背景:除了中断炎症性肠病(IBD)等其他疾病的日常临床实践外,COVID-19大流行增加了医疗服务需求。在这里,我们提供了一项调查结果,以在日常实践中使用远程医疗来获得IBD专家对患者管理的看法。
方法:这是一项针对IBD(胃肠病学家,外科医生,和儿科医生)西班牙克罗恩病和溃疡性结肠炎工作组(GETECCU)的成员,西班牙胃肠病学协会(AEG),和西班牙结肠直肠学协会(AECP),关于IBD患者管理的变化。
结果:我们总共收到了269份调查回复(从2020年5月到6月)。在大流行之前,几乎所有的受访者都报告说他们的面对面访问非常频繁(n=251,93.3%),在大流行期间,电话访问是最频繁的访问(n=138,51.3%)。关于沟通困难,157(58.4%)受访者表示,最相关的问题是无法进行适当的检查。此外,114名(42.4%)受访者认为远程访问比面对面访问更耗时。大多数胃肠病学家(n=188,83.2%)认为患有活动性肛周疾病的患者特别需要面对面咨询,超过一半的外科医生(n=35,50.7%)报告说已立即进行了术后远程随访。
结论:大多数IBD单位在大流行期间实施了远程访问,但是大多数专业人士发现它们更耗时,不适合某些疾病的概况。因此,需要开发更好的远程医疗系统,以满足专业人员和患者的要求。
BACKGROUND: COVID-19 pandemic increased medical services demand aside from interrupting daily clinical practice for other diseases such as inflammatory bowel disease (IBD). Here we present the results of a survey to gain the perception of IBD specialists in their patient-management using telemedicine in their daily practice.
METHODS: This was an observational survey study among physicians focused on IBD (gastroenterologist, surgeons, and pediatricians) members of the Spanish Working Group on Crohn\'s Disease and Ulcerative Colitis (GETECCU), the Spanish Association of Gastroenterology (AEG), and the Spanish Association of Coloproctology (AECP), regarding changes of management of IBD patients.
RESULTS: We received a total of 269 responses to the survey (from May to June 2020). Before the pandemic, nearly all the respondents reported performing very frequently their visits face-to-face (n=251, 93.3%) while, during the pandemic, the telephone visits were the most frequent visits performed (n=138, 51.3%). Regarding communication difficulties, 157 (58.4%) respondents reported the impossibility of performing a proper examination as the most relevant issue. Also, 114 (42.4%) respondents considered remote visits more time-consuming than face-to-face visits. Most gastroenterologists (n=188, 83.2%) considered patients with active perianal disease in special need of face-to-face consultation and more than half of the surgeons (n=35, 50.7%) reported having performed an immediate postoperative follow-up remotely.
CONCLUSIONS: Most IBD units have implemented remote visits during the pandemic, but most professionals found them more time-consuming and unsuitable for some disease profiles. Therefore, there is a need for the development of better telemedicine systems that can meet professionals\' and patients\' requirements.