Impact of Postoperative Telemedicine Visit vs In-person Visit on Patient Satisfaction During the COVID-19 Pandemic

NCT ID: NCT04652674

Last Updated: 2022-12-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-28

Study Completion Date

2022-06-30

Brief Summary

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The purpose of this clinical study is to evaluate whether remote video/audio postoperative visits (telemedicine visits) affects patient satisfaction compared to in-person visits during the COVID-19 pandemic. If the primary objective of the study is achieved, it would allow better understanding of how telemedicine can be integrated into modern surgical practice to take care of postoperative patients.

Detailed Description

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Conditions

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Covid19 Satisfaction, Patient Telemedicine

Keywords

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Covid19 Patient satisfaction Telemedicine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Group I

Patients who will undergo telemedicine visit approximately 1 week postoperatively, then an in-person clinic visit approximately 4 weeks postoperatively

Group Type EXPERIMENTAL

Telemedicine visit

Intervention Type BEHAVIORAL

A postoperative visit with the patient's surgeon conducted remotely via audio/video smartphone app

Group II

Patients who will undergo in-person clinic visit approximately 1 week postoperatively, then a telemedicine visit approximately 4 weeks postoperatively

Group Type ACTIVE_COMPARATOR

In-person postoperative visit

Intervention Type BEHAVIORAL

A standard-of-care in-person postoperatively visit with the patient's surgeon

Interventions

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Telemedicine visit

A postoperative visit with the patient's surgeon conducted remotely via audio/video smartphone app

Intervention Type BEHAVIORAL

In-person postoperative visit

A standard-of-care in-person postoperatively visit with the patient's surgeon

Intervention Type BEHAVIORAL

Other Intervention Names

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Remote audio/video visit, telehealth visit

Eligibility Criteria

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Inclusion Criteria

1. Patients over 18 years of age inclusive at the time of the study who underwent colorectal surgery and are presenting for their first postoperative visit
2. Patients with a computer or phone device with video and audio capabilities

Exclusion Criteria

1. Children \<18 years of age
2. Patients with mental disability
3. Patients without a computer or phone device with video and audio capabilities
4. Patients who require physical intervention during their first postoperative visit (e.g. drain removal, suture removal, staple removal)
5. Patients who are readmitted to the hospital prior to their first postoperative visit will be excluded.
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cedars-Sinai Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Karen Zaghiyan

Associate Professor of Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Karen Zaghiyan, MD

Role: PRINCIPAL_INVESTIGATOR

Associate Professor of Surgery

Locations

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Cedars Sinai Medical Center

Los Angeles, California, United States

Site Status

Countries

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United States

References

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Grenda TR, Whang S, Evans NR 3rd. Transitioning a Surgery Practice to Telehealth During COVID-19. Ann Surg. 2020 Aug;272(2):e168-e169. doi: 10.1097/SLA.0000000000004008.

Reference Type BACKGROUND
PMID: 32675529 (View on PubMed)

Gunter RL, Chouinard S, Fernandes-Taylor S, Wiseman JT, Clarkson S, Bennett K, Greenberg CC, Kent KC. Current Use of Telemedicine for Post-Discharge Surgical Care: A Systematic Review. J Am Coll Surg. 2016 May;222(5):915-27. doi: 10.1016/j.jamcollsurg.2016.01.062. Epub 2016 Feb 13. No abstract available.

Reference Type BACKGROUND
PMID: 27016900 (View on PubMed)

Huang EY, Knight S, Guetter CR, Davis CH, Moller M, Slama E, Crandall M. Telemedicine and telementoring in the surgical specialties: A narrative review. Am J Surg. 2019 Oct;218(4):760-766. doi: 10.1016/j.amjsurg.2019.07.018. Epub 2019 Jul 18.

Reference Type BACKGROUND
PMID: 31350010 (View on PubMed)

Hakim AA, Kellish AS, Atabek U, Spitz FR, Hong YK. Implications for the use of telehealth in surgical patients during the COVID-19 pandemic. Am J Surg. 2020 Jul;220(1):48-49. doi: 10.1016/j.amjsurg.2020.04.026. Epub 2020 Apr 21.

Reference Type BACKGROUND
PMID: 32336519 (View on PubMed)

Hwa K, Wren SM. Telehealth follow-up in lieu of postoperative clinic visit for ambulatory surgery: results of a pilot program. JAMA Surg. 2013 Sep;148(9):823-7. doi: 10.1001/jamasurg.2013.2672.

Reference Type BACKGROUND
PMID: 23842982 (View on PubMed)

Mann DM, Chen J, Chunara R, Testa PA, Nov O. COVID-19 transforms health care through telemedicine: Evidence from the field. J Am Med Inform Assoc. 2020 Jul 1;27(7):1132-1135. doi: 10.1093/jamia/ocaa072.

Reference Type BACKGROUND
PMID: 32324855 (View on PubMed)

Related Links

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https://www.sealedenvelope.com/power/binary-noninferior/

Sealed Envelope tool for randomization

Other Identifiers

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STUDY00000944

Identifier Type: -

Identifier Source: org_study_id