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. 2022 Sep 1;47(17):1194-1202.
doi: 10.1097/BRS.0000000000004387. Epub 2022 Jul 1.

Telemedicine Visits Can Generate Highly Accurate Diagnoses and Surgical Plans for Spine Patients

Patawut Bovonratwet  1 , Junho Song, Yeo Eun Kim, Daniel Shinn, Kyle W Morse, James E Dowdell, Russel C Huang, Todd J Albert, Harvinder S Sandhu, Sheeraz A Qureshi, Sravisht Iyer
Affiliations

Telemedicine Visits Can Generate Highly Accurate Diagnoses and Surgical Plans for Spine Patients

Patawut Bovonratwet et al. Spine (Phila Pa 1976). .

Abstract

Study design: A Retrospective cohort study.

Objective: To (1) assess whether diagnoses and surgical plans established during a new patient telemedicine visit changed following an in-person evaluation and (2) determine any differences in perioperative outcomes between patients who only had a telemedicine visit before surgery versus those who had a telemedicine visit followed by an in-person evaluation before surgery.

Summary of background data: Data on capability of telemedicine to deliver high-quality preoperative assessment without a traditional in-person interaction and physical examination is lacking.

Materials and methods: Records of patients who had a new patient telemedicine visit and indicated for surgery with documented specific diagnosis as well as surgical plans from a spine department at an urban tertiary center from April 2020 to April 2021 were reviewed. For a subset of patients that had a follow-up in-person evaluation before surgery, these diagnoses and plans were compared. Perioperative outcomes were compared between patients who only had a telemedicine visit before surgery versus those who had a telemedicine visit followed by an in-person evaluation before surgery.

Results: A total of 166 patients were included. Of these, 101 patients (61%) only had a new patient telemedicine visit before surgery while 65 (39%) had a telemedicine visit followed by an in-person evaluation. There were no differences in the rate of case cancellations before surgery and patient-reported outcome measures between these two groups ( P >0.05). Of 65 patients who had both a telemedicine followed by an in-person visit, the diagnosis was unchanged for 61 patients (94%) and the surgical plan did not change for 52 patients (80%). The main reason for surgical plan change was due to updated findings on new imaging, 10 patients, (77%).

Conclusions: The current study suggests that telemedicine evaluations can provide an effective means of preoperative assessment for spine patients.

Level of evidence: Level 3.

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Conflict of interest statement

The authors report no conflicts of interest.

Comment in

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