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The role of telephone clinics in ENT

Published online by Cambridge University Press:  08 February 2023

M Brimioulle Open the ORCID record for M Brimioulle [Opens in a new window] ,
I Arih ,
A Pervaiz ,
W Patel ,
A Davies ,
M Sekyi-Djan ,
A Qureishi  and
K Chaidas
M Brimioulle*
Affiliation:
ENT Department, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
I Arih
Affiliation:
ENT Department, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
A Pervaiz
Affiliation:
ENT Department, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
W Patel
Affiliation:
ENT Department, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
A Davies
Affiliation:
ENT Department, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
M Sekyi-Djan
Affiliation:
ENT Department, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
A Qureishi
Affiliation:
ENT Department, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
K Chaidas
Affiliation:
ENT Department, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
*
Corresponding author: Dr M Brimioulle, ENT Department; John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Headley Way, Oxford OX3 9DU, UK E-mail: [email protected]
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Abstract

Objective

This quality improvement project assessed the outcomes of telephone consultations for ENT patients in order to identify areas where telephone consultations may be useful in the long term.

Method

New ENT patient appointments in May 2019 and May 2020 were reviewed. Total outcomes as well as subspecialty-specific and presentation-specific outcomes were compared for telephone versus face-to-face consultations.

Results

There were 638 consultations in total (465 in 2019 and 173 in 2020). Following telephone consultations, more patients were followed up and fewer patients were listed for surgery or discharged. Overall outcomes for subspecialties followed the general trend, albeit with a few variations.

Conclusion

Lack of clinical examination in telephone consultations likely affects confidence in making a diagnosis and therefore discharging or listing patients for surgery. Nevertheless, looking at specialty-specific and presentation-specific data, there may be a role for telephone consultations in selected patients.

Keywords

Remote ConsultationOtolaryngologyQuality Improvement
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 8 , August 2023 , pp. 914 - 920
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr M Brimioulle takes responsibility for the integrity of the content of the paper

