Perceptions and attitudes toward the use of telemedicine for the postoperative outpatient urological care during the COVID-19 pandemic in an Academic Hospital in Southern Italy

Submitted: July 28, 2022
Accepted: August 2, 2022
Published: December 27, 2022
Abstract Views: 754
PDF: 446
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Introduction: Telemedicine is a most used tools in various medical and surgical scenarios. The aim of the present study was to explore attitudes and perceptions by urologic patients toward the use of telemedicine in the context of patient-physicians communication during the post-operative follow-up in a large academic tertiary urology referral department in Italy.
Materials and methods: An anonymous questionnaire consisting of 15 multiple choice questions was designed including three sections: respondents’ demographics, attitudes, and perceptions towards the use of telemedicine. Invitations to participate to this anonymous questionnaire was given to outpatients attended at Urology Department, University of Naples Federico II.
Results: In total 697 responses were received (participation rate 73%). The frequency of telemedicine use was described as frequently, occasional, rarely, and never by 41.6%, 30.4%, 15.1%, and 12.6% of respondents, respectively. WhatsApp messenger used by 59.5% of respondents and telephone call (34.3%) were the most common type of tools. Satisfaction in using telemedicine was reported as very satisfied, satisfied, neutral, dissatisfied, and very dissatisfied by 39.6%,41.4%,10%,7% and 2% of respondents respectively. Overall, 43.7%% of participants individuated limited interaction and risk of misdiagnosis as the major limit of telemedicine.
Conclusions: Telemedicine represents the future of medical practice due to several benefits as well as convenience, increased access to care and decreased healthcare costs.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Ayoub CH, El-Asmar JM, Abdulfattah S, El-Hajj A. Telemedicine and Telementoring in Urology: A Glimpse of the Past and a Leap Into the Future. Front Surg. 2022 Feb 22;9:811749. DOI: https://doi.org/10.3389/fsurg.2022.811749
Novara G, Checcucci E, Crestani A, et al. Telehealth in Urology: a systematic review of the literature. How much can telemedicine be useful during and after the COVID-19 pandemic? Eur Urol. 2020; 78:786-811. DOI: https://doi.org/10.1016/j.eururo.2020.06.025
Mirone V, Creta M, Capece M, Celentano G, Califano G, Collà Ruvolo C, Spirito L, Fusco GM, Cirillo L, Longo N, Fusco F, Mirone C, La Rocca R, Napolitano L. Telementoring for communication between residents and faculty physicians: Results from a survey on attitudes and perceptions in an Academic Tertiary Urology Referral Department in Italy. Arch Ital Urol Androl. 2021 Dec 21;93(4):450-454. DOI: https://doi.org/10.4081/aiua.2021.4.450
Melchionna A, Collà Ruvolo C, Capece M, La Rocca R, Celentano G, Califano G, Creta M, Napolitano L, Morra S, Cilio S, Turco C, Caputo V, Longo N, Mirone V, Imbimbo C. Testicular pain and youtube™: are uploaded videos a reliable source to get information? Int J Impot Res. 2022 Feb 8. DOI: https://doi.org/10.1038/s41443-022-00536-w
Capece M, Di Giovanni A, Cirigliano L, Napolitano L, La Rocca R, Creta M, Califano G, Crocetto F, Collà Ruvolo C, Celentano G, Palmieri A. YouTube as a source of information on penile prosthesis. Andrologia. 2022 Feb;54(1):e14246. DOI: https://doi.org/10.1111/and.14246
Morra S, Collà Ruvolo C, Napolitano L, La Rocca R, Celentano G, Califano G, Creta M, Capece M, Turco C, Cilio S, Melchionna A, Gerundo G, Trama F, Mangiapia F, Fusco F, Mirone V, Longo N. YouTubeTM as a source of information on bladder pain syndrome: A contemporary analysis. Neurourol Urodyn. 2022 Jan;41(1):237-245. DOI: https://doi.org/10.1002/nau.24802
Napolitano L, Fusco GM, Cirillo L, Abate M, Mirone C, Barone B, Celentano G, La Rocca R, Mirone V, Creta M, Capece M. Erectile dysfunction and mobile phone applications: Quality, content and adherence to European Association guidelines on male sexual dysfunction. Arch Ital Urol Androl. 2022 Jun 30;94(2):211-216. DOI: https://doi.org/10.4081/aiua.2022.2.211
Creta M, Sagnelli C, Celentano G, Napolitano L, La Rocca R, Capece M, Califano G, Calogero A, Sica A, Mangiapia F, Ciccozzi M, Fusco F, Mirone V, Sagnelli E, Longo N. SARS-CoV-2 infection affects the lower urinary tract and male genital system: A systematic review. J Med Virol. 2021 May;93(5):3133-3142. doi: 10.1002/jmv.26883. Epub 2021 Mar 1. PMID: 33595134; PMCID: PMC8013185. DOI: https://doi.org/10.1002/jmv.26883
Barone B, De Luca L, Napolitano L, Reccia P, Crocetto F, Creta M, Vitale R, Caputo VF, Martino R, Cirillo L, Fusco GM, Trivellato M, Celentano G, La Rocca R, Prezioso D, Longo N. Lower urinary tract symptoms and mental health during COVID-19 pandemic. Arch Ital Urol Androl. 2022 Mar 29;94(1):46-50. DOI: https://doi.org/10.4081/aiua.2022.1.46
