Evidence map›Paper›PMID 38734503›Full record

ArticleSurgery2024

Attitudes and barriers toward video visits in surgical care: Insights from a nationwide survey among surgeons.

Ashwin J Kulkarni, Anagha B Thiagarajan, Ted A Skolarus, Sarah L Krein, Chad Ellimoottil

Abstract read
In one paragraph

Article in Surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Ashwin J KulkarniDepartment of Urology, University of Michigan, Ann Arbor, MI; University of Michigan Medical School, Ann Arbor, MI; Institute for Healthcare Policy and Innovation, Ann Arbor, MI. Electronic address: ashkulk@med.umich.edu.
Anagha B ThiagarajanHelen Diller Family Comprehensive Cancer Center at UCSF, San Francisco, CA; Institute for Healthcare Policy and Innovation, Ann Arbor, MI.
Ted A SkolarusDepartment of Surgery, Section of Urology, University of Chicago, IL.
Sarah L KreinUniversity of Michigan Medical School, Ann Arbor, MI; Institute for Healthcare Policy and Innovation, Ann Arbor, MI; Department of Veterans Affairs, Ann Arbor Healthcare System, MI.
Chad EllimoottilDepartment of Urology, University of Michigan, Ann Arbor, MI; Institute for Healthcare Policy and Innovation, Ann Arbor, MI. Electronic address: https://twitter.com/chadellimoottil.

Funding

Improving Video Visit Adoption by SurgeonsK08HS027632 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ELLIMOOTTIL, CHANDY SKARIA · 2020 to 2024
$775k
AHRQ HHS K08 HS027632HSRD VA IK6 HX003399
6 · The paper itself

Abstract

backgroundSurgeons rapidly adopted video visits during the COVID-19 pandemic. However, video visit use among surgeons has significantly declined, pointing to the need to better understand current attitudes and barriers to their use in surgical care.

methodsFrom August 2022 to March 2023, a nationwide survey was conducted among practicing surgeons in 6 specialties. The survey included multiple-choice and free-response questions based on an implementation determinants framework, covering demographics, provider, patient, and organizational factors.

resultsA total of 170 surgeons responded (24% response rate). Overall, 67% of surgeons said their practice lacked motivation for video visit implementation. Additionally, 69% disagreed with using video visits as the sole means for preoperative surgical consultation, even with relevant medical history, labs, and imaging. Nearly 43% cited the need for a physical examination, whereas 58% of surgeons said video visits carried a greater malpractice risk than in-person visits. Other barriers included technological limitations, billing, and care quality concerns. Nevertheless, 41% agreed that video visits could improve outcomes for some patients, and 60% expressed openness to using video visits exclusively for postoperative consultations in uncomplicated surgeries.

conclusionSurgeons recognize the potential benefits of video visits for certain patients. However, perceived barriers include the need for a physical examination, technological limitations, care quality concerns, and malpractice risks.

Indexed as

Attitude of Health PersonnelCOVID-19SurgeonsAdultFemaleHumansMaleMiddle AgedPractice Patterns, Physicians'SARS-CoV-2Surgical Procedures, OperativeSurveys and QuestionnairesTelemedicineUnited StatesVideoconferencing

Identifiers

PMID38734503
PMCPMC11447857

What OpenQuestion holds

Textmetadata
LicenceTDM
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.