Abstract：
INTRODUCTION:During the state of alarm established in Spain due to the COVID-19 pandemic, most of the face-to-face outpatient consultations were cancelled and a telephone consultation was established to follow up coloproctological patients. The objective of this study was to analyse the efficacy of telemedicine (by telephone) in monitoring patients in a coloproctology unit, in the context of the COVID-19 pandemic. METHOD:Prospective descriptive study of consecutive patients in a single centre. The result of the teleconsultation was classified as discharge, resolved visit or reprogramming and was analysed by different diagnostic groups. RESULTS:From March 19th to April 17th, 2020, the teleconsultation of 190 patients was carried out. The response rate was 94.2% (179). The diagnostic categories of the patients attended were: 51 (26.9%) colorectal neoplasia, 48 (25.3%) proctological pathology, 72 (37.9%) pelvic floor dysfunctions and 19 (10%) other benign pathologies. 105 (55.26%) could be recited as if they had come in person. Eleven (5.8%) patients were discharged. No significant differences were found between the different diagnostic categories and the resolution of the teleconsultation. The reasons for reprogramming are analyzed in the study. CONCLUSION:In the context of a pandemic, teleconsultation has allowed 61% of follow-up visits to be definitively solved, avoiding the reprogramming of 116 patients. The new social and health paradigm after the pandemic will require a rethinking of our healthcare model, and in many aspects, telemedicine can offer tools for this.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Muñoz-Duyos A,Abarca-Alvarado N,Lagares-Tena L,Sobrerroca L,Costa D,Boada M,Ureña D,Delgado-Rivilla Sdoi
10.1016/j.ciresp.2020.06.019subject
Has Abstractpub_date
2020-07-08 00:00:00eissn
0009-739Xissn
1578-147Xpii
S0009-739X(20)30226-8pub_type
杂志文章相关文献
CIRUGIA ESPANOLA文献大全abstract：INTRODUCTION:Bariatric surgery is one of the most common surgical practices in Spain. However, this procedure currently has longest delay on surgical waiting lists (SWL). We have developed a special surgical program that aims to reduce this waiting list and to assess the economic and clinical repercussions in a high-vo...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.05.033
更新日期：2020-07-13 00:00:00
abstract：INTRODUCTION:Several studies have shown that laparoscopic surgery (LS) minimizes surgical trauma and preserves immune response. Another advantage is the lower incidence of infectious complications. However, several in vitro studies have shown that an atmosphere with CO2 affects macrophage physiology, which would affect...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(06)70810-7
更新日期：2006-01-01 00:00:00
abstract：:The most frequent tumors that grow in the retrorectal space are embryological. Their management requires adequate knowledge of the characteristics of these lesions. We present five cases of retrorectal tumors. ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(06)70978-2
更新日期：2006-11-01 00:00:00
abstract：INTRODUCTION:SARS-CoV-2 pandemic has caused an important impact in our country and elective surgery has been postponed in most cases. There's not known information about the decreasing and impact on surgery. Mortality of surgical patients with SARS-CoV-2 infection is estimated to be around 20%. METHODS:We conducted pr...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.07.013
更新日期：2020-08-04 00:00:00
abstract：INTRODUCTION:The present study was performed by the Spanish Association of surgeons through its abdominal wall and sutures section. The aim was to determine the current situation of inguinofemoral hernias in Spain and was based on an anonymous multicenter study with the participation of various national hospitals. MAT...
journal_title：Cirugia espanola
pub_type： 杂志文章,多中心研究
doi：10.1016/s0009-739x(05)70883-6
更新日期：2005-07-01 00:00:00
abstract：OBJECTIVE:To determine the proportion of inappropriate days of hospitalization in the general surgery wards of three university hospitals, its causes, and associated factors. MATERIAL AND METHOD:We concurrently reviewed 596 days of hospitalisation during a 1-week period in 2000, using the Appropriateness Evaluation Pr...
