In-Person Versus Video Preoperative Visit: A Randomized Clinical Trial.

Autor:	Braxton EG; From the Department of Obstetrics and Gynecology., Myers EM; From the Department of Obstetrics and Gynecology., Zhao J; Center for Outcomes Research and Evaluation, Atrium Health, Charlotte, NC., Evans S; From the Department of Obstetrics and Gynecology., Tarr ME; From the Department of Obstetrics and Gynecology.
Jazyk:	angličtina
Zdroj:	Urogynecology (Hagerstown, Md.) [Urogynecology (Hagerstown)] 2023 Jan 01; Vol. 29 (1), pp. 58-66. Date of Electronic Publication: 2022 Oct 15.
DOI:	10.1097/SPV.0000000000001259
Abstrakt:	Importance: This study further supports virtual visits for gynecologic preoperative care. Objectives: The objective of this study was to determine if preoperative video visits are noninferior to in-person visits in pelvic reconstructive surgery. Secondary objectives are as follows: patient satisfaction, convenience, visit duration, total perioperative visits, and patient travel time/distance. Study Design: Noninferiority randomized-controlled trial of patients undergoing pelvic reconstructive surgery randomized to in-person or video counseling. The primary outcome was a composite score on the Preoperative Preparedness Questionnaire. Results: Demographics were similar except for higher body mass index (BMI) in the video group (29.5 vs 26.3; P = 0.01), and fewer patients in the video group used text messaging for health care delivery (40.7% vs 59.3%, P = 0.04). Video visits were noninferior to in-person visits in Preoperative Preparedness Questionnaire scores (62.5 ± 4.6 vs 63.0 ± 3.6; difference = 0.5; 95% confidence interval, -0.8, □). There was no difference in "strongly agree" response to question 11, "Overall, I feel prepared for my upcoming surgery" (79.6% vs 88.9%, P = 0.19). Satisfaction was higher for video visits based on composite Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey scores (31.3 ± 1.5 vs 30.5 ± 2, P = 0.02). Video visits were more convenient (100% vs 85.2%, P < 0.01), of shorter duration for patients (39.3 ± 14.0 minutes vs 55.9 ± 18.9 minutes; P < 0.01), and similar length for health care providers (28.8 ± 9.6 minutes vs 28.2 ± 9.8 minutes; P = 0.77). The video visit group had fewer office visits (2.0 vs 3.0, P < 0.01) and traveled 66 minutes ( P < 0.01) and 28 miles ( P < 0.01) less. Conclusion: Preoperative video visits are noninferior to in-person visits for preparing patients for pelvic reconstructive surgery. Competing Interests: The authors have declared they have no conflicts of interest. (Copyright © 2022 American Urogynecologic Society. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu