{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:06:42Z","timestamp":1777936002824,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T00:00:00Z","timestamp":1692835200000},"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":["J Telemed Telecare"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background\/Objectives<\/jats:title>\n                    <jats:p>The COVID-19 pandemic motivated telemedicine care to decrease potential exposures for both patients and staff. We hypothesized that select breast surgical patients can be successfully evaluated pre-operatively with telemedicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>With institutional review board approval, patients with telemedicine surgical consults between 1 March 2020 and 31 August 2020 were identified retrospectively from our prospective breast surgical registry. The frequency of successful pre-operative evaluation using telemedicine alone was assessed, defined as cases in which surgery was completed on the planned day without changes to the surgical plan after physical examination in the pre-operative area. Differences in disease presentation, patient characteristics, and complications were evaluated by whether the first in-person visit occurred on the day of surgery versus the prior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 374 patients underwent breast surgery between 1 March 2020 and 31 August 2020, of which 96 (25.7%) had a telemedicine consultation. After the telemedicine visit, 38 patients (39.6%) had additional in-person visits with the breast surgeon prior to their operative date, and 58 patients (60.4%) did not. Forty-five patients underwent breast-conserving therapies, 41 mastectomies (25 with reconstruction), two axillary dissections, and eight excisional biopsies. All surgeries were completed on the planned operative day, with no changes in surgical plans. Patients with telemedicine only prior to surgery were more likely to speak English (100% vs. 92.1%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02) and have lower body mass index (median 24.9 vs. 29.2,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). The frequency of in-person pre-operative visits varied significantly by surgeon (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Age, American Society of Anaesthesiologists score, distance from facility, clinical T\/N category, surgery type, and complications did not differ between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Telemedicine can be utilized successfully for select breast surgical patients, with the ability to proceed to surgery in the majority of patients without additional in-person visits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x231194377","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T05:57:41Z","timestamp":1692856661000},"page":"454-459","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Lessons learned from the COVID-19 pandemic: Using telemedicine for pre-operative surgical evaluation in breast disease"],"prefix":"10.1177","volume":"31","author":[{"given":"Arielle P","family":"Stafford","sequence":"first","affiliation":[{"name":"Department of Surgery, Mayo Clinic, Rochester, MN, USA"},{"name":"Schar Cancer Institute, Inova, Fairfax, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanya L","family":"Hoskin","sequence":"additional","affiliation":[{"name":"Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tina J","family":"Hieken","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacy","family":"Sanders","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandhya","family":"Pruthi","sequence":"additional","affiliation":[{"name":"General Internal Medicine\/Breast Diagnostic Clinic, Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judy","family":"Boughey","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2303-4946","authenticated-orcid":false,"given":"Amy","family":"Degnim","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,8,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2012.10.015"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X18783921"},{"key":"e_1_3_2_4_2","article-title":"Establishing a telemedicine program for breast reconstruction","volume":"8","author":"Xue EY","unstructured":"Xue EY, Chu CK, Winocour S, et al. Establishing a telemedicine program for breast reconstruction. Plast Reconstr Surg Glob Open Mar 2020; 8: e2594.","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(03)00382-8"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10897-010-9301-5"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X211069663"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-10448-6"},{"key":"e_1_3_2_9_2","unstructured":"Centers for Medicare and Medicaid Services. Medicare telemedicine health care provider fact sheet. https:\/\/www.cms.gov\/newsroom\/fact-sheets\/medicare-telemedicine-health-care-provider-fact-sheet (accessed 10 May 2022)."},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X20916567"},{"key":"e_1_3_2_11_2","unstructured":"Centers for Medicare and Medicaid Services. COVID-19 Emergency declaration blanket waivers for health care providers. https:\/\/www.cms.gov\/files\/document\/summary-covid-19-emergency-declaration-waivers.pdf (accessed 26 June 2022)."},{"key":"e_1_3_2_12_2","unstructured":"Mayo Clinic. Telemedicine offers benefits in the COVID-19 era and beyond. https:\/\/www.mayoclinic.org\/medical-professionals\/neurology-neurosurgery\/news\/telemedicine-offers-benefits-in-the-covid-19-era-and-beyond\/mac-20506813 (accessed 12 May 2022)."},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-11103-w"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2020.11.034"},{"key":"e_1_3_2_15_2","article-title":"Health care providers\u2019 and professionals\u2019 experiences with telehealth oncology implementation during the COVID-19 pandemic: a qualitative study","volume":"24","author":"Turner K","unstructured":"Turner K, Bobonis Babilonia M, Naso C, et al. Health care providers\u2019 and professionals\u2019 experiences with telehealth oncology implementation during the COVID-19 pandemic: a qualitative study. J Med Internet Res 01 19 2022; 24: e29635.","journal-title":"J Med Internet Res"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2021.110540"}],"container-title":["Journal of Telemedicine and Telecare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X231194377","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1357633X231194377","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X231194377","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:17:01Z","timestamp":1777691821000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1357633X231194377"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,24]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/1357633X231194377"],"URL":"https:\/\/doi.org\/10.1177\/1357633x231194377","relation":{},"ISSN":["1357-633X","1758-1109"],"issn-type":[{"value":"1357-633X","type":"print"},{"value":"1758-1109","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,24]]}}}