Evidence map›Paper›PMID 34591886›Full record

ArticlePloS one2021

Implementation of vascular surgery teleconsultation during the COVID-19 pandemic: Insights from the outpatient vascular clinics in a tertiary care hospital in Qatar.

Hassan Al-Thani, Ahammed Mekkodathil, Ahmed Hussain, Ahmed Sharaf, Ahmed Sadek, Anas Aldakhl-Allah, Ahmed Awad, Nassar Al-Abdullah, Ahmad Zitoun, Jini Paul and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Hassan Al-ThaniDepartment of Surgery, Vascular Surgery, Hamad General Hospital (HGH), Doha, Qatar.
Ahammed MekkodathilDepartment of Surgery, Vascular Surgery, Clinical Research, HGH, Doha, Qatar.ORCID 0000-0001-8431-8937
Ahmed HussainDepartment of Surgery, Vascular Surgery, Hamad General Hospital (HGH), Doha, Qatar.
Ahmed SharafDepartment of Surgery, Vascular Surgery, Hamad General Hospital (HGH), Doha, Qatar.
Ahmed SadekDepartment of Surgery, Vascular Surgery, Hamad General Hospital (HGH), Doha, Qatar.
Anas Aldakhl-AllahDepartment of Surgery, Vascular Surgery, Hamad General Hospital (HGH), Doha, Qatar.
Ahmed AwadDepartment of Surgery, Vascular Surgery, Hamad General Hospital (HGH), Doha, Qatar.
Nassar Al-AbdullahDepartment of Surgery, Vascular Surgery, Hamad General Hospital (HGH), Doha, Qatar.
Ahmad ZitounDepartment of Surgery, Vascular Surgery, Hamad General Hospital (HGH), Doha, Qatar.
Jini PaulDepartment of Surgery, Vascular Surgery, Hamad General Hospital (HGH), Doha, Qatar.
Pushpalatha PillaiDepartment of Surgery, Vascular Surgery, Hamad General Hospital (HGH), Doha, Qatar.
Sara JohnDepartment of Surgery, Vascular Surgery, Hamad General Hospital (HGH), Doha, Qatar.
Ayman El-MenyarDepartment of Surgery, Vascular Surgery, Clinical Research, HGH, Doha, Qatar.ORCID 0000-0003-2584-953X
Hamad General Hospital · QAWeill Cornell Medical College in Qatar · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has sparked a surge in the use of virtual communication tools for delivering clinical services for many non-urgent medical needs allowing telehealth or telemedicine, to become an almost inevitable part of the patient care. However, most of patients with vascular disease may require face-to-face interaction and are at risk of worse outcomes if not managed in timely manner.

objectiveWe aimed to describe the utilization of telemedicine services in the outpatient vascular surgery clinics in a tertiary hospital.

methodsA retrospective analysis of data on all vascular outpatient encounters during 2019 and 2020 was conducted and compared to reflect the pattern of practice prior to and during the COVID-19 pandemic.

resultsThe study showed that 61% of the total patient encounters in 2020 were reported through teleconsultation. Females were the majority of patients who sought the virtual vascular care. Consultations for the new cases decreased from 29% to 26% whereas, the follow-up cases increased from 71% to 74% in 2020 (p = 0.001). The number of procedures performed in the vascular outpatient clinics decreased by 46% in 2020 when compared to 2019. This decrease in procedures was more evident in the duration from February 2020 to April 2020 in which the procedures decreased by 97%. The proportion of procedures represented 22.6% of the total encounters in 2019 and 10.5% of the encounters during 2020, (p = 0.001).

conclusionsTeleconsultation, along with supporting practice guidelines, can be used to maximize the efficiency of care in vascular surgery patients during the pandemic and beyond. Adoption of the 'hybrid care' which combines both virtual and in-person services as an ongoing practice requires evidence obtained through audits and studies on patients and healthcare providers levels. It is essential to establish a clear practice that ensures patient's needs.

Indexed as

Remote ConsultationVascular Surgical ProceduresCOVID-19FemaleHumansMaleOutpatientsQatarRetrospective StudiesTertiary Care Centers

Identifiers

PMID34591886
PMCPMC8483384
OpenAlexW3204218076

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.