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BACKGROUND AND AIM: During COVID-19 outbreak, restrictions to in-person consultations were introduced with a rise in telehealth An indirect benefit of telehealth could be better attendance This study aimed to assess \'failure-to-attend\' (FTA) rate and satisfaction for two endoscopy-related compulsory telehealth clinics during the COVID-19 outbreak METHODS: Consecutive patients booked for endoscopy-related telehealth clinics at a tertiary hospital were prospectively assessed In-person clinic control data was assessed retrospectively Sample size was calculated to detect an anticipated increase in attendance of 8% Secondary outcomes included FTA differences between clinics and evaluation of patients and doctors satisfaction Satisfaction was assessed based on 6 Likert scale questions used in previous telehealth research and asked to both patients and doctors (6Q_score) This study was exempt from IRB review after institutional IRB review RESULTS: 691 patients were booked for appointments in our endoscopy clinics during the study periods (373 in 2020) FTA rates were lowered by half during the compulsory telehealth clinics (12 6% to 6 4%, p<0 01) The patient 6Q_score was higher for the Advanced Endoscopy clinic (84 6% versus 73 8%, p<0 01), while the doctor 6Q_score was similar between both Advanced and Post Endoscopy clinics (91 1% versus 92 5% respectively, p=0 80) An in-person follow-up consultation was suggested for 3 5% of the appointments, while the necessity of physical examination was flagged in 5 1% CONCLUSIONS: The use of phone consultations in endoscopy-related clinics during the COVID-19 outbreak has improved FTA rates while demonstrating high satisfaction rates The need for in-person follow-up consultations and physical examination were low
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Benefits of phone consultation for endoscopy-related clinics in the COVID-19 pandemic
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