1
|
Jazayeri A, Dinh JV, Eseonu D, Hollier JM, Shneider BL. Assessment of telemedicine versus in-person care in managing abdominal pain in children during the COVID-19 pandemic. J Telemed Telecare 2024; 30:538-542. [PMID: 36198032 PMCID: PMC9535455 DOI: 10.1177/1357633x221125836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Accepted: 08/25/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVES The COVID-19 pandemic has led to a dramatic increase in telemedicine care delivery. This raises the question of whether the visit type affects the care provided to patients in the pediatric gastroenterology clinic. The aim of this study is to assess whether diagnostic, treatment, and outcome measures differ between telemedicine and in-person visits in patients seen in pediatric gastroenterology clinics for the chief complaint of abdominal pain. METHODS We conducted a retrospective analysis of patients aged 0-22 who underwent their initial pediatric gastroenterology clinic visit, for abdominal pain, between March and September 2020 (n = 1769). The patients were divided into two groups: in-person or telemedicine. Clinical outcome measures were compared from the initial gastroenterology visit and followed for a total of 3 months. RESULTS There was an increase number of images (M = 0.52 vs. 0.36, p < 0.001), labs (M = 4.87 vs. 4.05; p = 0.001), medications (M = 2.24 vs. 1.67; p < 0.001), and referrals (M = 0.70 vs. 0.54; p < 0.001) performed per visit in the in-person group. Electronic communications (3.97 vs. 5.12 p <0.003) was less frequent after in-person visits. There was no difference in number of procedures (M = 0.128 vs. 0.122, p = 0.718), emergency room visits (M = 0.037 vs. 0.017 p = 0.61), follow-up visits (M = 1.21 vs. 1.21 p = 0.922), or telephone encounters (M = 1.21 vs. 1.12 p = 0.35) between the two groups. CONCLUSION Telemedicine utilizes less resources while having comparable outcome measurements in children with a chief complaint of abdominal pain.
Collapse
Affiliation(s)
- Amir Jazayeri
- Department of Pediatrics, Hepatology, and Nutrition, Division of Pediatric Gastroenterology, Texas Children’s Hospital, Houston, TX, USA
| | - Julie V Dinh
- Department of Psychology, City University of New York, Baruch College, New York, NY, USA
- Department of Psychology, The Graduate Center at the City University of New York, New York, NY, USA
| | - Debra Eseonu
- Department of Pediatrics, Hepatology, and Nutrition, Division of Pediatric Gastroenterology, Texas Children’s Hospital, Houston, TX, USA
| | - John M Hollier
- Department of Pediatrics, Hepatology, and Nutrition, Division of Pediatric Gastroenterology, Texas Children’s Hospital, Houston, TX, USA
| | - Benjamin L Shneider
- Department of Pediatrics, Hepatology, and Nutrition, Division of Pediatric Gastroenterology, Texas Children’s Hospital, Houston, TX, USA
| |
Collapse
|
2
|
Fortin K, Dawson J, Scribano PV. Use of Telemedicine for Children in Foster Care. Telemed J E Health 2023; 29:1705-1712. [PMID: 36976756 DOI: 10.1089/tmj.2022.0526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023] Open
Abstract
Introduction: Telemedicine studies specific to children in foster care are needed, given unique health care needs and barriers. It is important to utilize lessons learned from telemedicine programs deployed by necessity during the COVID-19 emergency. Objectives: Describe telemedicine health assessments for children in foster care performed during the COVID-19 pandemic. Compare medical recommendations resulting from telemedicine and in-person assessments. Methods: After navigating barriers specific to children in foster care including consent issues, we implemented a telemedicine program at our specialty clinic for children in foster care when in-person visits were restricted. Outcomes of telemedicine referrals were tracked. After each visit, physicians were asked to rate ability to express themselves, hear and see patients from 1 (strongly disagree) to 5 (strongly agree) using items from the validated Telehealth Usability Questionnaire. Recommendations for laboratory work, medication, and health services referrals were recorded and compared with 205 patients seen in-person the year prior. Results: From 91 referrals, 83 (91%) children with a mean age of 9 years completed telemedicine visits. Physicians rated receptive and expressive communications more favorably than visual quality. Most telemedicine patients (77%) received a referral for health care services but had significantly lower rates of laboratory work completion, vision referrals, and prescriptions for new medications compared with 205 patients seen in-person. Conclusions: Results suggest that telemedicine was accessible to most patients and highlighted essential in-person components of comprehensive health assessments. Findings could inform ongoing telemedicine applications and advocacy for underserved populations.
