Browsing UMB Coronavirus Publications by Subject "telemedicine"
Now showing items 1-3 of 3
Telemedicine During the COVID-19 Pandemic for Pediatric Eosinophilic Esophagitis PatientsEosinophilic esophagitis (EoE) is a chronic disease in which patients require long-term therapy and management by Gastroenterologists and Allergists/Immunologists1 , 2. The coronavirus disease 2019 (COVID-19) pandemic led to a shift in how physicians treat patients with increasing reliance on telemedicine (TM). As cases of COVID-19 surged in the United States and the world, TM became a mainstay of care. Even with declines in cases and medical practices having in-person (IP) visits, recommendations were made to continue TM, especially for those with lower acuity diseases such as EoE3. We are unaware of any published studies evaluating TM in the care of EoE patients. We assessed the utility of TM in the care of pediatric EoE patients during the COVID-19 pandemic.
Telemedicine Improves Access to Care for Spine Patients With Low Socioeconomic StatusStudy Design: Retrospective cohort study. Objectives: The objective of this study is to compare the likelihood of missing a scheduled telemedicine and in-person appointments for spine patients. The secondary objective is to assess the impact of socioeconomic status on missed telemedicine and in-person appointments. Methods: Patients with scheduled outpatient appointments with orthopedic spine faculty between 2019 and 2021 were divided by appointment type: telemedicine (N = 4,387) and in-person (N = 3810). Socioeconomic status was assessed using Area Deprivation Index (ADI) stratified based on percentile: low (<25), medium (25–75), and high (>75) levels of socioeconomic disadvantage. The primary outcome measure was missed clinic appointments, which was defined as having at least one appointment that was cancelled or labeled “no show.” Results: Patients with in-person appointments missed appointments more often than patients with telemedicine visits (51.3% vs 24.7%, P <.001). Patients with high ADI missed their in-person appointments more often than patients with medium and low ADI (59.5% vs 52.2% and 47.5%, P <.001). There was no difference in missed telemedicine visits between patients with high, medium, and low ADI (27.6% vs 24.8% vs 23.8%, P =.294). Patients that missed an appointment were 41.9% more likely to be high ADI (OR 1.42, 95% CI 1.20–1.68, P <.001) and 13.4% more likely to be medium ADI (OR 1.13, 95% CI 1.03–1.26, P =.015) compared with low ADI patients. Conclusions: Telemedicine may serve a role in reducing disparity in appointment attendance. While further studies are needed to validate these findings, spine surgeons should consider offering telemedicine as an option to patients. © The Author(s) 2022.