journal_title：Cirugia espanola
pub_type： 杂志文章,多中心研究
doi：10.1016/s0009-739x(05)70913-1
更新日期：2005-09-01 00:00:00
abstract：INTRODUCTION:The main objective of this study is to determine if our unit meets the quality standards required by the scientific community from the reference centers for pancreatic surgery in terms of peri-operative results. The secondary objectives are to compare the different pancreatic surgery techniques performed i...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.09.013
更新日期：2020-12-17 00:00:00
abstract：BACKGROUND:The endogenous hyperinsulinemic hypoglicemia syndrome (EHHS) can be caused by an insulinoma, or less frequently, by nesidioblastosis in the pediatric population, also known as non insulinoma pancreatic hypoglycemic syndrome (NIPHS) in adults. The aim of this paper is to show the strategy for the surgical tre...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2013.04.025
更新日期：2014-10-01 00:00:00
abstract：INTRODUCTION:Derivative ileostomies are frequently performed to protect low anastomosis. The closure of the ileostomy has shown, under some circumstances, high associated mortality/morbidity rates. This study attempts to quantify the morbidity and mortality associated with ileostomy closure in rectal neoplasm patients ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(08)70598-0
更新日期：2008-07-01 00:00:00
abstract：INTRODUCTION:The «Bogota bag» (BB) is one of the options for contained laparostomy (CL). The aim of this study was to report the procedure associated hospital morbidity (PAHM) in patients undergoing relaparotomy followed by a laparostomy using the BB. MATERIAL AND METHOD:Between 2002 and 2008, a prospective series of ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2011.01.010
更新日期：2011-06-01 00:00:00
abstract：INTRODUCTION:The aim of this paper is to assess the learning curve on compliance to the application of a multimodal rehabilitation program (MMRP) protocol and patient recovery after elective colorectal surgery. MATERIAL AND METHODS:A comparative prospective study of 3 consecutive cohorts of 100 patients (P1, P2 and P3...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2010.04.006
更新日期：2010-08-01 00:00:00
abstract：:This clinical practice guideline (CPG) emerges as an initiative of the scientific committee of the Spanish Society of Thoracic Surgery. We formulated PICO (patient, intervention, comparison, and outcome) questions on various aspects of spontaneous pneumothorax. For the evaluation of the quality of evidence and prepara...
journal_title：Cirugia espanola
pub_type： 杂志文章,实务指引
doi：10.1016/j.ciresp.2017.11.005
更新日期：2018-01-01 00:00:00
abstract：INTRODUCTION:The extraordinary impact of COVID-19 pandemic on Spanish hospitals has led to a redistribution of resources for the treatment of these patients, with a decreased capacity of care for other common diseases. The aim of the present study is to analyse how this situation has affected the treatment of cholecyst...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.07.001
更新日期：2020-07-19 00:00:00
abstract：:The primary treatment of metastatic breast cancer is chemotherapy and radiotherapy, while surgery is reserved for treating local complications associated with the tumour. The survival in this group of patients has increased with the use of new chemotherapy and biological agents. A series of retrospective studies have ...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/s0009-739x(08)70507-4
更新日期：2008-02-01 00:00:00
abstract：BACKGROUND:We present our initial experience with the laparoscopic BPD technique for super-obese patients. Recommended tips on the technique are summarized. METHODS:A total of 35 super-obese patients were submitted to BPD by laparoscopy in November 2009 and June 2010 for the treatment of morbid obesity. RESULTS:All o...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2011.02.010
更新日期：2011-06-01 00:00:00
abstract：BACKGROUND:The incidence of neoplastic diseases is higher in patients undergoing solid organ transplant. However, the incidence of bronchogenic carcinoma (BC) is controversial. The objective of our study was to determine the incidence of BC in a large cohort of transplant patients and the role of surgery. MATERIAL AND...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.02.017
更新日期：2009-08-01 00:00:00
abstract：INTRODUCTION:Currently, variability in surgical practice is a problem to be solved. The aim of this study is to describe the variability in the surgical treatment of breast cancer and to analyze the factors associated with it. METHODS:The study population included 1057 women diagnosed with breast cancer and surgically...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2018.11.001
更新日期：2019-02-01 00:00:00
abstract：INTRODUCTION:Proctologic issues entail a frequent reason for consultation in the emergency department (ED). We aim to analyze how the SARS-COV-2 pandemic has impacted in the demand for proctological consultations. MATERIAL AND METHOD:Descriptive comparative retrospective study of cross-sectional cohorts of patients at...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.10.002
