{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T02:55:02Z","timestamp":1788836102799,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T00:00:00Z","timestamp":1689206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["LUTS"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Telemedicine for pediatric lower urinary tract symptoms (pLUTS) is a relatively new mode of delivering bladder health education with scant evidence supporting current practice. We aim to examine the safety of pLUTS\u2010related telemedicine visits surrounding the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective cohort study of new pLUTS referral diagnoses to our institution's pediatric urology clinics. Demographics, wait times, and referral diagnoses were captured and compared before and after March 2020 using <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup>\/Fisher exact tests and <jats:italic>t\u2010<\/jats:italic>tests. A retrospective chart review was performed for an initial telemedicine visit followed by an in\u2010person visit to identify missed radiology, lab, or physical exam findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six hundred twelve patients were included from September 2018 to August 2021. Most were 5\u201310\u2009years old (62.3%), female (56.2%), English speaking (86.5%), White (39.4%), and had private insurance (67.2%). Wait times were shorter for telemedicine versus in\u2010person visits (<jats:italic>t<\/jats:italic><jats:sub>190<\/jats:sub>\u2009=\u2009\u22123.56, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). After March 2020, patients with a urinary tract infection (UTI) and females utilized in\u2010person visits more often (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). After chart review (11 patients, mean\u2009=\u200910.4\u2009years), 9 (81.8%) had comorbid conditions and\/or family history of lower urinary tract symptoms. None had missed clinical findings that changed management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>pLUTS care can be delivered via telemedicine without a significant change in patient volume and population, though additional investigations will clarify the needs of patients with specific referral diagnoses and comorbid conditions. The in\u2010person exam can be omitted safely with proper clinical history taking, supporting future virtual programs that address delays in care within local communities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/luts.12496","type":"journal-article","created":{"date-parts":[[2023,7,14]],"date-time":"2023-07-14T05:54:26Z","timestamp":1689314066000},"page":"200-205","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Utilization and safety of telemedicine for pediatric lower urinary tract symptoms before and during the <scp>COVID<\/scp>\u201019 pandemic"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4985-2787","authenticated-orcid":false,"given":"Abby L.","family":"Chen","sequence":"first","affiliation":[{"name":"Stanford University School of Medicine  Stanford California 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