Delivering high-quality vascular care by telehealth during the COVID-19 pandemic
Identifieur interne : 000381 ( Pmc/Corpus ); précédent : 000380; suivant : 000382Delivering high-quality vascular care by telehealth during the COVID-19 pandemic
Auteurs : Grant T. FankhauserSource :
- Journal of Vascular Surgery [ 0741-5214 ] ; 2020.
Url:
DOI: 10.1016/j.jvs.2020.04.010
PubMed: 32289437
PubMed Central: 7151312
Links to Exploration step
PMC:7151312Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Delivering high-quality vascular care by telehealth during the COVID-19 pandemic</title><author><name sortKey="Fankhauser, Grant T" sort="Fankhauser, Grant T" uniqKey="Fankhauser G" first="Grant T." last="Fankhauser">Grant T. Fankhauser</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32289437</idno><idno type="pmc">7151312</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151312</idno><idno type="RBID">PMC:7151312</idno><idno type="doi">10.1016/j.jvs.2020.04.010</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000381</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000381</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Delivering high-quality vascular care by telehealth during the COVID-19 pandemic</title><author><name sortKey="Fankhauser, Grant T" sort="Fankhauser, Grant T" uniqKey="Fankhauser G" first="Grant T." last="Fankhauser">Grant T. Fankhauser</name></author></analytic><series><title level="j">Journal of Vascular Surgery</title><idno type="ISSN">0741-5214</idno><idno type="eISSN">1097-6809</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Paquette, S" uniqKey="Paquette S">S. Paquette</name></author><author><name sortKey="Lin, J C" uniqKey="Lin J">J.C. Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hornick, J R" uniqKey="Hornick J">J.R. Hornick</name></author><author><name sortKey="Balderman, J A" uniqKey="Balderman J">J.A. Balderman</name></author><author><name sortKey="Eugea, R" uniqKey="Eugea R">R. Eugea</name></author><author><name sortKey="Sanchez, L A" uniqKey="Sanchez L">L.A. Sanchez</name></author><author><name sortKey="Zayed, M A" uniqKey="Zayed M">M.A. Zayed</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="editorial"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Vasc Surg</journal-id><journal-id journal-id-type="iso-abbrev">J. Vasc. Surg</journal-id><journal-title-group><journal-title>Journal of Vascular Surgery</journal-title></journal-title-group><issn pub-type="ppub">0741-5214</issn><issn pub-type="epub">1097-6809</issn><publisher><publisher-name>by the Society for Vascular Surgery. Published by Elsevier Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32289437</article-id><article-id pub-id-type="pmc">7151312</article-id><article-id pub-id-type="publisher-id">S0741-5214(20)30505-X</article-id><article-id pub-id-type="doi">10.1016/j.jvs.2020.04.010</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Delivering high-quality vascular care by telehealth during the COVID-19 pandemic</article-title></title-group><contrib-group><contrib contrib-type="author" id="au1"><name><surname>Fankhauser</surname><given-names>Grant T.</given-names></name><degrees>MD, MBA, MHA, FACS, FSVS</degrees><email>grant.fankhauser@utmb.edu</email><xref rid="cor1" ref-type="corresp">∗</xref></contrib><aff id="aff1">Division of Vascular Surgery, University of Texas Medical Branch, Galveston, Tex</aff></contrib-group><author-notes><corresp id="cor1"><label>∗</label>Correspondence: Grant Fankhauser, MD, Division of Vascular Surgery, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 <email>grant.fankhauser@utmb.edu</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>11</day><month>4</month><year>2020</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>11</day><month>4</month><year>2020</year></pub-date><history><date date-type="received"><day>24</day><month>3</month><year>2020</year></date><date date-type="accepted"><day>7</day><month>4</month><year>2020</year></date></history><permissions><copyright-statement>© 2020 by the Society for Vascular Surgery. Published by Elsevier Inc.</copyright-statement><copyright-year>2020</copyright-year><copyright-holder>Society for Vascular Surgery</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions></article-meta></front><body><p id="p0010">The COVID-19 pandemic has brought sweeping change to the delivery of health care throughout the United States and other parts of the world. Local, county, and state governments have implemented policies recommending or requiring broad swaths of the population to stay at home except for essential activities. Not only does this affect our patients, but in many cases it affects our physicians, residents, nurses, technologists, and support staff. Major health systems have already converted many job functions to work-from-home. Outpatient clinics have been closed, and elective or semielective procedures have been postponed or canceled. The Society for Vascular Surgery has released guidance as to which procedures should be postponed.<xref rid="bib1" ref-type="bibr"><sup>1</sup></xref> We do not yet know how much stress the pandemic will put on the U.S. health care system, but most hospitals and health care systems have wisely adopted a strategy to prepare for the worst.<xref rid="bib2" ref-type="bibr"><sup>2</sup></xref></p><p id="p0015">Many health care systems and clinics have converted existing outpatient clinic visits to telehealth visits. The Centers for Medicare and Medicaid Services (through the 1135 waiver) and most major commercial insurance companies have relaxed the restrictions on payment for virtual services during this pandemic.<xref rid="bib3" ref-type="bibr"><sup>3</sup></xref> Options are now available to conduct virtual visits through various technology options including videoconferencing, smart phones, and even landlines. Outside of health crises, these methods have proven successful in the care of vascular patients.