Surgical Telemedicine in the COVID-19 Pandemic Era

Study Overview
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Brief Summary
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The current COVID-19 pandemic has caused delays in initial or follow-up encounters between surgical patients and physicians. While this delay allows for resource allocation to those most severely affected by the pandemic, surgeons are faced with potential important delays in diagnosis and the expanding backlog of elective cases and initial evaluations. This project will assess surgeon and patient telemedicine perspectives. Pre-pandemic views on telemedicine among a cohort of surgeons will be obtained and compared to views at 3 months from the peak of the pandemic. Patients will be surveyed following telemedicine appointments with an anonymous questionnaire to learn about patient receptiveness to telemedicine. Barriers to implementation will be addressed throughout the duration of the study.

Official Title
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Surgical Telemedicine in the COVID-19 Pandemic Era

Conditions
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COVID, Surgery

Intervention / Treatment
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* Other: Completion of pre-pandemic survey
* Other: Completion of survey after peak of pandemic
* Other: Completion of post telemedicine encounter survey


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria Surgical faculty at participating institutions will receive surveys regarding telemedicine early in the start of the study to assess baseline perceptions. These same group of surgeons will receive subsequent surveys 3 months after the peak of the pandemic to evaluate telemedicine perceptions following a rapid implementation and adoption of telemedicine. Surgical patients evaluated from the start of the study through a 6-month period will be included in the study. They will have the option after each telemedicine encounter to complete an anonymous survey regarding perceptions to this technology. Exclusion Criteria No exclusions for surgical faculty are identified. Accrual of data from this group will be limited only by response rates to administered surveys. Exclusions for surgical patients will include the inability to access the technology required for a telemedicine consultation (e.g.: absence of a camera enabled smartphone, absence of a required internet or cellular connection to perform a telemedicine encounter). The investigators will keep a list of reasons for the inability to perform a telemedicine encounter to identify the barriers to implementation among patients.

Ages Eligible for Study
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Minimum Age: 31 Days
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Surgeons<br> | Other: Completion of pre-pandemic survey<br>* Surgeons will take a pre-pandemic survey to determine surgeon perceptions to telemedicine and barriers to implementation.<br>Other: Completion of survey after peak of pandemic<br>* Surgeons will take another survey after the peak of pandemic to determine surgeon perceptions to telemedicine and barriers to implementation.<br>|
| Patients<br> | Other: Completion of post telemedicine encounter survey<br>* Patients will take a post telemedicine encounter survey to determine patient perceptions to telemedicine and barriers to implementation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluate surgeon perceptions to telemedicine and perceived barriers to implementation | Surgeons will take an anonymous survey early after the start of the study regarding perceptions to telemedicine and perceived barriers to implementation. Surgeons will be asked again after 3 months from the peak of the pandemic to take another survey to assess how the pandemic has changed perceptions to telemedicine and the observed barriers to implementation. | 6 months | 
| Evaluate patient perceptions to telemedicine and perceived barriers to implementation | Patients will take an optional anonymous survey at the end of each telemedicine encounter to assess patient perceptions to telemedicine and barriers to implementation. | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Telemedicine, COVID, Surgery