更新日期：2020-10-23 00:00:00
abstract：INTRODUCTION:Up to 93% of patients undergoing abdominal surgery will develop intra-abdominal adhesions with the subsequent morbidity that they represent. Various substances have been tested for the prevention of adhesions with controversial results; the aim of our study is to compare the capability of pirfenidone in ad...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2015.06.005
更新日期：2016-01-01 00:00:00
abstract：INTRODUCTION:Gastrointestinal stromal tumours (GIST) make up 2% of gastrointestinal tumours. Surgery is the only treatment method in localised cases. The laparoscopic approach has increased over the last few years. We present our experience in the treatment of GIST. MATERIAL AND METHODS:A total of 40 patients with 45 ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2012.04.011
更新日期：2013-01-01 00:00:00
abstract：:The role of oral antibiotic prophylaxis and mechanical bowel preparation in colorectal surgery remains controversial. The lack of efficacy of mechanical preparation to improve infection rates, its adverse effects, and multimodal rehabilitation programs have led to a decline in its use. This review aims to evaluate cur...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2018.03.009
更新日期：2018-01-01 00:00:00
abstract：:In some patients with colorectal cancer and synchronous liver metastases, chemotherapy and current combinations of chemotherapy allow the size of these metastases to be reduced so that they can be surgically resected. However, in many patients, the initial systematic treatment of the primary tumor is associated with g...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(07)71713-x
更新日期：2007-10-01 00:00:00
abstract：:As a contribution to International Physics Year (2005), we performed a historical study of Einstein's final years and the diseases that required surgical treatment. Because of the particular circumstances of the age, two of the most famous surgeons of the time, Rudolph Nissen and Frank Glenn, as well as the well-known...
journal_title：Cirugia espanola
pub_type： 传,历史文章,杂志文章
doi：10.1016/s0009-739x(06)70841-7
更新日期：2006-03-01 00:00:00
abstract：AIM:To assess the value of using smooth muscle relaxants drugs and assess the results of the topical use of 2% diltiazem as an alternative to 0.2% nitroglycerin in the treatment of chronic anal fissure (CAF). METHODS:Review of the CAF contained in a prospectively collected database of anal fissures including one hundr...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.12.013
更新日期：2010-04-01 00:00:00
abstract：:The training of residents in abdominal wall surgery is a fundamental aspect of surgical training, representing globally 20% of its activity. In this paper, we analyze the current state of resident training in this kind of surgery in Spain, taking into account the broad spectrum it covers: general services, specific fu...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2011.08.004
更新日期：2013-02-01 00:00:00
abstract：AIM:To analyze the role of magnetic resonance cholangiography (MRC) in candidates for cholecystectomy after acute biliary pancreatitis (ABP). METHODS:We performed a prospective study of patients with mild ABP (Atlanta criteria) admitted to our hospital from January 2004 to March 2005. Diagnosis of ABP was based on cli...
journal_title：Cirugia espanola
pub_type： 临床试验,杂志文章
doi：10.1016/s0009-739x(06)70912-5
更新日期：2006-07-01 00:00:00
abstract：INTRODUCTION:Several clinical studies analyze axillary treatment in women with early-stage breast cancer because of changes in the indication for axillary lymph node dissection. The aim of the study is to analyze the impact of axillary radiotherapy in disease-free and overall survival in women with early breast cancer ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2016.04.003
更新日期：2016-06-01 00:00:00
abstract：:Trocar site incisional hernias (TSIH) are the most common complications in laparoscopic surgery. We have carried out a review of the literature with the aim of establishing their incidence, the reasons for them happening, and their prevention. After a search in the MEDLINE PubMed and PubMed CENTRAL data bases from 199...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2010.08.007
更新日期：2011-02-01 00:00:00
abstract：INTRODUCTION:Mucin-producing pancreatic tumors account for 1% of all malignant tumors of the pancreas. Notable among these are intraductal papillary mucinous neoplasms of the pancreas, due to their variable clinical behavior, increased frequency, and the controversy surrounding the most suitable treatment and diagnosti...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(05)70850-2
更新日期：2005-05-01 00:00:00
abstract：:The prognosis of patients with rectal cancer has improved in recent years, particularly as regards the lower probability of local recurrence. These positive results are obtained through correct preoperative staging and an adequate surgical resection of the affected lesion, as well as a multidisciplinary therapeutic ap...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2010.03.004
更新日期：2010-06-01 00:00:00
