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. 2025 Jul 18.
doi: 10.1007/s43390-025-01147-3. Online ahead of print.

Patient perception of orthopedic surgeons' empathy in adolescent idiopathic scoliosis telemedicine initial encounter

Gerardo Olivella  1 , José I Acosta-Julbe  2 , Carlos M Campa-Maldonado  1 , José J Martinez-Ramos  3 , Mariana Acuña  4 , Raul Roura-Rovira  1 , Eduardo C Beauchamp  5 , Norman Ramirez  1   6 , Humberto Guzmán  1
Affiliations

Patient perception of orthopedic surgeons' empathy in adolescent idiopathic scoliosis telemedicine initial encounter

Gerardo Olivella et al. Spine Deform. .

Abstract

Purpose: This study aimed to assess Adolescents with Idiopathic Scoliosis (AIS)'s perceptions of an orthopedic pediatric surgeon's empathy during a telemedicine initial clinic visit compared to an in-person visit.

Methods: A cross-sectional study was conducted on all consecutive AIS patients undergoing initial evaluation by a single pediatric orthopedic surgeon, and the data were stratified into two groups: those who underwent telemedicine and those who underwent in-person assessment. Consultation and Relational Empathy (CARE) questionnaire responses and sociodemographic, clinical, radiographic, and questionnaire responses were compared between groups using independent t-tests and Fisher's exact tests.

Results: A total of 92 patients were included, with an average age of 15 years, 76% being female. Of these, 33 patients underwent telemedicine, and 59 underwent in-person office evaluations. There were no differences between both groups regarding age (P = 0.070), body mass index (P = 0.623), gender (P = 0.956), educational level (P = 0.778), presence of back pain (P = 0.854), type of back pain (i.e., constant or intermittent; P = 0.963 and 0.776, respectively), shoulder asymmetry (P = 0.277), waist asymmetry (P = 0.643), left trunk shift (P = 0.070), Risser sign stages (P = 0.655), thoracic Cobb angle (P = 0.893) and lumbar Cobb angle (P = 0.193). The CARE satisfaction scores were similar between patients who underwent telemedicine and in-person office initial evaluations.

Conclusion: Telemedicine is a viable alternative for initial AIS evaluations, without compromising patients' perception of empathy or communication with orthopedic surgeons. Understanding patients' perceptions of orthopedic surgeons' empathy during AIS telemedicine evaluations can support telemedicine as an alternative for initial medical encounters.

Keywords: Adolescent idiopathic scoliosis; Clinical encounter; Patient empathy; Telemedicine.

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Conflict of interest statement

Declarations. Conflict of interest: The authors declare no conflicts of interest related to this work. No author has financial or commercial affiliations with telemedicine services or platforms mentioned in this study.

References

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