Patient Satisfaction with Postoperative Telemedicine Versus In-Office Visits Following Primary Hip Arthroscopy: A Prospective Observational Study Before and During the COVID-19 Pandemic
Publication: Telemedicine and e-Health
Volume 30, Issue Number 2
Abstract
Background: The purpose of this study was to compare satisfaction with postoperative telemedicine visits versus in-office visits among patients undergoing primary hip arthroscopy.
Methods: A prospective cohort study was conducted involving subjects ≥18 years old undergoing primary hip arthroscopy at a single center from January 2020 to February 2021. Subjects chose between a telemedicine or in-office visit for 6-week follow-up. Patient satisfaction after the 6-week visit was assessed using an electronic survey. The primary outcome was satisfaction on a scale from 0 to 10. Intergroup comparisons of outcomes were performed using Student's t-test, Mann–Whitney U test, or Fisher's exact test. p-Values <0.05 were considered significant.
Results: Seventy-five patients (28M and 47F) were enrolled in the study with mean age 41.2 ± 12.7 years. Forty-four patients (58.7%) attended in-office visits and 31 (41.3%) attended telemedicine visits. There were no significant intergroup differences in age, gender, body mass index, or American Society of Anesthesiologists (ASA) classification (p > 0.05). There were no significant intergroup differences in satisfaction with overall care (in-office 9.6 vs. telemedicine 9.3, p = 0.08) or the 6-week visit (in-office 9.0 vs. telemedicine 8.0, p = 0.06). The telemedicine group more frequently reported visits taking <20 min (p = 0.002) and spending >10 min with their surgeon (p = 0.01). However, 51.6% of the telemedicine group and 74.7% of the entire cohort expressed a retrospective preference for in-office visits.
Conclusions: There were no significant differences in satisfaction scores between hip arthroscopy patients assigned to telemedicine versus in-office visits for 6-week follow-up, but most patients expressed a preference for in-office visits.
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Copyright
Copyright 2024, Mary Ann Liebert, Inc., publishers.
History
Published online: 7 February 2024
Published in print: February 2024
Published ahead of print: 16 August 2023
Accepted: 12 April 2023
Received: 29 March 2023
Authors
Authors' Contributions
Formal analysis, writing—original draft, and visualization by D.S.S. Formal analysis and writing—original draft by Z.I.L. Investigation and data curation by A.R.H. and A.M.B. Conceptualization, methodology, resources, and supervision by G.G.-L. Conceptualization, methodology, resources, writing—review and editing, supervision, and project administration by T.Y.
Disclosure Statement
T.Y. has received speaker fees, consulting fees, and intellectual property royalties unrelated to this study from Arthrex, Inc. The remaining authors have no conflicts of interest to declare.
Funding Information
No funding was received for this article.
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