Telemedicine for Neurosurgery Consultations at a Pituitary Center of Excellence: Patient Preference and Willingness to Proceed with Surgery

• Authors: Alexander CM Greven, Emory University; James Miller Douglas, Emory University; Jordan Couceyro, Emory University; Anudeep Nakirikanti, Emory University; Reem Dawoud, Emory University; Manuel Revuelta-Barbero, Emory University; Elisabeth Ward, Emory University; Erica Giraldi, Emory University; Adriana Ioachimescu, Emory University; Kimberly Hoang, Emory University; David Painton Bray, Emory University; Nelson Oyesiku, Emory University
• Journal Title: JOURNAL OF NEUROLOGICAL SURGERY PART B-SKULL BASE
• Volume: Volume 84, Number 1
• Publisher: THIEME MEDICAL PUBL INC | 2022-01-06, Pages 1-7
• Type of Work: Article | Final Publisher PDF
• Publisher DOI: http://doi.org/10.1055/a-1715-0077
• Subjects: Health Sciences, Medicine and Surgery
• Keywords: Science & Technology; Life Sciences & Biomedicine; Clinical Neurology; Surgery; Neurosciences & Neurology; pituitary; telemedicine; neurosurgery; pituitary center of excellence

Abstract

Objective The purpose of this study was to evaluate pituitary tumor patient satisfaction with telemedicine, patient preference for telemedicine, potential socioeconomic benefit of telemedicine, and patients' willingness to proceed with surgery based on a telemedicine visit alone. Method In total, 134 patients who had pituitary surgery and a telemedicine visit during the coronavirus disease 2019 (COVID-19) pandemic (April 23, 2020-March 4, 2021) were called to participate in a 13-part questionnaire. Chi-square, ANOVA, and Wilcoxon Rank Sum tests were used to determine significance. Result Of 134 patients contacted, 90 responded (67%). Ninety-five percent were satisfied or very satisfied with their telemedicine visit, with 62% stating their visit was the same or better than previous in-person appointments. Eighty-two percent of the patients rated their telemedicine visit as easy or very easy. On average, patients saved 150 minutes by using telemedicine compared with patient reported in-person visit times. Seventy-seven percent of patients reported the need to take off from work for in-person visits, compared with just 12% when using telemedicine. Forty-nine percent of patients preferred in-person visits, 34% preferred telemedicine, and 17% had no preference. Fifty percent of patients said they would feel comfortable proceeding with surgery based on a telemedicine visit alone. Patients with both initial evaluation and follow-up conducted via telemedicine were more likely to feel comfortable proceeding with surgery based on a telemedicine visit alone compared with patients who had only follow-up telemedicine visits (p = 0.051). Conclusion Many patients are satisfied with telemedicine visits and feel comfortable proceeding with surgery based on a telemedicine visit alone. Telemedicine is an important adjunct to increase access to care at a Pituitary Center of Excellence.