Evidence map›Paper›PMID 36446425›Full record

ArticleCMAJ open

Virtual surgical consultation during the COVID-19 pandemic: a patient-oriented, cross-sectional study using telephone interviews.

Kyle Irvine, Marissa Alarcon, Heather Dyck, Barbara Martin, Tracey Carr, Gary Groot

Open access · diamondAbstract read
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
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

6 authors at 2 institutions in 2 countries.

Kyle IrvineDepartment of Surgery (Irvine), University of Saskatchewan; Clinical Research Support Unit (Alarcon), University of Saskatchewan; Saskatchewan Centre for Patient-Oriented Research (Dyck, Martin); Department of Community Health and Epidemiology (Carr, Groot), University of Saskatchewan, Saskatoon, Sask. kyi871@usask.ca.
Marissa AlarconDepartment of Surgery (Irvine), University of Saskatchewan; Clinical Research Support Unit (Alarcon), University of Saskatchewan; Saskatchewan Centre for Patient-Oriented Research (Dyck, Martin); Department of Community Health and Epidemiology (Carr, Groot), University of Saskatchewan, Saskatoon, Sask.
Heather DyckDepartment of Surgery (Irvine), University of Saskatchewan; Clinical Research Support Unit (Alarcon), University of Saskatchewan; Saskatchewan Centre for Patient-Oriented Research (Dyck, Martin); Department of Community Health and Epidemiology (Carr, Groot), University of Saskatchewan, Saskatoon, Sask.
Barbara MartinDepartment of Surgery (Irvine), University of Saskatchewan; Clinical Research Support Unit (Alarcon), University of Saskatchewan; Saskatchewan Centre for Patient-Oriented Research (Dyck, Martin); Department of Community Health and Epidemiology (Carr, Groot), University of Saskatchewan, Saskatoon, Sask.
Tracey CarrDepartment of Surgery (Irvine), University of Saskatchewan; Clinical Research Support Unit (Alarcon), University of Saskatchewan; Saskatchewan Centre for Patient-Oriented Research (Dyck, Martin); Department of Community Health and Epidemiology (Carr, Groot), University of Saskatchewan, Saskatoon, Sask.
Gary GrootDepartment of Surgery (Irvine), University of Saskatchewan; Clinical Research Support Unit (Alarcon), University of Saskatchewan; Saskatchewan Centre for Patient-Oriented Research (Dyck, Martin); Department of Community Health and Epidemiology (Carr, Groot), University of Saskatchewan, Saskatoon, Sask.
Irvine University · USUniversity of Saskatchewan · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth care delivery shifted rapidly during the COVID-19 pandemic, whereby virtual consultations replaced many face-to-face interactions. We sought to gather patient perspectives on their experiences with virtual surgical consultation, the advantages and disadvantages of this delivery method and their overall satisfaction with virtual appointments.

methodsWe conducted a patient-oriented, cross-sectional study. Adult patients (age > 18 yr) who had a virtual consultation with a participating general surgeon in Saskatoon, Saskatchewan, from April to May 2020 were eligible. We conducted telephone interviews using open- and close-ended questions. We used thematic analysis to determine themes from the qualitative data. As research team members, 2 patient partners were involved in identifying priorities, developing the research question, designing research methods, analyzing data and disseminating findings. We analyzed and presented quantitative data descriptively.

resultsWe interviewed 45 participants from 7 general surgery practices; the average age was 62 years. Most participants lived outside Saskatoon and had virtual follow-up appointments. The 3 themes related to advantages of virtual consultations were convenience, cost savings and decreased exposure to pathogens. The 4 themes related to their disadvantages were that they were not as personal, the surgeon was not able to perform a physical examination, and there were issues with scheduling and issues with technology. Most participants were satisfied with the care they received (

interpretationWe found that virtual consultations are an effective and efficient way to deliver surgical care but are not appropriate for every situation and cannot completely replace face-to-face interactions. Our study identified the advantages and disadvantages of virtual surgical consultation to help better guide the delivery of virtual care in the future.

Indexed as

COVID-19AdultCross-Sectional StudiesHumansMiddle AgedPandemicsReferral and ConsultationTelephone

Identifiers

PMID36446425
PMCPMC9718540
OpenAlexW4311027363

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.