Telehealth in paediatric surgery: accuracy of clinical decisions made by videoconference

Brownlee, Grace L., Caffery, Liam J., McBride, Craig A., Patel, Bhaveshkumar and Smith, Anthony C. (2017) Telehealth in paediatric surgery: accuracy of clinical decisions made by videoconference. Journal of Paediatrics and Child Health, 53 12: 1220-1225. doi:10.1111/jpc.13599

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Author Brownlee, Grace L.
Caffery, Liam J.
McBride, Craig A.
Patel, Bhaveshkumar
Smith, Anthony C.
Title Telehealth in paediatric surgery: accuracy of clinical decisions made by videoconference
Journal name Journal of Paediatrics and Child Health   Check publisher's open access policy
ISSN 1440-1754
1034-4810
Publication date 2017-06-11
Year available 2017
Sub-type Article (original research)
DOI 10.1111/jpc.13599
Open Access Status File (Author Post-print)
Volume 53
Issue 12
Start page 1220
End page 1225
Total pages 6
Place of publication Chichester, West Sussex United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Subject 2735 Pediatrics, Perinatology, and Child Health
Abstract AimTelehealth is a useful method of providing specialist consultation to a geographically diverse population. Canadian studies of telehealth for paediatric surgery demonstrate good accuracy, but have low numbers of cryptorchid patients in their cohorts. Our aim was to confirm Canadian studies for our cohort and to assess accuracy regarding cryptorchidism.
Formatted abstract
Aim

Telehealth is a useful method of providing specialist consultation to a geographically diverse population. Canadian studies of telehealth for paediatric surgery demonstrate good accuracy, but have low numbers of cryptorchid patients in their cohorts. Our aim was to confirm Canadian studies for our cohort and to assess accuracy regarding cryptorchidism.

Methods

We conducted a cohort study of patients seen via paediatric surgical telehealth over a 12-month period, to determine accuracy of telediagnosis with respect to face-to-face diagnosis and plan.

Results

A total of 183 children had 224 videoconferences, resulting in 74 surgical bookings. There was high diagnostic concordance, except for undescended testes. One discharged patient, and two patients booked for review, have subsequently required an orchidopexy (false negatives). Of 15 patients booked for surgery, three did not require an operation (false positives). Other patients had their procedures upgraded (from open to laparoscopic) or downgraded (from laparoscopic to open) due to inaccuracies in far-end assessment.

Conclusion

Telehealth for paediatric surgery is accurate for most conditions seen, but for cryptorchidism there are significant concerns.
Keyword Child health
Cryptorchidism
Rural health services
Telemedicine
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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Created: Mon, 19 Jun 2017, 09:45:09 EST by Burke, Eliza on behalf of Centre for Health Services Research