{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T19:55:39Z","timestamp":1793476539928,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T00:00:00Z","timestamp":1623196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Pediatric colorectal problems often require complex multidisciplinary care (MDC), which has been affected by the SARS-CoV-2-2019 (COVID-19) pandemic. We describe our utilization and implementation of telehealth (TH) for pediatric colorectal surgery MDC visits and collate patient satisfaction using TH compared to in-person (IP) visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Implementation of a single-institution MDC TH platform to perform patient visits on February 1, 2020 was studied. Following 6\u00a0months of implementation, TH visits\u2019 characteristics were compared with IP visits in the 3\u00a0months before implementation by patient volume, length of clinic visits, and patient satisfaction survey results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Before implementation, 152 (100%) of clinic visits were IP. During the implementation, 87 (37.7%) were TH visits. Seventy-four (49%) were MDC visits, 17 (23%) of these using the TH platform. Each TH visit\u2019s median length was 25\u00a0minutes (IQR 15-30), while the median length of IP visits was 45\u00a0minutes (IQR 30-45). Pre-implementation satisfaction scores were 88.6% positive, while satisfaction scores after implementation were 96.8% positive. None of the patients who utilized the TH platform had an unplanned hospital admission within 24\u00a0hours of being seen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our experience demonstrates that the TH platform can provide an efficient avenue for established patients and families to receive highly complex multidisciplinary follow-up care. High levels of patient satisfaction indicated that TH should become part of the routine care plan for patients who require long-term or consistent follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348211023428","type":"journal-article","created":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T07:58:35Z","timestamp":1623225515000},"page":"2320-2326","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Leveraging Collaboration in Pediatric Multidisciplinary Colorectal Care Using a Telehealth Platform"],"prefix":"10.1177","volume":"88","author":[{"given":"Joseph J.","family":"Lopez","sequence":"first","affiliation":[{"name":"Comprehensive Colorectal Center, Children\u2019s Mercy Hospital, University of Missouri Kansas City, Kansas City, MO, USA"},{"name":"Department of Pediatric Surgery, Children\u2019s Mercy Hospital, University of Missouri Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy Jo","family":"Svetanoff","sequence":"additional","affiliation":[{"name":"Comprehensive Colorectal Center, Children\u2019s Mercy Hospital, University of Missouri Kansas City, Kansas City, MO, USA"},{"name":"Department of Pediatric Surgery, Children\u2019s Mercy Hospital, University of Missouri Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M.","family":"Rosen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology, Children\u2019s Mercy Hospital, University of Missouri Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alonso","family":"Carrasco","sequence":"additional","affiliation":[{"name":"Department of Pediatric Urology, Children\u2019s Mercy Hospital, University of Missouri Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca M.","family":"Rentea","sequence":"additional","affiliation":[{"name":"Comprehensive Colorectal Center, Children\u2019s Mercy Hospital, University of Missouri Kansas City, Kansas City, MO, USA"},{"name":"Department of Pediatric Surgery, Children\u2019s Mercy Hospital, University of Missouri Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Comprehensive Colorectal Center of Children\u2019s Mercy Hospital, Kansas City, 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