Telemedicine in Otolaryngology in the COVID‐19 Era: Initial Lessons Learned
Objectives/Hypothesis The COVID‐19 pandemic has led to unprecedented global changes in the delivery of healthcare over a short period of time. With the implementation of shelter‐in‐place orders, otolaryngology clinic visits at our institution were transitioned to telemedicine. This change enabled th...
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| Veröffentlicht in: | The Laryngoscope 2020-11, Vol.130 (11), p.2568-2573 |
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| container_title | The Laryngoscope |
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| creator | Ohlstein, Jason F. Garner, Jordan Takashima, Masayoshi |
| description | Objectives/Hypothesis
The COVID‐19 pandemic has led to unprecedented global changes in the delivery of healthcare over a short period of time. With the implementation of shelter‐in‐place orders, otolaryngology clinic visits at our institution were transitioned to telemedicine. This change enabled the rapid characterization of the patients who accepted and declined telemedicine.
Study Design
Cross‐sectional analysis.
Methods
A review was conducted of 525 otolaryngology patients at a tertiary‐care referral center with scheduled visits requiring rescheduling to a future date or a telemedicine visit. Visit, demographic information, and reason for deferring telemedicine were collected for analysis.
Results
Seventy‐two percent of patients declined a telemedicine visit, with the most common reason being the lack of a physical exam (97%). There was an even distribution of demographics between those who accepted and declined visits. There was an association between declining telemedicine with older age (P = .0004) and otology visits (P = .0003), whereas facial plastics patients were more likely to accept (P |
| doi_str_mv | 10.1002/lary.29030 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7435539</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2430101000</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3910-181cf35ee7b243fb0fc8e4978a7211206d82a55b963958eb56044e57ea2d59563</originalsourceid><addsrcrecordid>eNp9kdGKEzEUhoO42Fq92QdYBrwRYepJMpmZ7IWw1F23UCnIKu5VyEzPtClpsiZTpXc-gs-4T2Jq16JeSC4O5Hx8_MlPyCmFMQVgr60OuzGTwOERGVLBaV5IKR6TYVryvBbs84A8jXENQCsu4AkZcFYVIJkYkvc3aHGDC9Mah5lx2bz3e59beuuXu_1Nv8JsMv80fXv__QeV2WXQ59nUmd5om80wRu9imjo4XDwjJ522EZ8_zBH5eHV5M7nOZ_N308nFLG-5pJDTmrYdF4hVwwreNdC1NRayqnXFKGVQLmqmhWhkyaWosRElFAWKCjVbCClKPiJvDt67bZPCt-j6oK26C2aTsiuvjfp748xKLf1XVRVcCC6T4OWDIPgvW4y92pjYorXaod9GlWIBTQcgoS_-Qdd-G1x6XqIE41DSskrUqwPVBh9jwO4YhoLat6T2v6p-tZTgsz_jH9HftSSAHoBvxuLuPyo1u_hwe5D-BFnanC0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2452306167</pqid></control><display><type>article</type><title>Telemedicine in Otolaryngology in the COVID‐19 Era: Initial Lessons Learned</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Ohlstein, Jason F. ; Garner, Jordan ; Takashima, Masayoshi</creator><creatorcontrib>Ohlstein, Jason F. ; Garner, Jordan ; Takashima, Masayoshi</creatorcontrib><description>Objectives/Hypothesis
The COVID‐19 pandemic has led to unprecedented global changes in the delivery of healthcare over a short period of time. With the implementation of shelter‐in‐place orders, otolaryngology clinic visits at our institution were transitioned to telemedicine. This change enabled the rapid characterization of the patients who accepted and declined telemedicine.
Study Design
Cross‐sectional analysis.
Methods
A review was conducted of 525 otolaryngology patients at a tertiary‐care referral center with scheduled visits requiring rescheduling to a future date or a telemedicine visit. Visit, demographic information, and reason for deferring telemedicine were collected for analysis.
Results
Seventy‐two percent of patients declined a telemedicine visit, with the most common reason being the lack of a physical exam (97%). There was an even distribution of demographics between those who accepted and declined visits. There was an association between declining telemedicine with older age (P = .0004) and otology visits (P = .0003), whereas facial plastics patients were more likely to accept (P < .0001). Patients scheduled earlier during the pandemic were more likely to accept a visit with a median of 28 days from onset of shelter‐in‐place orders versus 35 for those who declined (P < .0001).
