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dc.contributor.authorYe, Ivan B.
dc.contributor.authorThomson, Alexandra E.
dc.contributor.authorChowdhury, Navid
dc.contributor.authorOster, Brittany
dc.contributor.authorMiseo, Vincent S.
dc.contributor.authorJauregui, Julio J.
dc.contributor.authorCavanaugh, Daniel
dc.contributor.authorKoh, Eugene
dc.contributor.authorGelb, Daniel
dc.contributor.authorLudwig, Steven
dc.date.accessioned2022-05-17T12:54:34Z
dc.date.available2022-05-17T12:54:34Z
dc.date.issued2022-01-01
dc.identifier.urihttp://hdl.handle.net/10713/18868
dc.description.abstractStudy 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.en_US
dc.description.urihttps://doi.org/10.1177/21925682221092398en_US
dc.language.isoenen_US
dc.publisherSAGE Publications Inc.en_US
dc.relation.ispartofGlobal Spine Journalen_US
dc.subjectarea deprivation indexen_US
dc.subjectCOVID-19 pandemicen_US
dc.subjectmissed appointmentsen_US
dc.subjectorthopedic spineen_US
dc.subjecttelemedicineen_US
dc.titleTelemedicine Improves Access to Care for Spine Patients With Low Socioeconomic Statusen_US
dc.typeArticleen_US
dc.identifier.doi10.1177/21925682221092398
dc.source.journaltitleGlobal Spine Journal


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