{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:39:44Z","timestamp":1777876784879,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"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":[[2023,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Compare demographics, treatment, and follow-up rates for patients with complaints of vulvovaginitis suggestive of candida infection evaluated via e-visit, face-to-face (F2F) visits, or nurse-administered phone protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Manual review of 150 vaginitis visits of each visit type (e-visit, F2F, and phone protocol) completed between May 5, 2018 through January 31, 2020 by Mayo Clinic patients residing in Minnesota.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes:<\/jats:title>\n                    <jats:p>Comparison between the three visit types of patient characteristics, treatment rates, type of treatment, follow-up rates, and types of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Patients utilizing phone visits were significantly older than those seeking care via e-visit (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001) or F2F (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001) and were more likely to be treated with oral fluconazole than those treated by e-visit (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001) or F2F (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001) encounters. Patients were significantly less likely to receive fungal directed treatment at a F2F visit than an e-visit (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001) or phone encounter (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001). There was no significant difference in follow-up rates between the three groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Virtual visits (non-F2F) for suspected vulvovaginal candidiasis are unlikely to result in more follow-up visits than F2F encounters; however, prescriptions for antifungals are significantly higher with virtual visits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2022.0218","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T14:43:27Z","timestamp":1666017807000},"page":"738-743","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Virtual Management of Vulvovaginal Candidiasis to Traditional In-Person Care"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8683-2435","authenticated-orcid":false,"given":"Martha A.","family":"Murray","sequence":"first","affiliation":[{"name":"Mayo Clinic Express Care, Rochester, Minnesota, USA."},{"name":"Department of Family Medicine, Employee and Community Health, Rochester, Minnesota, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristine L.","family":"Penza","sequence":"additional","affiliation":[{"name":"Mayo Clinic Express Care, Rochester, Minnesota, USA."},{"name":"Department of Family Medicine, Employee and Community Health, Rochester, Minnesota, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph W.","family":"Furst","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Employee and Community Health, Rochester, Minnesota, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1970-1344","authenticated-orcid":false,"given":"Jennifer L.","family":"Pecina","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Employee and Community Health, Rochester, Minnesota, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,5,8]]},"reference":[{"key":"e_1_3_3_2_2","author":"ACOG Practice Bulletin","year":"2020","unstructured":"Vaginitis in nonpregnant patients: ACOG Practice Bulletin, Number 215. Obstet Gynecol, 2020;135:e1\u2013e17.","journal-title":"Obstet Gynecol"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0b013e318273e8cf"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.11.1368"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-019-0748-8"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(18)30103-8"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200004000-00009"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa260"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.02.015"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00076-09"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2012.1157"},{"key":"e_1_3_3_12_2","first-page":"18","article-title":"Assessment of vulvovaginal complaints: Accuracy of telephone triage and in-office diagnosis","volume":"99","author":"Allen-Davis JT","year":"2002","unstructured":"Allen-Davis JT, , Beck A, , Parker R, , Ellis JL, , Polley D. Assessment of vulvovaginal complaints: Accuracy of telephone triage and in-office diagnosis. 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