TY - JOUR
T1 - E-consensus on telemedicine in colorectal surgery
T2 - a RAND/UCLA-modified study
AU - Gallo, Gaetano
AU - Picciariello, Arcangelo
AU - Di Tanna, Gian Luca
AU - Santoro, Giulio Aniello
AU - Perinotti, Roberto
AU - Aiello, Domenico
AU - Avanzolini, Andrea
AU - Balestra, Francesco
AU - Bianco, Francesco
AU - Binda, Gian Andrea
AU - Bislenghi, Gabriele
AU - Bondurri, Andrea
AU - Bracchitta, Salvatore
AU - Buonanno, Alberto
AU - Caminati, Filippo
AU - Celentano, Valerio
AU - Coco, Claudio
AU - Colombo, Francesco
AU - De Nardi, Paola
AU - Di Candido, Francesca
AU - Di Saverio, Salomone
AU - Ferrara, Francesco
AU - Folliero, Cristina
AU - Giani, Iacopo
AU - Giuffrida, Maria Carmela
AU - Infantino, Aldo
AU - La Torre, Marco
AU - Lisi, Giorgio
AU - Luglio, Gaetano
AU - Maffioli, Anna
AU - Mancini, Stefano
AU - Manigrasso, Michele
AU - Marino, Fabio
AU - Martellucci, Jacopo
AU - Milito, Giovanni
AU - Milone, Marco
AU - Orlandi, Simone
AU - Ottonello, Massimo
AU - Pata, Francesco
AU - Pellino, Gianluca
AU - Pessia, Beatrice
AU - Rocca, Aldo
AU - Romano, Lucia
AU - Santoro, Giulio
AU - Serventi, Alberto
AU - Sica, Giuseppe Sigismondo
AU - Spagnuolo, Rocco
AU - Spinelli, Antonino
AU - Testa, Alessandro
AU - Trompetto, Mario
N1 - Publisher Copyright:
© 2021, Italian Society of Surgery (SIC).
PY - 2022/2
Y1 - 2022/2
N2 - 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.
AB - 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.
KW - Colorectal
KW - COVID-19
KW - RAND/UCLA
KW - Teleconsultation
KW - Telehealth
KW - Telemedicine
UR - http://www.scopus.com/inward/record.url?scp=85116808186&partnerID=8YFLogxK
U2 - 10.1007/s13304-021-01139-8
DO - 10.1007/s13304-021-01139-8
M3 - Article
C2 - 34312817
AN - SCOPUS:85116808186
SN - 2038-131X
VL - 74
SP - 163
EP - 170
JO - Updates in Surgery
JF - Updates in Surgery
IS - 1
ER -