<xref rid="bib4" ref-type="bibr"><sup>4</sup></xref><sup>,</sup><xref rid="bib5" ref-type="bibr"><sup>5</sup></xref> Obviously, there are limitations on the information available to the physician. In telehealth, only limited physical examination is possible, even with video services. Even the most basic tools from the vascular clinic, such as blood pressure cuffs, handheld Doppler probes, or physical touch, are not available during virtual visits, but plenty of information is accessible to help maintain our delivery of high-quality care.</p><p id="p0020">Virtual visits are an opportunity to sharpen our history-taking skills. Physical examination, vascular laboratories, and computed tomography are often employed to arrive at a diagnosis, but a thorough history may provide us with much of the same information. A careful history can differentiate neurogenic from vascular claudication, even without palpating pulses. A history can also differentiate limb ischemia from venous congestion for patients complaining of blue toes. A thorough history, with targeted inquiries and follow-up questions, can steer us to the correct diagnosis much of the time.</p><p id="p0025">True, a formalized treatment plan is unlikely to arise from a new patient virtual visit, but it may provide the next steps, such as lifestyle modification and a walking plan or compression socks and leg exercises. Virtual visits will not obviate the need for in-person evaluation of some patients, and vascular emergencies will continue to arise for patients at home or hospitalized. We must continue to be ready for those situations.</p><p id="p0030">If we effectively use virtual visits to stay in contact with our patients during this pandemic, we can triage those who need a face-to-face visit or diagnostic tests while providing outpatient treatment plans for others. The patient's ability to speak to his or her vascular surgeon during this health crisis provides reassurance and maintains the continuity of care we cherish and build with our patients.</p><p id="p0035">This health crisis will pass, and we will soon return to our normal practices. Our patients look forward to that day as much as we do. While we weather the storm, technology and virtual visits can help us maintain the high-quality care we pride ourselves in delivering.</p></body><back><ref-list id="cebib0010"><title>References</title><ref id="bib1"><label>1</label><element-citation publication-type="other" id="sref1"><article-title>SVS vascular surgery triage guidelines by tier class</article-title><comment>Available at:</comment><ext-link ext-link-type="uri" xlink:href="https://vascular.org/sites/default/files/Vascular%20surgery%20triage%20by%20Tier%20Class%203.24.20.pdf" id="intref0010">https://vascular.org/sites/default/files/Vascular%20surgery%20triage%20by%20Tier%20Class%203.24.20.pdf</ext-link></element-citation></ref><ref id="bib2"><label>2</label><element-citation publication-type="other" id="sref2"><person-group person-group-type="author"><collab>Centers for Disease Control and Prevention</collab></person-group><article-title>Comprehensive hospital preparedness checklist for coronavirus disease 2019 (COVID-19)</article-title><comment>Available at:</comment><ext-link ext-link-type="uri" xlink:href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/hcp-hospital-checklist.html" id="intref0015">https://www.cdc.gov/coronavirus/2019-ncov/hcp/hcp-hospital-checklist.html</ext-link></element-citation></ref><ref id="bib3"><label>3</label><element-citation publication-type="other" id="sref3"><person-group person-group-type="author"><collab>Centers for Medicare and Medicaid Services</collab></person-group><article-title>List of telehealth services</article-title><comment>Available at:</comment><ext-link ext-link-type="uri" xlink:href="https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes" id="intref0020">https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes</ext-link></element-citation></ref><ref id="bib4"><label>4</label><element-citation publication-type="journal" id="sref4"><person-group person-group-type="author"><name><surname>Paquette</surname><given-names>S.</given-names></name><name><surname>Lin</surname><given-names>J.C.</given-names></name></person-group><article-title>Outpatient telemedicine program in vascular surgery reduces patient travel time, cost, and environmental pollutant emissions</article-title><source>Ann Vasc Surg</source><volume>59</volume><year>2019</year><fpage>167</fpage><lpage>172</lpage><pub-id pub-id-type="pmid">31077768</pub-id></element-citation></ref><ref id="bib5"><label>5</label><element-citation publication-type="journal" id="sref5"><person-group person-group-type="author"><name><surname>Hornick</surname><given-names>J.R.</given-names></name><name><surname>Balderman</surname><given-names>J.A.</given-names></name><name><surname>Eugea</surname><given-names>R.</given-names></name><name><surname>Sanchez</surname><given-names>L.A.</given-names></name><name><surname>Zayed</surname><given-names>M.A.</given-names></name></person-group><article-title>A telephone call 1 week after hospitalization can identify risk factors for vascular surgery readmission</article-title><source>J Vasc Surg</source><volume>64</volume><year>2016</year><fpage>719</fpage><lpage>725</lpage><pub-id pub-id-type="pmid">27565591</pub-id></element-citation></ref></ref-list><fn-group><fn id="d32e153"><p id="ntpara0010">Author conflict of interest: none.</p></fn><fn id="d32e156"><p id="ntpara0015">The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest.</p></fn></fn-group></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/StressCovidV1/Data/Pmc/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000381 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 000381 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= StressCovidV1
|flux= Pmc
|étape= Corpus
|type= RBID
|clé= PMC:7151312
|texte= Delivering high-quality vascular care by telehealth during the COVID-19 pandemic
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/RBID.i -Sk "pubmed:32289437" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a StressCovidV1
| This area was generated with Dilib version V0.6.33. |  |