Abstract：
Introduction: Robot-assisted visits, as part of telemedicine, can offer doctors the opportunity to take care of patients. Due to the COVID-19 pandemic, there has been an increase in telemedicine. The use of teleconsultations, for example, has found its way into the German health care system. However, the practicability and the benefit of robot-assisted postoperative visits have not been systematically investigated in any study worldwide. Methods: Patients were enrolled in a prospective randomized study comparing the standard postoperative visit with the doctor on call and the digital visit through the Double robot between December 2019 and April 2022. All patients and doctors completed a survey after the visit. The primary outcome was patient satisfaction. Secondary outcomes included patients\' pain, hospitalization time, and patients\' opinions about the usefulness of the robot. Likert scales of arithmetic mean, standard deviation, and subgroup analyses with the Mann-Whitney U test and the Fisher\'s exact test were used to compare outcomes. Results: We enrolled a total of 106 patients: 54 (50.9%) of them underwent the robot visit and 52 (49.1%) underwent the conventional visit. Baseline demographic and clinical characteristics were similar between groups. Our primary outcome was the same in both arms. Similar results were obtained for the secondary endpoints. Conclusion: Robot-televisits were comparable with standard visits including satisfaction, usefulness, and time of hospitalization. Digitalization in medicine is an irreversible process, especially after the COVID-19 pandemic. We hope that our study will provide concrete help to encourage the allocation of funds for telemedicine in Germany\'s health care system.
摘要：
简介：机器人辅助访问，作为远程医疗的一部分，可以为医生提供照顾病人的机会。由于COVID-19大流行，远程医疗有所增加。使用远程会诊，例如,已经进入了德国的医疗保健系统。然而,机器人辅助术后访视的实用性和益处尚未在全球范围内进行过系统研究.方法：患者参加了一项前瞻性随机研究，比较了2019年12月至2022年4月期间通过Double机器人进行的标准术后访视和数字访视。所有患者和医生都在访视后完成了调查。主要结果是患者满意度。次要结果包括患者疼痛，住院时间,和病人对机器人有用性的看法。算术平均值的李克特量表，标准偏差，采用Mann-WhitneyU检验和Fisher精确检验的亚组分析比较结局。结果：共纳入106例患者，其中54例（50.9%）接受机器人访视，52例（49.1%）接受常规访视。组间基线人口统计学和临床特征相似。我们的主要结果在两个武器中是相同的。对于次要终点获得了类似的结果。结论：机器人远程访问与标准访问相当，包括满意度，有用性,和住院时间。医学数字化是一个不可逆的过程,特别是在COVID-19大流行之后。我们希望我们的研究将提供具体的帮助，以鼓励在德国的医疗系统远程医疗的资金分配。
