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10.1016/j.wneu.2020.05.251 http://scihub22266oqcxt.onion/10.1016/j.wneu.2020.05.251 32512241!7274123!32512241     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=32512241&cmd=llinks): Failed to open stream: HTTP request failed! 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Telemedicine in Neurosurgery: Lessons Learned and Transformation of Care During the COVID-19 Pandemic |pdf=|usr=}}{{32512241}} gab.com Text Telemedicine in Neurosurgery: Lessons Learned and Transformation of Care During the COVID-19 Pandemic JO: World Neurosurg http://www.kidney.de/pget.php?&tw=1&pmid=32512241 #FOAvip BACKGROUND: Before the COVID-19 pandemic, telemedicine utilization was mostly used for postoperative visits only in neurosurgery. Shelter-in-place measures led the rapid expansion of telemedicine to address the needs of the neurosurgical patient population. Our goal is to determine the extent of adoption of telemedicine across tumor, vascular, spine, and function neurosurgery and utilization for new patient visits. METHODS: A single-center retrospective cohort study of patients who received neurosurgical care at a tertiary academic center from February to April 2020 was conducted. Patients evaluated from March to April 2019 were included for comparison. A total of 10,746 patients were included: 1247 patients underwent surgery, 8742 were seen in clinic via an in-person outpatient visit, and 757 were assessed via telemedicine during the study period. RESULTS: A 40-fold increase in the use of telemedicine was noted after the shelter-in-place measures were initiated with a significant increase in the mean number of patients evaluated via telemedicine per week across all divisions of neurosurgery (4.5 +/- 0.9 to 180.4 +/- 13.9, P < 0.001). The majority of telemedicine appointments were established patient visits (61.2%), but the proportion of new patient visits also significantly increased to an average of 8.2 +/- 5.3 per week across all divisions. CONCLUSIONS: Use of telemedicine drastically increased across all 4 divisions within neurosurgery with a significant increase in online-first encounters in order to meet the needs of our patients once the shelter-in-place measures were implemented. We provide a detailed account of the lessons learned and discuss the anticipated role of telemedicine in surgical practices once the shelter-in-place measures are lifted. Twit Text FOAVip Telemedicine in Neurosurgery: Lessons Learned and Transformation of Care During the COVID-19 Pandemic ????World Neurosurg http://www.kidney.de/pget.php?&tw=1&pmid=32512241 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32512241 #FOAvip English Wikipedia <ref>{{Cite pmid|32512241}}</ref> Telemedicine in Neurosurgery: Lessons Learned and Transformation of Care During the COVID-19 Pandemic #MMPMID32512241 Mouchtouris N; Lavergne P; Montenegro TS; Gonzalez G; Baldassari M; Sharan A; Jabbour P; Harrop J; Rosenwasser R; Evans JJ World Neurosurg 2020[Aug]; 140 (ä): e387-e394 PMID32512241show ga BACKGROUND: Before the COVID-19 pandemic, telemedicine utilization was mostly used for postoperative visits only in neurosurgery. Shelter-in-place measures led the rapid expansion of telemedicine to address the needs of the neurosurgical patient population. Our goal is to determine the extent of adoption of telemedicine across tumor, vascular, spine, and function neurosurgery and utilization for new patient visits. METHODS: A single-center retrospective cohort study of patients who received neurosurgical care at a tertiary academic center from February to April 2020 was conducted. Patients evaluated from March to April 2019 were included for comparison. A total of 10,746 patients were included: 1247 patients underwent surgery, 8742 were seen in clinic via an in-person outpatient visit, and 757 were assessed via telemedicine during the study period. RESULTS: A 40-fold increase in the use of telemedicine was noted after the shelter-in-place measures were initiated with a significant increase in the mean number of patients evaluated via telemedicine per week across all divisions of neurosurgery (4.5 +/- 0.9 to 180.4 +/- 13.9, P < 0.001). The majority of telemedicine appointments were established patient visits (61.2%), but the proportion of new patient visits also significantly increased to an average of 8.2 +/- 5.3 per week across all divisions. CONCLUSIONS: Use of telemedicine drastically increased across all 4 divisions within neurosurgery with a significant increase in online-first encounters in order to meet the needs of our patients once the shelter-in-place measures were implemented. We provide a detailed account of the lessons learned and discuss the anticipated role of telemedicine in surgical practices once the shelter-in-place measures are lifted. |*Coronavirus Infections[MESH] |*Neurosurgical Procedures[MESH] |*Pandemics[MESH] |*Pneumonia, Viral[MESH] |*Telemedicine[MESH] |Appointments and Schedules[MESH] |Betacoronavirus/*pathogenicity[MESH] |COVID-19[MESH] |Humans[MESH] |Retrospective Studies[MESH]Telemedicine in Neurosurgery: Lessons Learned and Transformation of Ca(epmc).pdf DeepDyve Pubget Overpricing