{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:53:24Z","timestamp":1791359604034,"version":"4.3.1"},"reference-count":13,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Literature on teleconsultation is rich in outcome data, and only a smaller body of work has described the operational setup of specific teleconsultation services, mainly from the COVID\u2010era. However, publications on a routine, non\u2010pandemic, low\u2010cost, and asynchronous departmental teleconsultation model built on a widely available messaging application remain scarce. No structured replicable blueprint exists for establishing such a model for follow\u2010up clinics at the departmental level in a government tertiary care hospital. We describe a step\u2010by\u2010step operational framework implemented in the Department of Endocrine and Breast Surgery since May 2025, which has now served 587 teleconsultations (post\u2010thyroidectomy, post\u2010parathyroidectomy, breast carcinoma, and pheochromocytoma) over 13\u00a0months. The model requires no dedicated funding, no institutional IT infrastructure, and no proprietary telemedicine platform. It uses a dedicated departmental smartphone, WhatsApp, a structured asynchronous review schedule, and a documentation proforma aligned with India's Digital Personal Data Protection (DPDP) Act, 2023, and the Ministry of Health and Family Welfare (MoHFW) Telemedicine Practice Guidelines, 2020. WhatsApp was selected over e\u2010Sanjeevani for its asynchronous capability, universal patient accessibility, and zero registration burden. The average clinician time per teleconsultation is 5\u201310\u00a0minutes; the entire daily review session is completed within 30\u00a0minutes. The underlying principles are specialty\u2010agnostic and potentially adaptable to cardiology, neurology, hematology, and oncology, though each specialty would require its own eligibility criteria and escalation thresholds.<\/jats:p>","DOI":"10.1002\/wjs.70601","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:34:06Z","timestamp":1791358446000},"source":"Crossref","is-referenced-by-count":0,"title":["Establishing a Routine Teleconsultation Follow\u2010Up Clinic in a Tertiary Care Hospital of a Low\u2010Middle\u2010Income Country: An Operational Blueprint and Implementation Experience"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3039-4958","authenticated-orcid":false,"given":"Sarrah","family":"Idrees","sequence":"first","affiliation":[{"name":"Department of Endocrine Surgery Dr Ram Manohar Lohia Institute of Medical Sciences  Lucknow Uttar Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5982-3561","authenticated-orcid":false,"given":"Firoz","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of ENT Era Medical College  Lucknow Uttar Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0635-3897","authenticated-orcid":false,"given":"S. K.","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Endocrine Surgery Dr Ram Manohar Lohia Institute of Medical Sciences  Lucknow Uttar Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_2_17_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmp2003539"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633x18783921"},{"key":"e_1_2_17_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010019\u201005212\u20107"},{"key":"e_1_2_17_5_1","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2008.080808"},{"key":"e_1_2_17_6_1","doi-asserted-by":"publisher","DOI":"10.25259\/nmji\u201035\u20103\u2010142"},{"issue":"114","key":"e_1_2_17_7_1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.56920\/cehj.212","article-title":"Setting up a Primary Eye Care Teleconsultation Service","volume":"35","author":"Rani P. K.","year":"2022","journal-title":"Community Eye Health"},{"key":"e_1_2_17_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/aam.aam_88_20"},{"key":"e_1_2_17_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40618\u2010020\u201001476\u20102"},{"key":"e_1_2_17_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/idoj.idoj_373_20"},{"key":"e_1_2_17_11_1","volume-title":"Telemedicine Practice Guidelines","author":"Ministry of Health and Family Welfare, GoI","year":"2020"},{"key":"e_1_2_17_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2019.0158"},{"key":"e_1_2_17_13_1","unstructured":"Ministry of Health and Family Welfare GoI.eSanjeevani\u2014National Teleconsultation Service https:\/\/esanjeevani.mohfw.gov."},{"key":"e_1_2_17_14_1","volume-title":"The Digital Personal Data Protection Act","author":"Ministry of Electronics and Information Technology, GoI","year":"2023"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjs.70601","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/wjs.70601","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjs.70601","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:34:09Z","timestamp":1791358449000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjs.70601"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":13,"alternative-id":["10.1002\/wjs.70601"],"URL":"https:\/\/doi.org\/10.1002\/wjs.70601","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]},"article-number":"wjs.70601"}}