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E-consensus on telemedicine in colorectal surgery: a RAND/UCLA-modified study

2021; Springer Science+Business Media; Volume: 74; Issue: 1 Linguagem: Inglês

10.1007/s13304-021-01139-8

2038-3312

Gaetano Gallo, Arcangelo Picciariello, Gian Luca Di Tanna, G. A. Santoro, Roberto Perinotti, Domenico Aiello, Andrea Avanzolini, Francesco Balestra, Francesco Bianco, Gian Andrea Binda, Gabriele Bislenghi, Andrea Bondurri, Salvatore Bracchitta, Alberto Buonanno, Filippo Caminati, Valerio Celentano, Claudio Coco, F. Colombo, Paola De Nardi, Francesca Di Candido, Salomone Di Saverio, Francesco Ferrara, Cristina Folliero, Iacopo Giani, Maria Carmela Giuffrida, Aldo Infantino, Marco La Torre, Giorgio Lisi, Gaetano Luglio, Anna Maffioli, Stefano Mancini, Michele Manigrasso, Fabio Marino, Jacopo Martellucci, Giovanni Milito, Marco Milone, Simone Orlandi, Massimo Ottonello, Francesco Pata, Gianluca Pellino, Roberto Perinotti, Beatrice Pessia, Arcangelo Picciariello, Aldo Rocca, Lucia Romano, G. A. Santoro, Alberto Serventi, Giuseppe Sica, Rocco Spagnuolo, Antonino Spinelli, A. Testa, Mario Trompetto, Roberta Tutino, Antonella Veglia, G Zaffaroni, Ugo Grossi,

Social Media in Health Education

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.