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Tele-medicine versus face-to-face consultation in Endocrine Outpatients Clinic during COVID-19 outbreak: a single-center experience during the lockdown period.
Ceccato, F; Voltan, G; Sabbadin, C; Camozzi, V; Merante Boschin, I; Mian, C; Zanotto, V; Donato, D; Bordignon, G; Capizzi, A; Carretta, G; Scaroni, C.
  • Ceccato F; Endocrinology Unit, Department of Medicine DIMED, University-Hospital of Padova, European Reference Network On Rare Endocrine Conditions (endoERN) Center of Padova, Via Ospedale Civile, 105, 35128, Padova, Italy. filippo.ceccato@unipd.it.
  • Voltan G; Department of Neuroscience DNS, University of Padova, Padova, Italy. filippo.ceccato@unipd.it.
  • Sabbadin C; Endocrinology Unit, Department of Medicine DIMED, University-Hospital of Padova, European Reference Network On Rare Endocrine Conditions (endoERN) Center of Padova, Via Ospedale Civile, 105, 35128, Padova, Italy.
  • Camozzi V; Endocrinology Unit, Department of Medicine DIMED, University-Hospital of Padova, European Reference Network On Rare Endocrine Conditions (endoERN) Center of Padova, Via Ospedale Civile, 105, 35128, Padova, Italy.
  • Merante Boschin I; Endocrinology Unit, Department of Medicine DIMED, University-Hospital of Padova, European Reference Network On Rare Endocrine Conditions (endoERN) Center of Padova, Via Ospedale Civile, 105, 35128, Padova, Italy.
  • Mian C; Endocrinology Unit, Department of Medicine DIMED, University-Hospital of Padova, European Reference Network On Rare Endocrine Conditions (endoERN) Center of Padova, Via Ospedale Civile, 105, 35128, Padova, Italy.
  • Zanotto V; Department of Surgical Oncological and Gastroenterological Sciences (DiSCOG), University of Padova, Padova, Italy.
  • Donato D; Endocrinology Unit, Department of Medicine DIMED, University-Hospital of Padova, European Reference Network On Rare Endocrine Conditions (endoERN) Center of Padova, Via Ospedale Civile, 105, 35128, Padova, Italy.
  • Bordignon G; Endocrinology Unit, Department of Medicine DIMED, University-Hospital of Padova, European Reference Network On Rare Endocrine Conditions (endoERN) Center of Padova, Via Ospedale Civile, 105, 35128, Padova, Italy.
  • Capizzi A; Department of Directional Hospital Management, University-Hospital of Padova, European Reference Network On Rare Endocrine Conditions (endoERN) Center of Padova, Padova, Italy.
  • Carretta G; Department of Directional Hospital Management, University-Hospital of Padova, European Reference Network On Rare Endocrine Conditions (endoERN) Center of Padova, Padova, Italy.
  • Scaroni C; Department of Directional Hospital Management, University-Hospital of Padova, European Reference Network On Rare Endocrine Conditions (endoERN) Center of Padova, Padova, Italy.
J Endocrinol Invest ; 2020 Dec 23.
Article in English | MEDLINE | ID: covidwho-996502
ABSTRACT
CONTEXT The COVID-19 outbreak in Italy is the major concern of Public Health in 2020 measures of containment were progressively expanded, limiting Outpatients' visit.

OBJECTIVE:

We have developed and applied an emergency plan, tailored for Outpatients with endocrine diseases.

DESIGN:

Cross-sectional study from March to May 2020.

SETTING:

Referral University-Hospital center. PATIENTS 1262 patients in 8 weeks.

INTERVENTIONS:

The emergency plan is based upon the endocrine triage, the stay-safe procedures and the tele-Endo. During endocrine triage every patient was contacted by phone to assess health status and define if the visit will be performed face-to-face (F2F) or by tele-Medicine (tele-Endo). In case of F2F, targeted stay-safe procedures have been adopted. Tele-Endo, performed by phone and email, is dedicated to COVID-19-infected patients, to elderly or frail people, or to those with a stable disease. MAIN OUTCOME

MEASURE:

To assess efficacy of the emergency plan to continue the follow-up of Outpatients.

RESULTS:

The number of visits cancelled after endocrine triage (9%) is lower than that cancelled independently by the patients (37%, p < 0.001); the latter reduced from 47 to 19% during the weeks of lockdown (p = 0.032). 86% of patients contacted by endocrine-triage received a clinical response (F2F and tele-Endo visits). F2F visit was offered especially to young patients; tele-Endo was applied to 63% of geriatric patients (p < 0.001), visits' outcome was similar between young and aged patients.

CONCLUSIONS:

The emergency plan respects the WHO recommendations to limit viral spread and is useful to continue follow-up for outpatients with endocrine diseases.

Full text: Available Collection: International databases Database: MEDLINE Type: Article Language: English Clinical aspect: Prognosis Year: 2020

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Full text: Available Collection: International databases Database: MEDLINE Type: Article Language: English Clinical aspect: Prognosis Year: 2020