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Inicio Cirugía Española (English Edition) Teleconsultation in a coloproctology unit during the COVID-19 pandemic. Prelimin...
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Vol. 99. Issue 5.
Pages 361-367 (May 2021)
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Vol. 99. Issue 5.
Pages 361-367 (May 2021)
Original article
DOI: 10.1016/j.cireng.2021.04.016
Teleconsultation in a coloproctology unit during the COVID-19 pandemic. Preliminary results
Teleconsulta en una unidad de coloproctología durante la pandemia de COVID-19. Resultados preliminares
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Arantxa Muñoz-Duyos
Corresponding author
amduyos@gmail.com

Corresponding author.
, Natalia Abarca-Alvarado, Laura Lagares-Tena, Laura Sobrerroca, Daniel Costa, Mercè Boada, Dolors Ureña, Salvadora Delgado-Rivilla
Hospital Universitari Mútua Terrassa, Tarrasa, Spain
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Tables (6)
Table 1. Diagnoses of patients treated during the study.
Table 2. Diagnostic categories and types of follow-up of the included patients.
Table 3. Actions during telephone consultation.
Table 4. Resolution of teleconsultation by diagnostic categories and reasons for rescheduling.
Table 5. Characteristics of the patients discharged.
Table 6. Influence in the diagnostic categories or type of consultation in the resolution of the teleconsultation.
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Figures (1)
Abstract
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.

Keywords:
Telemedicine
Remote consultation
Colorectal cancer
Coloproctology
Proctology
Pelvic floor
COVID-19
Resumen
Introducción

Durante el estado de alarma sanitaria establecido a causa de la pandemia de la COVID-19 se anularon la mayor parte de las consultas externas presenciales y se estableció una consulta telefónica para el seguimiento de pacientes coloproctológicos. El objetivo de este estudio fue analizar la eficacia de la consulta telefónica (teleconsulta) en el seguimiento de los pacientes de una unidad de coloproctología, en el contexto de la pandemia de COVID-19.

Método

Estudio descriptivo prospectivo de pacientes consecutivos en un solo centro. Se clasificó el resultado de la teleconsulta como alta, visita resuelta o reprogramación y se analizó por diferentes grupos diagnósticos.

Resultados

Del 19 de marzo al 17 de abril de 2020 se realizó la teleconsulta de 190 pacientes. La tasa de respuesta fue del 94,2% (179). Las categorías diagnósticas de los pacientes atendidos fueron: 51 (26,9%) neoplasia colorrectal, 48 (25,3%) enfermedad proctológica, 72 (37,9%) disfunciones del suelo pélvico y 19 (10%) otras enfermedades benignas. Se pudo volver a citar a 105 (55,26%) como si hubieran venido de forma presencial. Se dio el alta a 11 (5,8%) pacientes. No se encontraron diferencias significativas entre las distintas categorías diagnósticas y la resolución de la teleconsulta. Los motivos de reprogramación se analizan en el estudio.

Conclusión

En el contexto de pandemia, la teleconsulta ha permitido resolver de forma definitiva el 61% de las visitas de seguimiento y ha evitado la reprogramación de 116 pacientes. El nuevo paradigma social y sanitario tras la pandemia requerirá un replanteamiento de nuestro modelo de atención sanitaria y, en muchos aspectos, la telemedicina puede ofrecer herramientas para ello.

Palabras clave:
Telemedicina
Teleconsulta
Cáncer colorrectal
Coloproctología
Proctología
Suelo pélvico
COVID-19

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