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

Not Applicable

Completed

• Conditions: Satisfaction, Patient; Covid19; Telemedicine
• Interventions: Behavioral: Telemedicine visit; Behavioral: In-person postoperative visit

• Registration Number: NCT04652674
• Lead Sponsor: Cedars-Sinai Medical Center

Brief Summary

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

Not available

Study Timeline

• Study Start: 2020-09-28
• Study First Submitted: 2020-12-02
• Study First Submitted QC: 2020-12-02
• Study First Posted: 2020-12-03
• Primary Completion: 2022-06-30
• Study Completion: 2022-06-30
• Status Verified: 2022-12
• Last Update Submitted: 2022-12-22
• Last Update Posted: 2022-12-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 58

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group I	Telemedicine visit	Patients who will undergo telemedicine visit approximately 1 week postoperatively, then an in-person clinic visit approximately 4 weeks postoperatively
Group II	In-person postoperative visit	Patients who will undergo in-person clinic visit approximately 1 week postoperatively, then a telemedicine visit approximately 4 weeks postoperatively

Primary Outcome Measures

Name	Time	Method
Patient satisfaction	7 to 14 days postoperatively	Patient satisfaction score measured by electronic survey sent to all participating patients after their first postoperative visit

Secondary Outcome Measures

Name	Time	Method
Patient willingness to recommend provider to peers rated from 1 to 5	7 to 14 days postoperatively	Patient willingness to recommend provider to peers rated from 1 to 5
Combined patient satisfaction score from 1st and 2nd postoperative visits	7 to 31 days postoperatively	Combined patient satisfaction score from 1st and 2nd postoperative visits
60-day rate of re-operation	60 days postoperatively	Incidence of re-operation 60 days postoperatively
Length of visit	7 to 14 days postoperatively	Length of postoperative visit
60-day rate of hospital readmission	60 days postoperatively	Incidence of hospital readmission 60 days postoperatively
Distance (in kilometers) of patient's primary residence to the clinic location	7 to 31 days postoperatively	Distance (in kilometers) of patient's primary residence to the clinic location
Patient-reported rating of safety	7 to 14 days postoperatively	Patient-reported sense of safety score rated from 1 to 5 with higher scores indicating greater sense of safety. This is designed to gauge how safe patients feel visiting the clinic in-person vs. online via telemedicine during the COVID pandemic

Trial Locations

Locations (1)

Cedars Sinai Medical Center; 🇺🇸 Los Angeles, California, United States