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. 2021 Jul;46(4):699-719.
doi: 10.1111/coa.13768. Epub 2021 Mar 29.

A systematic review of outcomes of remote consultation in ENT

Tanya Gupta  1 , Vasileios Gkiousias  1 , Mahmood F Bhutta  1   2
Affiliations

A systematic review of outcomes of remote consultation in ENT

Tanya Gupta et al. Clin Otolaryngol. 2021 Jul.

Abstract

Aims: Remote or tele-consultation has become an emerging modality of consultation in many specialities, including ENT. Advantages include increasing accessibility, potential to reduce costs and, during the COVID-19 pandemic, reduced risk of infection transmission. Here, we systematically collate and synthesise the evidence base on outcomes from remote consultation in adult and paediatric ENT services.

Methods: We performed a review in accordance with PRISMA guidelines. We searched Medline and Embase for relevant articles. Outcomes include specific patient pathway efficiency measures (including number of healthcare visits, lead time, touch time and handoff), patient/clinician satisfaction, cost analysis and safety implications.

Results: From 6325 articles screened, 53 met inclusion criteria. Publications included studies on remote consultation for initial, preoperative and follow-up assessment (including postoperative). In most instances, remote consultation reduced costs and time from referral to assessment and was associated with high patient satisfaction. However, a face-to-face follow-up appointment was required in 13%-72% of initial consultations, suggesting that remote consultation is only appropriate in selected cases.

Conclusion: Remote consultation is appropriate and preferable for ENT consultation in specific conditions and circumstances. Future research should look to better define those conditions and circumstances, and report using recognised quality standards and outcome measures.

Keywords: ENT; accessibility; efficiency; remote assessment; remote consultation; review.

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References

REFERENCES

    1. Tysome J, Bhutta M. COVID-19: Protecting our ENT Workforce. Clin Otolaryngol. 2020;45(3):311-312.
    1. National Health Service. Clinical guide for the management of remote consultations and remote working in secondary care during the coronavirus pandemic (pp. 1-12). NHS England and NHS Improvement; 2020.
    1. Beule A. Telemedical methods in ear, nose and throat medicine. Laryngorhinootologie. 2019;98(01):129-172.
    1. Garritano F, Goldenberg D. Successful telemedicine programs in otolaryngology. Otolaryngol Clin North Am. 2011;44(6):1259-1274.
    1. Bédard A, Basagaña X, Anto J, et al. Mobile technology offers novel insights into the control and treatment of allergic rhinitis: The MASK study. Journal of Allergy and Clinical Immunology. 2019;144(1):135-143.e6.

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