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. 2022 Feb;74(1):163-170.
doi: 10.1007/s13304-021-01139-8. Epub 2021 Jul 26.

E-consensus on telemedicine in colorectal surgery: a RAND/UCLA-modified study

Gaetano Gallo  1 , Arcangelo Picciariello  2   3 , Gian Luca Di Tanna  4 , Giulio Aniello Santoro  5 , Roberto Perinotti  6 ; Telemedicine in Colorectal Surgery Italian Working Group; Ugo Grossi  5
Collaborators, Affiliations

E-consensus on telemedicine in colorectal surgery: a RAND/UCLA-modified study

Gaetano Gallo et al. Updates Surg. 2022 Feb.

Erratum in

Abstract

Coronavirus disease 2019 (COVID-19) is revolutionizing healthcare delivery. The aim of the study was to reach consensus among experts on the possible applications of telemedicine in colorectal surgery. A group of 48 clinical practice recommendations (CPRs) was developed by a clinical guidance group based on coalescence of evidence and expert opinion. The Telemedicine in Colorectal Surgery Italian Working Group included 54 colorectal surgeons affiliated to the Italian Society of Colo-Rectal Surgery (SICCR) who were involved in the evaluation of the appropriateness of each CPR, based on published RAND/UCLA methodology, in two rounds. Stakeholders' median age was 44.5 (IQR 36-60) years, and 44 (81%) were males. Agreement was obtained on the applicability of telemonitoring and telemedicine for multidisciplinary pre-operative evaluation. The panel voted against the use of telemedicine for a first consultation. 15/48 statements deemed uncertain on round 1 and were re-elaborated and assessed by 51/54 (94%) panelists on round 2. Consensus was achieved in all but one statement concerning the cost of a teleconsultation. There was strong agreement on the usefulness of teleconsultation during follow-up of patients with diverticular disease after an in-person visit. This e-consensus provides the boundaries of telemedicine in colorectal surgery in Italy. Standardization of infrastructures and costs remains to be better elucidated.

Keywords: COVID-19; Colorectal; RAND/UCLA; Teleconsultation; Telehealth; Telemedicine.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

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