prior to the day of surgery. Conclusion: Our study noted significant geographical differences in the rate of telemedicine adoption and the platform of telemedicine utilized. The results suggest a significant increase in telemedicine utilization, particularly in North America. Spine surgeons found telemedicine feasible for imaging review, initial visits, and follow-up visits although the vast majority still preferred at least one in-person preoperative visit.
Databáze:	MEDLINE
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