A retrospective cohort study of telephone versus face-to-face clinics for the management of new otology referrals.

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dc.contributor.authorMetcalfe, Christopher
dc.contributor.authorGaskell, Peter
dc.contributor.authorMcLelland, Thomas
dc.contributor.authorPatel, Sanjay
dc.contributor.authorMuzaffar, Jameel
dc.contributor.authorDalton, Lucy
dc.contributor.authorCoulson, Chris
dc.contributor.departmentDoctorsen_US
dc.contributor.departmentENTen_US
dc.contributor.roleMedical and Dentalen_US
dc.contributor.trustauthorMcLelland, Thomas
dc.contributor.trustauthorDalton, Lucy
dc.contributor.trustauthorCoulson, Chris
dc.date.accessioned2023-07-13T14:32:27Z
dc.date.available2023-07-13T14:32:27Z
dc.date.issued2022-09-15
dc.description.abstractPurpose: To compare outcomes of telephone and face-to-face consultations for new otology referrals and discuss the wider use of telemedicine in otology. Methods: Retrospective cohort study including new adult otology referrals to our unit, sampled consecutively between March 2021 and May 2021, seen in either a face-to-face or telephone clinic. Primary outcome measure was the proportion of patients with a definitive management outcome (discharged or added to waiting list for treatment) versus the proportion of patients requiring follow-up for further assessment or review. Results: 150 new patients referred for a routine otology consultation (75 telephone, 75 face-to-face) were included. 53/75 patients (71%) undergoing a face-to-face consultation received a definitive outcome following initial review, versus 22/75 (29%) telephone patients (χ2 < 0.001, OR 5.8). 52/75 (69%) telephone patients were followed up face-to-face for examination. The mean (SD) number of appointments required to reach a definitive outcome was 1.22 (0.58) and 1.75 (0.73) in the face-to-face and telephone cohorts, respectively (p < 0.001). Conclusions: Telephone clinics in otology have played an important role as part of the COVID19 response. However, they are currently limited by a lack of clinical examination and audiometry. Remote assessment pathways in otology that incorporate asynchronous review of recorded examinations alongside audiometry, either conventional or boothless, may mitigate this problem; however, further research is required.en_US
dc.identifier.citationMetcalfe C, Gaskell P, McLelland T, Patel S, Muzaffar J, Dalton L, Coulson C. A retrospective cohort study of telephone versus face-to-face clinics for the management of new otology referrals. Eur Arch Otorhinolaryngol. 2023 Apr;280(4):1677-1682. doi: 10.1007/s00405-022-07653-8. Epub 2022 Sep 15en_US
dc.identifier.doi10.1007/s00405-022-07653-8
dc.identifier.eissn1434-4726
dc.identifier.pmid36109380
dc.identifier.urihttp://hdl.handle.net/20.500.14200/1241
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.urlhttps://link.springer.com/journal/405en_US
dc.rights© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
dc.source.beginpage1677
dc.source.countryGermany
dc.source.endpage1682
dc.source.issue4
dc.source.journaltitleEuropean Archives of Oto-Rhino-Laryngology
dc.source.volume280
dc.subjectEar, Nose & Throaten_US
dc.titleA retrospective cohort study of telephone versus face-to-face clinics for the management of new otology referrals.en_US
dc.typeArticle
dspace.entity.typePublication
oa.grant.openaccessnaen_US
rioxxterms.versionNAen_US
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