Conclusions
We describe our initial experience with a transition to telemedicine, where the majority of patients would decline a virtual visit due to the lack of a physical exam. Although the future remains uncertain, telemedicine will continue to play a vital role in healthcare delivery. We believe that understanding our patient base gives critical insights that will help guide and improve virtual care to meet patients' needs.
Level of Evidence
4 Laryngoscope, 130:2568–2573, 2020</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.29030</identifier><identifier>PMID: 32740925</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Comprehensive Otolaryngology ; COVID-19 ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Otolaryngology ; Otolaryngology - methods ; Otology ; Pandemics ; Patient Acceptance of Health Care - psychology ; Patient Acceptance of Health Care - statistics & numerical data ; Practice Patterns, Physicians' - statistics & numerical data ; SARS-CoV-2 ; telehealth ; Telemedicine ; Telemedicine - methods ; virtual medicine</subject><ispartof>The Laryngoscope, 2020-11, Vol.130 (11), p.2568-2573</ispartof><rights>2020 American Laryngological, Rhinological and Otological Society Inc, "The Triological Society" and American Laryngological Association (ALA)</rights><rights>2020 American Laryngological, Rhinological and Otological Society Inc, "The Triological Society" and American Laryngological Association (ALA).</rights><rights>2020 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3910-181cf35ee7b243fb0fc8e4978a7211206d82a55b963958eb56044e57ea2d59563</citedby><cites>FETCH-LOGICAL-c3910-181cf35ee7b243fb0fc8e4978a7211206d82a55b963958eb56044e57ea2d59563</cites><orcidid>0000-0002-2219-0736</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.29030$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.29030$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32740925$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ohlstein, Jason F.</creatorcontrib><creatorcontrib>Garner, Jordan</creatorcontrib><creatorcontrib>Takashima, Masayoshi</creatorcontrib><title>Telemedicine in Otolaryngology in the COVID‐19 Era: Initial Lessons Learned</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Objectives/Hypothesis
The COVID‐19 pandemic has led to unprecedented global changes in the delivery of healthcare over a short period of time. With the implementation of shelter‐in‐place orders, otolaryngology clinic visits at our institution were transitioned to telemedicine. This change enabled the rapid characterization of the patients who accepted and declined telemedicine.
Study Design
Cross‐sectional analysis.
Methods
A review was conducted of 525 otolaryngology patients at a tertiary‐care referral center with scheduled visits requiring rescheduling to a future date or a telemedicine visit. Visit, demographic information, and reason for deferring telemedicine were collected for analysis.
Results
Seventy‐two percent of patients declined a telemedicine visit, with the most common reason being the lack of a physical exam (97%). There was an even distribution of demographics between those who accepted and declined visits. There was an association between declining telemedicine with older age (P = .0004) and otology visits (P = .0003), whereas facial plastics patients were more likely to accept (P < .0001). Patients scheduled earlier during the pandemic were more likely to accept a visit with a median of 28 days from onset of shelter‐in‐place orders versus 35 for those who declined (P < .0001).
Conclusions
We describe our initial experience with a transition to telemedicine, where the majority of patients would decline a virtual visit due to the lack of a physical exam. Although the future remains uncertain, telemedicine will continue to play a vital role in healthcare delivery. We believe that understanding our patient base gives critical insights that will help guide and improve virtual care to meet patients' needs.
