{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T02:17:27Z","timestamp":1791598647009,"version":"4.3.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"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":[[2025,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>To compare in-person pre-anesthesia evaluation (PAE) to virtual evaluation at home using a remote stethoscope.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      One hundred and six (N =106) presurgical hysterectomy and prostatectomy patients were approached to be enrolled in the study: 53 from each surgical group. Those who agreed were then randomized using random allocation codes to in-person versus telemedicine with Eko Duo\n                      <jats:sup>TM<\/jats:sup>\n                      stethoscope versus PAE.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In 39\/49 patients, the Eko allowed remote auscultation of heart sounds and electrocardiogram tracing. Airway exam concordance was 62% for in-person and 65% for virtual patients compared with the day of surgery (DOS) exam (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.796). The mean clinic visit time was 89.5 \u00b1 104.5 versus 110.4 \u00b1 24.1 min for telemedicine and in-person cohorts (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Telemedicine patients saved mean roundtrip driving distance and time of 124.58 \u00b1 81.40 miles and 124.58 \u00b1 74.72 min, respectively, with $103.67 \u00b1 78.80 in cost savings ($0.82\/mile) and 43.22 \u00b1 33.45 kilograms fewer carbon dioxide emissions per patient.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Telemedicine PAE saves time, distance, and costs, and does not seem to be associated with increased DOS cancellations. Virtual visits were shorter and scheduled sooner. The remote stethoscope showed high concordance to in-person exam. Patients were highly satisfied, indicating they would undergoanother telemedicine visit with digital stethoscope.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15305627251366859","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T18:46:58Z","timestamp":1759949218000},"page":"1432-1442","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["A Randomized Controlled Trial Comparing pre-anesthesia Evaluation via Telemedicine to In-Person at an NCI-Designated Comprehensive Cancer Center"],"prefix":"10.1177","volume":"31","author":[{"given":"Nasrin N.","family":"Aldawoodi","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Critical Care, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kea","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krupal","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery, City of Hope Cancer Center, Duarte, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Coughlin","sequence":"additional","affiliation":[{"name":"Department of Medical Education, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Mhaskar","sequence":"additional","affiliation":[{"name":"Department of Medical Education, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caleb","family":"Streitmatter","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchel S.","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio M.","family":"Pow-Sang","sequence":"additional","affiliation":[{"name":"Department of Genitourinary Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8541-4883","authenticated-orcid":false,"given":"Robert S.","family":"Ackerman","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200406000-00038"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004346"},{"key":"e_1_3_5_4_2","unstructured":"Whaley CM. 2019 Telemedicine and Locum Tenens Opportunities Study. Doximity; 2019. 17. Available from: https:\/\/press.doximity.com\/reports\/telemedicine-and-locum-tenens-opportunities-study-2019.pdf [Last accessed: March27 2025]."},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004513"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000005040"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12140"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(99)90244-0"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/imj.13484"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2015.0055"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/10732748211044347"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2012.0132"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2024.0027"},{"key":"e_1_3_5_14_2","first-page":"737","article-title":"Validation of a virtual preoperative evaluation clinic: A pilot study","volume":"163","author":"Zetterman CV","year":"2011","unstructured":"Zetterman CV, , Sweitzer BJ, , Webb B, et al. Validation of a virtual preoperative evaluation clinic: A pilot study. Stud Health Technol Inform, 2011; 163:737\u2013739.","journal-title":"Stud Health Technol Inform"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2017.0133"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000005208"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-014-0280-0"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2018.08.017"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31823c1067"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199607000-00025"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2015-0026"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1576"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29576"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.32290"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/MOU.0000000000000490"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1159\/000492119"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-6-13"},{"key":"e_1_3_5_28_2","unstructured":"U.S. World & News Report. Best Hospitals for Cancer 2020. New York NY; 2020. Available from: https:\/\/health.usnews.com\/best-hospitals\/rankings\/cancer [Last accessed: March27 2025]."},{"key":"e_1_3_5_29_2","unstructured":"Moffitt Cancer Center. 2023 Annual Report. Tampa FL; 2023. Available from: https:\/\/www.moffitt.org\/publications\/annual-report\/ [Last accessed: March27 2025]."},{"key":"e_1_3_5_30_2","unstructured":"US Environmental Protection Agency (EPA). Greenhouse Gas Emissions from a Passenger Vehicle. Ann Arbor MI; 2014. Available from: https:\/\/nepis.epa.gov\/Exe\/ZyPDF.cgi\/P100JPPH.PDF?Dockey=P100JPPH.PDF [Last accessed: March27 2025]."},{"key":"e_1_3_5_31_2","unstructured":"US Environmental Protection Agency (EPA). Greenhouse Gas Equivalencies Calculator. Ann Arbor MI; 2021. Available from: https:\/\/www.epa.gov\/energy\/greenhouse-gas-equivalencies-calculator [Last accessed: October1 2021]."},{"key":"e_1_3_5_32_2","unstructured":"Internal Revenue Service. IRS Issues Standard Mileage Rates for 2021. Washington DC; 2021. Available from: https:\/\/www.irs.gov\/newsroom\/irs-issues-standard-mileage-rates-for-2021 [Last accessed: October1 2021]."},{"key":"e_1_3_5_33_2","unstructured":"American Automobile Association. How Much Does it Really Cost to Own a New Car? American Automobile Association: Heathrow FL; 2021. Available from: https:\/\/newsroom.aaa.com\/wp-content\/uploads\/2020\/12\/2020-Your-Driving-Costs-Brochure-Interactive-FINAL-12-9-20.pdf [Last accessed: October1 2021]."},{"key":"e_1_3_5_34_2","unstructured":"United States Census Bureau. American Community Survey (ACS). Washington DC; 2019. Available from: https:\/\/www.census.gov\/programs-surveys\/acs\/ [Last accessed: March27 2025]."},{"key":"e_1_3_5_35_2","unstructured":"R Core Team. R: A Language and Environment for Statistical Computing. Vienna Austria; 2019. Available from: https:\/\/www.R-project.org\/ [Last accessed: March27 2025]."},{"key":"e_1_3_5_36_2","unstructured":"Esri Inc. ArcGIS Pro. Redlands CA; 2020. Available from: http:\/\/www.arcgis.com\/home [Last accessed: March27 2025]."},{"key":"e_1_3_5_37_2","doi-asserted-by":"publisher","DOI":"10.2196\/23109"},{"key":"e_1_3_5_38_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-018-1972-y"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15305627251366859","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15305627251366859","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15305627251366859","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:11:36Z","timestamp":1787065896000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15305627251366859"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,11]]},"references-count":37,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12,1]]}},"alternative-id":["10.1177\/15305627251366859"],"URL":"https:\/\/doi.org\/10.1177\/15305627251366859","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,11]]}}}