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Interventional procedure plans generated by telemedicine visits in spine patients are rarely changed after in-person evaluation.
Crawford, Alexander M; Lightsey, Harry M; Xiong, Grace X; Striano, Brendan M; Greene, Nattaly; Schoenfeld, Andrew J; Simpson, Andrew K.
  • Crawford AM; Harvard Combined Orthopaedic Residency Program, Boston, Massachusetts, USA.
  • Lightsey HM; Harvard Combined Orthopaedic Residency Program, Boston, Massachusetts, USA.
  • Xiong GX; Harvard Combined Orthopaedic Residency Program, Boston, Massachusetts, USA.
  • Striano BM; Harvard Combined Orthopaedic Residency Program, Boston, Massachusetts, USA.
  • Greene N; Harvard Combined Orthopaedic Residency Program, Boston, Massachusetts, USA.
  • Schoenfeld AJ; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.
  • Simpson AK; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA asimpson@bwh.harvard.edu.
Reg Anesth Pain Med ; 46(6): 478-481, 2021 06.
Article in English | MEDLINE | ID: covidwho-1148173
Semantic information from SemMedBD (by NLM)
1. Infantile Neuroaxonal Dystrophy PROCESS_OF Patients
Subject
Infantile Neuroaxonal Dystrophy
Predicate
PROCESS_OF
Object
Patients
2. Spinal Diseases PROCESS_OF Patients
Subject
Spinal Diseases
Predicate
PROCESS_OF
Object
Patients
3. Pain PROCESS_OF Hospital specialist
Subject
Pain
Predicate
PROCESS_OF
Object
Hospital specialist
4. Physical Examination ADMINISTERED_TO Specialist
Subject
Physical Examination
Predicate
ADMINISTERED_TO
Object
Specialist
5. Infantile Neuroaxonal Dystrophy NEG_AFFECTS Persons
Subject
Infantile Neuroaxonal Dystrophy
Predicate
NEG_AFFECTS
Object
Persons
6. Infantile Neuroaxonal Dystrophy PROCESS_OF Patients
Subject
Infantile Neuroaxonal Dystrophy
Predicate
PROCESS_OF
Object
Patients
7. Spinal Diseases PROCESS_OF Patients
Subject
Spinal Diseases
Predicate
PROCESS_OF
Object
Patients
8. Pain PROCESS_OF Hospital specialist
Subject
Pain
Predicate
PROCESS_OF
Object
Hospital specialist
9. Physical Examination ADMINISTERED_TO Specialist
Subject
Physical Examination
Predicate
ADMINISTERED_TO
Object
Specialist
10. Infantile Neuroaxonal Dystrophy NEG_AFFECTS Persons
Subject
Infantile Neuroaxonal Dystrophy
Predicate
NEG_AFFECTS
Object
Persons
ABSTRACT
BACKGROUND AND

OBJECTIVES:

The role of telemedicine in the evaluation and treatment of patients with spinal disorders is rapidly expanding, brought on largely by the COVID-19 pandemic. Within this context, the ability of pain specialists to accurately diagnose and plan appropriate interventional spine procedures based entirely on telemedicine visits, without an in-person evaluation, remains to be established. In this study, our primary objective was to assess the relevance of telemedicine to interventional spine procedure planning by determining whether procedure plans established solely from virtual visits changed following in-person evaluation.

METHODS:

We reviewed virtual and in-person clinical encounters from our academic health system's 10 interventional spine specialists. We included patients who were seen exclusively via telemedicine encounters and indicated for an interventional procedure with documented procedural plans. Virtual plans were then compared with the actual procedures performed following in-person evaluation. Demographic data as well as the type and extent of physical examination performed by the interventional spine specialist were also recorded.

RESULTS:

Of the 87 new patients included, the mean age was 60 years (SE 1.4 years) and the preprocedural plan established by telemedicine, primarily videoconferencing, did not change for 76 individuals (87%; 95% CI 0.79 to 0.94) following in-person evaluation. Based on the size of our sample, interventional procedures indicated solely during telemedicine encounters may be accurate in 79%-94% of cases in the broader population.

CONCLUSIONS:

Our findings suggest that telemedicine evaluations are a generally accurate means of preprocedural assessment and development of interventional spine procedure plans. These findings clearly demonstrate the capabilities of telemedicine for evaluating spine patients and planning interventional spine procedures.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Spinal Diseases / Spine / Preoperative Care / Telemedicine / COVID-19 Limits: Humans / Middle aged Language: English Journal: Reg Anesth Pain Med Journal subject: Anesthesiology / Neurology / Psychophysiology Year: 2021 Document Type: Article Affiliation country: Rapm-2021-102630

Full text: Available Collection: International databases Database: MEDLINE Main subject: Spinal Diseases / Spine / Preoperative Care / Telemedicine / COVID-19 Limits: Humans / Middle aged Language: English Journal: Reg Anesth Pain Med Journal subject: Anesthesiology / Neurology / Psychophysiology Year: 2021 Document Type: Article Affiliation country: Rapm-2021-102630