Exploring the Effects of Telemedicine on Bariatric Surgery Follow-up: a Matched Case Control Study

被引：25
作者：
Wang, Chen D. [1 ]
Rajaratnam, Thiyake [1 ,2 ]
Stall, Benjamin [1 ]
Hawa, Raed [1 ,3 ]
Sockalingam, Sanjeev [1 ,2 ,3 ]
机构：
[1] Univ Hlth Network, Toronto Western Hosp, Bariatr Surg Program, Toronto, ON, Canada
[2] Ctr Addict & Mental Hlth, 33 Russell St,Suite 2065, Toronto, ON M5S 2S1, Canada
[3] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
来源：
OBESITY SURGERY | 2019年 / 29卷 / 08期
关键词：
Bariatric surgery; Telemedicine; Adherence; Rural; Attrition; QUALITY-OF-LIFE; WEIGHT-LOSS;
D O I：
10.1007/s11695-019-03930-4
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Telemedicine offers a potential solution for bariatric surgery (BS) aftercare for patients living in rural areas with limited access to healthcare services. This study aimed to compare post-BS appointment adherence, psychosocial, and body mass index (BMI) outcomes in patients that did or did not use telemedicine. In total, 192 (96 telemedicine and 96 non-telemedicine) patients were matched on gender, age, time since surgery, BMI, and travel distance from program. Additional psychosocial and demographic variables including rurality index (RIO) were collected. Telemedicine users had a significantly higher RIO (p < 0.001) than non-telemedicine users. Appointment attendance, BMI, and psychosocial outcomes were not significantly different between the two groups. Therefore, our results suggest that telemedicine could help overcome geographical barriers to provide comparable quality healthcare services to more remote regions.
引用
收藏
页码：2704 / 2706
页数：3
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