ArticleSpine deformity2025
Patient perception of orthopedic surgeons' empathy in adolescent idiopathic scoliosis telemedicine initial encounter.
Article in Spine deformity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study aimed to assess Adolescents with Idiopathic Scoliosis (AIS)'s perceptions of an orthopedic pediatric surgeon's empathy during a telemedicine initial clinic visit compared to an in-person visit.
methodsA cross-sectional study was conducted on all consecutive AIS patients undergoing initial evaluation by a single pediatric orthopedic surgeon, and the data were stratified into two groups: those who underwent telemedicine and those who underwent in-person assessment. Consultation and Relational Empathy (CARE) questionnaire responses and sociodemographic, clinical, radiographic, and questionnaire responses were compared between groups using independent t-tests and Fisher's exact tests.
resultsA total of 92 patients were included, with an average age of 15 years, 76% being female. Of these, 33 patients underwent telemedicine, and 59 underwent in-person office evaluations. There were no differences between both groups regarding age (P = 0.070), body mass index (P = 0.623), gender (P = 0.956), educational level (P = 0.778), presence of back pain (P = 0.854), type of back pain (i.e., constant or intermittent; P = 0.963 and 0.776, respectively), shoulder asymmetry (P = 0.277), waist asymmetry (P = 0.643), left trunk shift (P = 0.070), Risser sign stages (P = 0.655), thoracic Cobb angle (P = 0.893) and lumbar Cobb angle (P = 0.193). The CARE satisfaction scores were similar between patients who underwent telemedicine and in-person office initial evaluations.
conclusionTelemedicine is a viable alternative for initial AIS evaluations, without compromising patients' perception of empathy or communication with orthopedic surgeons. Understanding patients' perceptions of orthopedic surgeons' empathy during AIS telemedicine evaluations can support telemedicine as an alternative for initial medical encounters. LEVEL OF EVIDENCE: 3:
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