Level of Evidence
4 Laryngoscope, 130:2568–2573, 2020</description><subject>Comprehensive Otolaryngology</subject><subject>COVID-19</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Otolaryngology</subject><subject>Otolaryngology - methods</subject><subject>Otology</subject><subject>Pandemics</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>SARS-CoV-2</subject><subject>telehealth</subject><subject>Telemedicine</subject><subject>Telemedicine - methods</subject><subject>virtual medicine</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kdGKEzEUhoO42Fq92QdYBrwRYepJMpmZ7IWw1F23UCnIKu5VyEzPtClpsiZTpXc-gs-4T2Jq16JeSC4O5Hx8_MlPyCmFMQVgr60OuzGTwOERGVLBaV5IKR6TYVryvBbs84A8jXENQCsu4AkZcFYVIJkYkvc3aHGDC9Mah5lx2bz3e59beuuXu_1Nv8JsMv80fXv__QeV2WXQ59nUmd5om80wRu9imjo4XDwjJ522EZ8_zBH5eHV5M7nOZ_N308nFLG-5pJDTmrYdF4hVwwreNdC1NRayqnXFKGVQLmqmhWhkyaWosRElFAWKCjVbCClKPiJvDt67bZPCt-j6oK26C2aTsiuvjfp748xKLf1XVRVcCC6T4OWDIPgvW4y92pjYorXaod9GlWIBTQcgoS_-Qdd-G1x6XqIE41DSskrUqwPVBh9jwO4YhoLat6T2v6p-tZTgsz_jH9HftSSAHoBvxuLuPyo1u_hwe5D-BFnanC0</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Ohlstein, Jason F.</creator><creator>Garner, Jordan</creator><creator>Takashima, Masayoshi</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2219-0736</orcidid></search><sort><creationdate>202011</creationdate><title>Telemedicine in Otolaryngology in the COVID‐19 Era: Initial Lessons Learned</title><author>Ohlstein, Jason F. ; Garner, Jordan ; Takashima, Masayoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3910-181cf35ee7b243fb0fc8e4978a7211206d82a55b963958eb56044e57ea2d59563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Comprehensive Otolaryngology</topic><topic>COVID-19</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Otolaryngology</topic><topic>Otolaryngology - methods</topic><topic>Otology</topic><topic>Pandemics</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>SARS-CoV-2</topic><topic>telehealth</topic><topic>Telemedicine</topic><topic>Telemedicine - methods</topic><topic>virtual medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ohlstein, Jason F.</creatorcontrib><creatorcontrib>Garner, Jordan</creatorcontrib><creatorcontrib>Takashima, Masayoshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ohlstein, Jason F.</au><au>Garner, Jordan</au><au>Takashima, Masayoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Telemedicine in Otolaryngology in the COVID‐19 Era: Initial Lessons Learned</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2020-11</date><risdate>2020</risdate><volume>130</volume><issue>11</issue><spage>2568</spage><epage>2573</epage><pages>2568-2573</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
The COVID‐19 pandemic has led to unprecedented global changes in the delivery of healthcare over a short period of time. With the implementation of shelter‐in‐place orders, otolaryngology clinic visits at our institution were transitioned to telemedicine. This change enabled the rapid characterization of the patients who accepted and declined telemedicine.
Study Design
Cross‐sectional analysis.
Methods
A review was conducted of 525 otolaryngology patients at a tertiary‐care referral center with scheduled visits requiring rescheduling to a future date or a telemedicine visit. Visit, demographic information, and reason for deferring telemedicine were collected for analysis.
Results
Seventy‐two percent of patients declined a telemedicine visit, with the most common reason being the lack of a physical exam (97%). There was an even distribution of demographics between those who accepted and declined visits. There was an association between declining telemedicine with older age (P = .0004) and otology visits (P = .0003), whereas facial plastics patients were more likely to accept (P < .0001). Patients scheduled earlier during the pandemic were more likely to accept a visit with a median of 28 days from onset of shelter‐in‐place orders versus 35 for those who declined (P < .0001).
Conclusions
We describe our initial experience with a transition to telemedicine, where the majority of patients would decline a virtual visit due to the lack of a physical exam. Although the future remains uncertain, telemedicine will continue to play a vital role in healthcare delivery. We believe that understanding our patient base gives critical insights that will help guide and improve virtual care to meet patients' needs.
Level of Evidence
4 Laryngoscope, 130:2568–2573, 2020</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>32740925</pmid><doi>10.1002/lary.29030</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2219-0736</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Comprehensive Otolaryngology COVID-19 Cross-Sectional Studies Female Humans Male Middle Aged Otolaryngology Otolaryngology - methods Otology Pandemics Patient Acceptance of Health Care - psychology Patient Acceptance of Health Care - statistics & numerical data Practice Patterns, Physicians' - statistics & numerical data SARS-CoV-2 telehealth Telemedicine Telemedicine - methods virtual medicine |
| title | Telemedicine in Otolaryngology in the COVID‐19 Era: Initial Lessons Learned |
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