Coronavirus disease 2019 (COVID-19) is revolutionizing healthcare delivery. The aim of the study was to reach consensus among experts on the possible applications of telemedicine in colorectal surgery. A group of 48 clinical practice recommendations (CPRs) was developed by a clinical guidance group based on coalescence of evidence and expert opinion. The Telemedicine in Colorectal Surgery Italian Working Group included 54 colorectal surgeons affiliated to the Italian Society of Colo-Rectal Surgery (SICCR) who were involved in the evaluation of the appropriateness of each CPR, based on published RAND/UCLA methodology, in two rounds. Stakeholders’ median age was 44.5 (IQR 36–60) years, and 44 (81%) were males. Agreement was obtained on the applicability of telemonitoring and telemedicine for multidisciplinary pre-operative evaluation. The panel voted against the use of telemedicine for a first consultation. 15/48 statements deemed uncertain on round 1 and were re-elaborated and assessed by 51/54 (94%) panelists on round 2. Consensus was achieved in all but one statement concerning the cost of a teleconsultation. There was strong agreement on the usefulness of teleconsultation during follow-up of patients with diverticular disease after an in-person visit. This e-consensus provides the boundaries of telemedicine in colorectal surgery in Italy. Standardization of infrastructures and costs remains to be better elucidated.
E-consensus on telemedicine in colorectal surgery: a RAND/UCLA-modified study / Gallo, G.; Picciariello, A.; Di Tanna, G. L.; Santoro, G. A.; Perinotti, R.; Aiello, D.; Avanzolini, A.; Balestra, F.; Bianco, F.; Binda, G. A.; Bislenghi, G.; Bondurri, A.; Bracchitta, S.; Buonanno, A.; Caminati, F.; Celentano, V.; Coco, C.; Colombo, F.; De Nardi, P.; Di Candido, F.; Di Saverio, S.; Ferrara, F.; Folliero, C.; Giani, I.; Giuffrida, M. C.; Infantino, A.; La Torre, M.; Lisi, G.; Luglio, G.; Maffioli, A.; Mancini, S.; Manigrasso, M.; Marino, F.; Martellucci, J.; Milito, G.; Milone, M.; Orlandi, S.; Ottonello, M.; Pata, F.; Pellino, G.; Pessia, B.; Rocca, A.; Romano, L.; Santoro, G.; Serventi, A.; Sica, G. S.; Spagnuolo, R.; Spinelli, A.; Testa, A.; Trompetto, M.; Tutino, R.; Veglia, A.; Zaffaroni, G.; Grossi, U.. - In: UPDATES IN SURGERY. - ISSN 2038-131X. - 74:1(2022), pp. 163-170. [10.1007/s13304-021-01139-8]
E-consensus on telemedicine in colorectal surgery: a RAND/UCLA-modified study
Luglio G.;Manigrasso M.;Milone M.;Rocca A.;
2022
Abstract
Coronavirus disease 2019 (COVID-19) is revolutionizing healthcare delivery. The aim of the study was to reach consensus among experts on the possible applications of telemedicine in colorectal surgery. A group of 48 clinical practice recommendations (CPRs) was developed by a clinical guidance group based on coalescence of evidence and expert opinion. The Telemedicine in Colorectal Surgery Italian Working Group included 54 colorectal surgeons affiliated to the Italian Society of Colo-Rectal Surgery (SICCR) who were involved in the evaluation of the appropriateness of each CPR, based on published RAND/UCLA methodology, in two rounds. Stakeholders’ median age was 44.5 (IQR 36–60) years, and 44 (81%) were males. Agreement was obtained on the applicability of telemonitoring and telemedicine for multidisciplinary pre-operative evaluation. The panel voted against the use of telemedicine for a first consultation. 15/48 statements deemed uncertain on round 1 and were re-elaborated and assessed by 51/54 (94%) panelists on round 2. Consensus was achieved in all but one statement concerning the cost of a teleconsultation. There was strong agreement on the usefulness of teleconsultation during follow-up of patients with diverticular disease after an in-person visit. This e-consensus provides the boundaries of telemedicine in colorectal surgery in Italy. Standardization of infrastructures and costs remains to be better elucidated.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