Collapse
Affiliation(s)
- Kristine Fortin
- Division of General Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Judith Dawson
- Division of General Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Philip V Scribano
- Division of General Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| |
Collapse
|
3
|
Kasim HF, Salih AI, Attash FM. Usability of telehealth among healthcare providers during COVID-19 pandemic in Nineveh Governorate, Iraq. PUBLIC HEALTH IN PRACTICE 2023; 5:100368. [PMID: 36789446 PMCID: PMC9911152 DOI: 10.1016/j.puhip.2023.100368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 02/06/2023] [Accepted: 02/08/2023] [Indexed: 02/11/2023] Open
Abstract
Objectives To identify the usability of telehealth services and barriers during the coronavirus disease (COVID-19) pandemic among healthcare providers in Nineveh Governorate-Iraq. Study design This was a multicenter cross-sectional survey. Methods We collected the required data from April to July 2022 using self-administered open-ended questionnaires. The healthcare providers were physicians, pharmacists, and nurses with at least six months of services at hospitals. A modified form of the Telehealth Usability Questionnaire (TUQ) was used to assess the usability of telehealth services. Results There were 460 healthcare providers, of which 269/460 (58.5%) were users of telehealth services. These were mostly physicians (n = 167/269, 62.1%), nurses (52/269, 19.3%), and pharmacists (n = 50/269, 18.6%), with a p-value of 0.001. During the COVID-19 pandemic, physicians (n = 100/167, 60.0%) and pharmacists (n = 28/50, 56.0%) increased their provision of telehealth services. Approximately 60% of physicians and nurses preferred to provide telehealth services in a synchronized manner. The participants mostly used smartphones to provide telehealth services through Messenger/Facebook and WhatsApp applications, specifically utilizing voice and/or video messages. There was some agreement among the participants (n = 269) regarding the usability of telehealth services. The overall mean score (±SD) was 4.8 (±0.88). The most reported barriers to telehealth services were poor Internet services, the presence of specific diseases, lack of technical comprehension, and insufficient time allocated to the service. Conclusion Healthcare providers demonstrated a tendency towards the usability of telehealth services. Despite the available barriers, triage collaborations among patients, healthcare providers, and healthcare institutions are needed to achieve more successful adoption of these services.
Collapse
Affiliation(s)
- Hala F. Kasim
- Department of Clinical Pharmacy, College of Pharmacy, University of Mosul, Nineveh, Iraq,Corresponding author
| | - Amina Ibrahim Salih
- AL-Salam Teaching Hospital, Iraqi Ministry of Health & Environment, Nineveh, Iraq
| | - Farah Mwafaq Attash
- Ibn Seena Teaching Hospital, Iraqi Ministry of Health & Environment, Nineveh, Iraq
| |
Collapse
|
4
|
Intensive Outpatient Treatment of Pediatric Rumination Syndrome in the Era of Telemedicine. J Pediatr Gastroenterol Nutr 2023; 76:278-281. [PMID: 35897133 DOI: 10.1097/mpg.0000000000003577] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
OBJECTIVES We have had success treating children with severe rumination syndrome using a multidisciplinary intensive outpatient program (IOP) involving multiple treatment sessions daily. During the coronavirus disease 2019 (COVID-19) pandemic, we temporarily transitioned care to telemedicine. The objective of this study is to compare outcomes of patients with rumination syndrome who completed IOP treatment in person versus by telemedicine. METHODS We performed a retrospective review of patients diagnosed with rumination syndrome who participated in IOP treatment from 2018 to 2020. Similar treatment sessions were performed involving medical and behavioral techniques provided by a multidisciplinary team during telemedicine visits. Families/patients were asked to complete a survey outlining their child's current rumination symptom severity and review the IOP. RESULTS We included 34 patients (79% F, median age 15 years, range 7-19 years) who completed IOP treatment. Twenty-six patients (76%) were treated in person and 8 patients (24%) by telemedicine. For patients treated in person, 76% (19/25) had improvement in symptoms while 16% (4/25) had complete resolution of symptoms. For patients treated by telemedicine, 88% (7/8) had improvement in their symptoms. There were no significant differences between groups in likelihood of improvement. Overall, 78% (18/23) preferred in person therapy while 17% (4/23) did not have a preference. All 18 of the in-person cohort who completed follow-up surveys preferred in-person management. CONCLUSIONS Multidisciplinary intensive outpatient treatment for children and adolescents with severe rumination syndrome is effective. Although telemedicine may be an alternative to in person therapy, majority of families prefer in person visits.
Collapse
|
5
|
Martins E, Bastos Plácido R, Lima IS, Prazeres F. Are telephone consultations the future of patient follow-up in primary health care? Rev Port Cardiol 2023; 42:79-80. [PMID: 36370987 PMCID: PMC9664249 DOI: 10.1016/j.repc.2021.12.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 11/30/2021] [Accepted: 12/01/2021] [Indexed: 11/10/2022] Open
Affiliation(s)
- Elisa Martins
- