Impact of Postoperative Telemedicine Visit vs In-person Visit on Patient Satisfaction During the COVID-19 Pandemic

NCT04652674 | Completed

• 1 other identifier: STUDY00000944
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this clinical study is to evaluate whether remote video/audio postoperative visits (telemedicine visits) affects patient satisfaction compared to in-person visits during the COVID-19 pandemic. If the primary objective of the study is achieved, it would allow better understanding of how telemedicine can be integrated into modern surgical practice to take care of postoperative patients.

Conditions

Covid19; Satisfaction, Patient; Telemedicine

Keywords

Covid19; Patient satisfaction; Telemedicine

Outcome Measures

Primary Outcomes (1)

• Patient satisfaction

  Patient satisfaction score measured by electronic survey sent to all participating patients after their first postoperative visit

  7 to 14 days postoperatively

Secondary Outcomes (7)

• Patient-reported rating of safety

  7 to 14 days postoperatively

• Length of visit

  7 to 14 days postoperatively

• Patient willingness to recommend provider to peers rated from 1 to 5

  7 to 14 days postoperatively

• Combined patient satisfaction score from 1st and 2nd postoperative visits

  7 to 31 days postoperatively

• Distance (in kilometers) of patient's primary residence to the clinic location

  7 to 31 days postoperatively

Study Arms (2)

Group I

EXPERIMENTAL

Patients who will undergo telemedicine visit approximately 1 week postoperatively, then an in-person clinic visit approximately 4 weeks postoperatively

Behavioral: Telemedicine visit

Group II

ACTIVE COMPARATOR

Patients who will undergo in-person clinic visit approximately 1 week postoperatively, then a telemedicine visit approximately 4 weeks postoperatively

Behavioral: In-person postoperative visit

Interventions

Telemedicine visit BEHAVIORAL

A postoperative visit with the patient's surgeon conducted remotely via audio/video smartphone app

Also known as: Remote audio/video visit, telehealth visit

Group I

In-person postoperative visit BEHAVIORAL

A standard-of-care in-person postoperatively visit with the patient's surgeon

Group II

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients over 18 years of age inclusive at the time of the study who underwent colorectal surgery and are presenting for their first postoperative visit
• Patients with a computer or phone device with video and audio capabilities

You may not qualify if:

• Children \<18 years of age
• Patients with mental disability
• Patients without a computer or phone device with video and audio capabilities
• Patients who require physical intervention during their first postoperative visit (e.g. drain removal, suture removal, staple removal)
• Patients who are readmitted to the hospital prior to their first postoperative visit will be excluded.

Sponsors & Collaborators

• Cedars-Sinai Medical Center: lead

Study Sites (1)

Cedars Sinai Medical Center

Los Angeles, California, 90048, United States

Location

Related Publications (6)

• Grenda TR, Whang S, Evans NR 3rd. Transitioning a Surgery Practice to Telehealth During COVID-19. Ann Surg. 2020 Aug;272(2):e168-e169. doi: 10.1097/SLA.0000000000004008.

  PMID: 32675529 BACKGROUND

• Gunter RL, Chouinard S, Fernandes-Taylor S, Wiseman JT, Clarkson S, Bennett K, Greenberg CC, Kent KC. Current Use of Telemedicine for Post-Discharge Surgical Care: A Systematic Review. J Am Coll Surg. 2016 May;222(5):915-27. doi: 10.1016/j.jamcollsurg.2016.01.062. Epub 2016 Feb 13. No abstract available.

  PMID: 27016900 BACKGROUND

• Huang EY, Knight S, Guetter CR, Davis CH, Moller M, Slama E, Crandall M. Telemedicine and telementoring in the surgical specialties: A narrative review. Am J Surg. 2019 Oct;218(4):760-766. doi: 10.1016/j.amjsurg.2019.07.018. Epub 2019 Jul 18.

  PMID: 31350010 BACKGROUND

• Hakim AA, Kellish AS, Atabek U, Spitz FR, Hong YK. Implications for the use of telehealth in surgical patients during the COVID-19 pandemic. Am J Surg. 2020 Jul;220(1):48-49. doi: 10.1016/j.amjsurg.2020.04.026. Epub 2020 Apr 21.

  PMID: 32336519 BACKGROUND

• Hwa K, Wren SM. Telehealth follow-up in lieu of postoperative clinic visit for ambulatory surgery: results of a pilot program. JAMA Surg. 2013 Sep;148(9):823-7. doi: 10.1001/jamasurg.2013.2672.

  PMID: 23842982 BACKGROUND

• Mann DM, Chen J, Chunara R, Testa PA, Nov O. COVID-19 transforms health care through telemedicine: Evidence from the field. J Am Med Inform Assoc. 2020 Jul 1;27(7):1132-1135. doi: 10.1093/jamia/ocaa072.

  PMID: 32324855 BACKGROUND

Related Links

• CDC Guidelines for Healthcare Facilities
• Sealed Envelope tool for randomization

MeSH Terms

Conditions

COVID-19; Patient Satisfaction

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Karen Zaghiyan, MD

  Associate Professor of Surgery

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Surgery

Study Record Dates

• First Submitted: December 2, 2020
• First Posted: December 3, 2020
• Study Start: September 28, 2020
• Primary Completion: June 30, 2022
• Study Completion: June 30, 2022
• Last Updated: December 27, 2022

Record last verified: 2022-12

Locations

US (1)