Sen V, Aydogdu O, Yonguc T, Bozkurt IH, Bolat D. Telerounding & telementoring for urological procedures. Arch Ital Urol Androl. 2016 Oct 5;88(3):206-207. doi: 10.4081/aiua.2016.3.206. PMID: 27711099. DOI: https://doi.org/10.4081/aiua.2016.3.206
Gerundo G, Collà Ruvolo C, Puzone B, Califano G, La Rocca R, Parisi V, Capece M, Celentano G, Creta M, Rengo G, Leosco D, Abete P, Longo N, Mirone V, Ferrara N. Personal protective equipment in Covid-19: Evidence-based quality and analysis of YouTube videos after one year of pandemic. Am J Infect Control. 2022 Mar;50(3):300-305. DOI: https://doi.org/10.1016/j.ajic.2021.11.013
Castaneda P, Ellimoottil C. Current use of telehealth in urology: a review. World J Urol. 2020 Oct;38(10):2377-2384. DOI: https://doi.org/10.1007/s00345-019-02882-9
Connor J, Zheng Y, Houle K, Cox L. Adopting Telehealth During The COVID-19 Era: The Urologist's Perspective. Urology. 2021 Oct;156:289-295. DOI: https://doi.org/10.1016/j.urology.2021.03.051
Di Bello F, Collà Ruvolo C, Cilio S, La Rocca R, Capece M, Creta M, Celentano G, Califano G, Morra S, Iacovazzo C, Coviello A, Buonanno P, Fusco F, Imbimbo C, Mirone V, Longo N. Testicular cancer and YouTube: What do you expect from a social media platform? Int J Urol. 2022 Jul;29(7):685-691. DOI: https://doi.org/10.1111/iju.14871
Giordano V, Koch H, Godoy-Santos A, Dias Belangero W, Esteves Santos Pires R, Labronici P. WhatsApp Messenger as an Adjunctive Tool for Telemedicine: An Overview. Interact J Med Res. 2017 Jul 21;6(2):e11. DOI: https://doi.org/10.2196/ijmr.6214
Boehm K, Ziewers S, Brandt MP, Sparwasser P, Haack M, Willems F, Thomas A, Dotzauer R, Höfner T, Tsaur I, Haferkamp A, Borgmann H. Telemedicine Online Visits in Urology During the COVID-19 Pandemic-Potential, Risk Factors, and Patients' Perspective. Eur Urol. 2020 Jul;78(1):16-20. DOI: https://doi.org/10.1016/j.eururo.2020.04.055
Ellison LM, Nguyen M, Fabrizio MD, Soh A, Permpongkosol S, Kavoussi LR. Postoperative robotic telerounding: a multicenter randomized assessment of patient outcomes and satisfaction. Arch Surg. 2007 Dec;142(12):1177-81. DOI: https://doi.org/10.1001/archsurg.142.12.1177
Pinar U, Anract J, Perrot O, Tabourin T, Chartier-Kastler E, Parra J, Vaessen C, de La Taille A, Roupret M. Preliminary assessment of patient and physician satisfaction with the use of teleconsultation in urology during the COVID-19 pandemic. World J Urol. 2021 Jun;39(6):1991-1996. DOI: https://doi.org/10.1007/s00345-020-03432-4
Morris C, Scott RE, Mars M. WhatsApp in Clinical Practice-The Challenges of Record Keeping and Storage. A Scoping Review. Int J Environ Res Public Health. 2021 Dec 20;18(24):13426. DOI: https://doi.org/10.3390/ijerph182413426
Holzman SA, Davis-Dao CA, Khoury AE, Fortier MA, N Kain Z. Telemedicine and patient satisfaction during the COVID-19 pandemic: A case-control study of outpatient pediatric urology patients. J Child Health Care. 2021 Dec 6:13674935211058272. DOI: https://doi.org/10.1177/13674935211058272
Polinski JM, Barker T, Gagliano N, Sussman A, Brennan TA, Shrank WH. Patients' Satisfaction with and Preference for Telehealth Visits. J Gen Intern Med. 2016 Mar;31(3):269-75. DOI: https://doi.org/10.1007/s11606-015-3489-x
Ambrosini F, Di Stasio A, Mantica G, Cavallone B, Serao A. COVID-19 pandemic and uro-oncology follow-up: A "virtual" multidisciplinary team strategy and patients' satisfaction assessment. Arch Ital Urol Androl. 2020 Jun 23;92(2). doi: 10.4081/aiua.2020.2.78. PMID: 32597103. DOI: https://doi.org/10.4081/aiua.2020.2.78
Gajarawala SN, Pelkowski JN. Telehealth Benefits and Barriers. J Nurse Pract. 2021 Feb;17(2):218-221. doi: 10.1016/j.nurpra.2020.09.013. Epub 2020 Oct 21. DOI: https://doi.org/10.1016/j.nurpra.2020.09.013
Chandhanayingyong C, Tangtrakulwanich B, Kiriratnikom T. Teleconsultation for emergency orthopaedic patients using the multimedia messaging service via mobile phones. J Telemed Telecare. 2007;13(4):193-6. DOI: https://doi.org/10.1258/135763307780908049
Spear KL, Auinger P, Simone R, Dorsey ER, Francis J. Patient Views on Telemedicine for Parkinson Disease. J Parkinsons Dis. 2019;9(2):401-404. DOI: https://doi.org/10.3233/JPD-181557

How to Cite

Mirone, V., Celentano, G., Collà Ruvolo, C., Cirillo, L., Fusco, G. M., Abate, M., Morra, S., Di Bello, F., Califano, G., Mirone, C., Cacace, G., Morgera, V., La Rocca, R., Capece, M., Longo, N., Napolitano, L., & Creta, M. (2022). Perceptions and attitudes toward the use of telemedicine for the postoperative outpatient urological care during the COVID-19 pandemic in an Academic Hospital in Southern Italy. Archivio Italiano Di Urologia E Andrologia, 94(4), 375–379. https://doi.org/10.4081/aiua.2022.4.375