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10.1016/j.ciresp.2020.06.019

http://scihub22266oqcxt.onion/10.1016/j.ciresp.2020.06.019
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suck abstract from ncbi


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pmid38620628
      Cir+Esp 2021 ; 99 (5 ): 361-367
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  • Teleconsulta en una unidad de coloproctología durante la pandemia de COVID-19 Resultados preliminares #MMPMID38620628
  • Muñoz-Duyos A ; Abarca-Alvarado N ; Lagares-Tena L ; Sobrerroca L ; Costa D ; Boada M ; Ureña D ; Delgado-Rivilla S
  • Cir Esp 2021[May]; 99 (5 ): 361-367 PMID38620628 show ga
  • INTRODUCTION: During the state of alarm established in Spain due to the COVID-19 pandemic, most of the face-to-face outpatient consultations were cancelled and a telephone consultation was established to follow up coloproctological patients. The objective of this study was to analyse the efficacy of telemedicine (by telephone) in monitoring patients in a coloproctology unit, in the context of the COVID-19 pandemic. METHOD: Prospective descriptive study of consecutive patients in a single centre. The result of the teleconsultation was classified as discharge, resolved visit or reprogramming and was analysed by different diagnostic groups. RESULTS: From March 19th to April 17th, 2020, the teleconsultation of 190 patients was carried out. The response rate was 94.2% (179). The diagnostic categories of the patients attended were: 51 (26.9%) colorectal neoplasia, 48 (25.3%) proctological pathology, 72 (37.9%) pelvic floor dysfunctions and 19 (10%) other benign pathologies. 105 (55.26%) could be recited as if they had come in person. Eleven (5.8%) patients were discharged. No significant differences were found between the different diagnostic categories and the resolution of the teleconsultation. The reasons for reprogramming are analyzed in the study. CONCLUSION: In the context of a pandemic, teleconsultation has allowed 61% of follow-up visits to be definitively solved, avoiding the reprogramming of 116 patients. The new social and health paradigm after the pandemic will require a rethinking of our healthcare model, and in many aspects, telemedicine can offer tools for this.
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