{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:38:26Z","timestamp":1777876706401,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Telemedicine is a resource to provide health care to patients social distancing and prevent their exposure to the risk of contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in medical-hospital settings. This study evaluated a virtual model of care in acromegalic patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We recruited 78 acromegalic patients, 65% female, median age 63 years. Outpatient management was remodeled to simplify access to care by (1) adoption of virtual meetings; (2) collection of blood samples at home; (3) abolishment of printed prescription and provision of electronic files directly to central pharmacy; and (4) drugs delivered to patients' home. Patients and physicians filled electronic surveys 48\u2009h after each consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The patients expressed satisfaction with convenience (91.1%), decreased wait time (85.1%), and saving money (79.2%) compared to face-to-face visits. Most patients felt supported by the medical team (89.1%) and kept the prescriptions updated (84.8%). The physicians reported resolutive appointments in 92.2% of cases, despite longer time to reach the patients and subsequent calls to complement missing information. Satisfaction and patient\u2013provider relationship were maintained during the study, but the choice for virtual appointment for the next appointment fell from 78.7% to 34.8% after 6 months. Coronavirus disease 2019 (COVID-19) was confirmed in 13% of patients, mostly mild and moderate manifestations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Telemedicine is a tool for medical care in underserved populations, feasible even in low-income countries. This study suggests that it is difficult to sustain exclusive remote care for more than 6 months. The method could be adopted interchangeably with in-person consultations in acromegalic patients with stable disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2020.0579","type":"journal-article","created":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T16:16:54Z","timestamp":1618935414000},"page":"905-914","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Implementation and Monitoring of a Telemedicine Model in Acromegalic Outpatients in a Low-Income Country During the COVID-19 Pandemic"],"prefix":"10.1177","volume":"27","author":[{"given":"Luciana Ansaneli","family":"Naves","sequence":"first","affiliation":[{"name":"Service of Endocrinology, University Hospital, Faculty of Medicine, University of Brasilia, Brasilia, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabella Naves","family":"Rosa","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Catholic University of Brasilia, Brasilia, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas Alves de Souza","family":"Lima","sequence":"additional","affiliation":[{"name":"Service of Endocrinology, University Hospital, EBSERH, University of Brasilia, Brasilia, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lidiana Bandeira de","family":"Santana","sequence":"additional","affiliation":[{"name":"Service of Endocrinology, University Hospital, EBSERH, University of Brasilia, Brasilia, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas Faria de","family":"Castro","sequence":"additional","affiliation":[{"name":"Service of Endocrinology, University Hospital, EBSERH, University of Brasilia, Brasilia, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Augusto","family":"Casulari","sequence":"additional","affiliation":[{"name":"Service of Endocrinology, University Hospital, Faculty of Medicine, University of Brasilia, Brasilia, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,8,6]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2013.0992"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1200\/jop.2006.2.5.228"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.21.4.168"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2009.0153"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/hec.2807"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-017-4082-2"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocaa072"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-20-0473"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-20-0361"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11154-020-09569-2"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11102-017-0838-2"},{"key":"e_1_3_5_13_2","unstructured":"Clinical Protocol and Therapeutic Guidelines in Acromegaly. 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