Telemedicine use by neurosurgeons due to the COVID-19 related lockdown

Introduction: Due to COVID-19 related restriction, the use of telemedicine has increased tremendously. With this increase, an evaluation in the neurosurgical field seems appropriate. Research question: To what extent has telemedicine made its way in neurosurgical practice during the COVID-19 pandemi...

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Main Authors: Pravesh S. Gadjradj, Roshni H.S. Matawlie, Biswadjiet S. Harhangi
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Brain and Spine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772529421008511
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author Pravesh S. Gadjradj
Roshni H.S. Matawlie
Biswadjiet S. Harhangi
author_facet Pravesh S. Gadjradj
Roshni H.S. Matawlie
Biswadjiet S. Harhangi
author_sort Pravesh S. Gadjradj
collection DOAJ
description Introduction: Due to COVID-19 related restriction, the use of telemedicine has increased tremendously. With this increase, an evaluation in the neurosurgical field seems appropriate. Research question: To what extent has telemedicine made its way in neurosurgical practice during the COVID-19 pandemic? Material and methods: A 29-question survey was distributed among members of the congress of neurological surgeons regarding the respondents demographics the current level of COVID-19 restrictions, the current use of telemedicine and potential difficulties and consequences of telemedicine for patient care. Results: The average number of weekly outpatient visits decreased with 31 visits to a mean of 15 visits per week, while the average number of surgeries performed decreased with 5 to a mean of 2 procedures per week. On average 60% of the normal consultations have been converted to telehealth consults. Telemedicine was expected to increase the ability to quickly meet patients for urgent appointments (70%) but was also expected to decrease the quality of the relationship (56%) between practitioners and patients. The biggest difficulties due to use of telemedicine were the inability to perform physical examination (42%) followed by the inability of patients to use technology (24%) and working with elderly patients (20%). Discussion and conclusion: Telemedicine, however, comes with concerns regarding the quality of the relationship between patients and practitioners and regarding accessibility among certain patient groups. With these concerns, areas of improvement and further research are indicated. Due to the COVID-19 pandemic, telemedicine has become an integral part of the neurosurgical healthcare.
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spelling doaj.art-8587cc753be8440ca3124f5dcbaed9f52022-12-21T19:38:32ZengElsevierBrain and Spine2772-52942021-01-011100851Telemedicine use by neurosurgeons due to the COVID-19 related lockdownPravesh S. Gadjradj0Roshni H.S. Matawlie1Biswadjiet S. Harhangi2Department of Neurological Surgery, Weill Cornell Brain and Spine Center, New York, NY, USA; Corresponding author. Neurological Surgery, Weill Cornell Brain and Spine Center, 1300 York Avenue, New York, NY, USA.Department of Neurological Surgery, Weill Cornell Brain and Spine Center, New York, NY, USADepartment of Neurosurgery, Erasmus MC: University Medical Center Rotterdam, the NetherlandsIntroduction: Due to COVID-19 related restriction, the use of telemedicine has increased tremendously. With this increase, an evaluation in the neurosurgical field seems appropriate. Research question: To what extent has telemedicine made its way in neurosurgical practice during the COVID-19 pandemic? Material and methods: A 29-question survey was distributed among members of the congress of neurological surgeons regarding the respondents demographics the current level of COVID-19 restrictions, the current use of telemedicine and potential difficulties and consequences of telemedicine for patient care. Results: The average number of weekly outpatient visits decreased with 31 visits to a mean of 15 visits per week, while the average number of surgeries performed decreased with 5 to a mean of 2 procedures per week. On average 60% of the normal consultations have been converted to telehealth consults. Telemedicine was expected to increase the ability to quickly meet patients for urgent appointments (70%) but was also expected to decrease the quality of the relationship (56%) between practitioners and patients. The biggest difficulties due to use of telemedicine were the inability to perform physical examination (42%) followed by the inability of patients to use technology (24%) and working with elderly patients (20%). Discussion and conclusion: Telemedicine, however, comes with concerns regarding the quality of the relationship between patients and practitioners and regarding accessibility among certain patient groups. With these concerns, areas of improvement and further research are indicated. Due to the COVID-19 pandemic, telemedicine has become an integral part of the neurosurgical healthcare.http://www.sciencedirect.com/science/article/pii/S2772529421008511Covid-19TelemedicineNeurosurgery
spellingShingle Pravesh S. Gadjradj
Roshni H.S. Matawlie
Biswadjiet S. Harhangi
Telemedicine use by neurosurgeons due to the COVID-19 related lockdown
Brain and Spine
Covid-19
Telemedicine
Neurosurgery
title Telemedicine use by neurosurgeons due to the COVID-19 related lockdown
title_full Telemedicine use by neurosurgeons due to the COVID-19 related lockdown
title_fullStr Telemedicine use by neurosurgeons due to the COVID-19 related lockdown
title_full_unstemmed Telemedicine use by neurosurgeons due to the COVID-19 related lockdown
title_short Telemedicine use by neurosurgeons due to the COVID-19 related lockdown
title_sort telemedicine use by neurosurgeons due to the covid 19 related lockdown
topic Covid-19
Telemedicine
Neurosurgery
url http://www.sciencedirect.com/science/article/pii/S2772529421008511
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