References

Holter, MR, Burgess, LP. Telemedicine in otolaryngology. Otolaryngol Clin North Am 2002;35:1263–81CrossRefGoogle Scholar
Garritano, FG, Goldenberg, D. Successful telemedicine programs in otolaryngology. Otolaryngol Clin North Am 2011;44:1259–74CrossRefGoogle ScholarPubMed
Ohlstein, JF, Garner, J G, Takashima, M. Telemedicine in otolaryngology in the Covid-19 era: initial lessons learned. Laryngoscope 2020;130:2569–73CrossRefGoogle ScholarPubMed
Samarrai, R, Riccardi, AC, Tessema, B, Stezen, M, Brown, SM. Continuation of telemedicine in otolaryngology post-Covid-19: applications by subspecialty. Am J Otolaryngol 2021;42:102928CrossRefGoogle ScholarPubMed
Govil, N, Raol, N, Tey, CS, Goudy, SL, Alfonso, KP. Rapid telemedicine implementation in the context of the Covid-19 pandemic in an academic pediatric otolaryngology practice. Int J Pediatr Otorhinolaryngol 2020;139:110447CrossRefGoogle Scholar
Manning, LA, Gillepsie, CM. E-health and telemedicine in otolaryngology: risks and rewards. Otolaryngol Clin North Am 2022;55:145–51CrossRefGoogle ScholarPubMed
Anari, A, Arullendran, P, Reilly, J. How we do it: cost-benefit analysis of implementing a telephone review system in an ENT outpatient setting. Clin otolaryngol 2006;31:331–4CrossRefGoogle Scholar
Ramirez, AV, Ojeaga, M, Espinoza, V, Hensler, B, Honrubia, V. Telemedicine in minority and socioeconomically disadvantaged communities amidst Covid-19 pandemic. Otolaryngol Head Neck Surg 2021;164:91–2CrossRefGoogle ScholarPubMed
Ekeland, AG, Bowes, A, Flottorp, S. Effectiveness of telemedicine: a systematic review of reviews. Int J Med Inform 2010;79:736–71CrossRefGoogle ScholarPubMed
Ning, AY, Cabrera, CI, D'Anza, B. Telemedicine in otolaryngology: a systematic review of image quality, diagnostic concordance, and patient and provider satisfaction. Ann Otol Rhinol Laryngol 2021;130:195–204CrossRefGoogle ScholarPubMed
Choi, JS, Kim, JH, Park, S, Lin, M, Abdur-Raman, F, Mack, WJ et al. Telemedicine in otolaryngology during Covid-19: patient and physician satisfaction. Otolaryngol Head Neck Surg 2021;167:56–64CrossRefGoogle ScholarPubMed
National Health Service. The NHS Long Term Plan 2019. In: https://www.longtermplan.nhs.uk/ [3 July 2022]Google Scholar
The Royal College of Surgeons of England. Covid-19 Toolkit: Virtual Consultations. In: https://www.rcseng.ac.uk/coronavirus/recovery-of-surgical-services/tool-4/ [3 July 2022]Google Scholar
Tikka, T, Kavanagh, K, Lowit, A, Jiafeng, P, Burns, H, Nixon, IJ et al. Head and neck cancer risk calculator (HaNC-RC)-V.2. Adjustments and addition of symptoms and social history factors. Clin Otol 2020;45:380–8Google ScholarPubMed
ENT UK. Remote triaging of urgent suspected head and neck cancer referrals during Covid-19 pandemic. In: https://www.entuk.org/sites/default/files/files/ENTUK_2WW_Telephone_Triage_Letter.pdf [3 July 2022]Google Scholar
Puttasidaiah, PM, Morris, S, Dwamena, S, Sanu, A. Attend anywhere clinic: a virtual outpatient clinic experience in otolaryngology during the Covid-19 pandemic. Laryngoscope Investig Otolaryngol 2021;6:586–9CrossRefGoogle Scholar
Sargsyan, N, Karunaratne, D, Masani, A, Howell, L, Yousif, M. ENT telephone clinics during the coronavirus pandemic: an analysis of 400 telephone consultations at a district general hospital. Ear Nose Throat J. 2021;34167356. Epub 2021 Jun 25Google Scholar
Schafer, A, Hudson, S, Elmaraghy, CA. Telemedicine in pediatric otolaryngology: ready for prime time? Int J Pediatr Ootorhinolaryngol 2020;138:110399CrossRefGoogle ScholarPubMed
Wolthers, TO, Wolthers, OD. Telephone consultation as a substitute for face-to-face consultation during the Covid-19 pandemic. Dan Med J 2020;67:A04200300Google ScholarPubMed
Nguyen, M, Waller, M, Pandya, A, Portnoy, J. A review of patient and provider satisfaction with telemedicine. Curr Allergy Asthma Rep 2020;20:72CrossRefGoogle ScholarPubMed
Morisada, MV, Hwang, J, Gill, AS, Wilson, MD, Strong, EB, Steele, TO. Telemedicine, patient satisfaction, and chronic rhinosinusitis care in the era of Covid-19. Am J Rhinol Allergy 2021;35:494–9CrossRefGoogle ScholarPubMed
Riley, PE, Fischer, JL, Nagy, RE, Watson, NL, McCoul, ED, Tolisano, AM et al. Patient and provider satisfaction with telemedicine in otolaryngology. OTO Open 2021;5:2473974X20981838CrossRefGoogle ScholarPubMed
Hammersley, V, Donaghy, E, Parker, R, McNeilly, H, Atherton, H, Bikker, A et al. Comparing the content and quality of video, telephone, and face-to-face consultations: a non-randomised, quasi-experimental, exploratory study in UK primary care. British J Gen Pract 2019;69:e595–604CrossRefGoogle ScholarPubMed