The Use of Telemedicine in Pediatric and Adolescent Gynecology

Jessica Y. Shim, Ravneet Kaur, Kaur R, Laufer MR, Marc R. Laufer, Frances W Grimstad, Frances Grimstad, Grimstad FW
Journal of Pediatric and Adolescent Gynecology · 2021 · vol. 35(2) , pp. 133–137 · doi:10.1016/j.jpag.2021.09.010 · PMID:34619357 · W3204613693
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This paper examines the application of telemedicine within pediatric and adolescent gynecology, focusing on its utility and challenges in this specialized field.

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Abstract

Study objectiveTo study the feasibility of virtual visits for ambulatory encounters in pediatric and adolescent gynecology DESIGN: A retrospective review SETTING: Boston Children's Hospital PARTICIPANTS: Patients who were seen virtually through the Division of Gynecology between January 1, 2020 and June 1, 2020 MAIN OUTCOME MEASURE(S): Patient demographics, visit diagnoses, and operational characteristics of the completed visits RESULTS: There were a total of 654 virtual visits for 614 patients. Ninety-one percent (n=558) of patients were in-state, and the median age of patients was 17 years (range 0 - 37 years). The majority were return visits (n=502, 76.8%), 115 (17.6%) were new patient visits, and 32 (4.89%) were post-operative visits. The median virtual visit duration was 12 minutes and 39 seconds (range 5 minutes to over 1 hour). The most common gynecologic diagnoses were dysmenorrhea/endometriosis (n=485, 74.2%), abnormal uterine bleeding (n=225, 34.4%), and pelvic pain (n=82, 12.5%). The percentage of virtual visits which required an in-person follow-up visit within 90 days was low (n=14, 2.1%). Five of these were within 30 days from the initial virtual visit, 6 were within 60 days, and 3 were within 90 days.ConclusionTelemedicine is a feasible method for expanding access to, and healthcare delivery for, pediatric and adolescent gynecology, with low rates of short interval in-person follow-up required. Virtual visits can be conducted for a range of patients with a variety of gynecologic conditions, upon initial presentation and follow-up.

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MeSH descriptors

Gynecology Telemedicine Telemedicine Adolescent Adult Boston Child Child, Preschool Delivery of Health Care Female Humans Infant Infant, Newborn Retrospective Studies Young Adult

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