Effect of telehealth implementation on an adolescent metabolic and bariatric surgery program.

Autor:	Herdes RE; Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Stanford University School of Medicine, Stanford, California. Electronic address: rherdes@stanford.edu., Matheson BE; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California., Tsao DD; Stanford University School of Medicine, Stanford, California., Bruzoni M; Department of Surgery, Division of Pediatric Surgery, Stanford University School of Medicine, Stanford, California., Pratt JSA; Department of Surgery, Division of Pediatric Surgery, Stanford University School of Medicine, Stanford, California.
Jazyk:	angličtina
Zdroj:	Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery [Surg Obes Relat Dis] 2022 Sep; Vol. 18 (9), pp. 1161-1166. Date of Electronic Publication: 2022 May 18.
DOI:	10.1016/j.soard.2022.05.014
Abstrakt:	Background: Pediatric severe obesity is a worldwide health concern. Treatment with metabolic and bariatric surgery can reduce morbidity and mortality. The COVID-19 pandemic not only has had a significant effect on rates of pediatric obesity but also has necessitated a rapid transition to virtual medicine. Objective: We aimed to identify and examine adolescent metabolic and bariatric surgery patient participation rates through our program's virtual telehealth programming as compared with prepandemic traditional in-person clinic appointments. Setting: This study took place at an academic pediatric quaternary care center. Methods: We evaluated 92 adolescent patients with a total of 2442 unique encounters between January 2018 and July 2021. Results: The rate of attendance was found to be greater for telehealth visits (83.1%) than for in-person appointments (70.5%) for all clinics regardless of appointment type (preoperative versus postoperative). Cancellation rates were lower for telehealth visits (9.9%) than for in-person appointments (22.5%). Conclusion: This study provides evidence that telehealth can be implemented successfully in an adolescent metabolic and bariatric surgery program and can improve attendance rates for all provider and appointment subtypes. (Copyright © 2022 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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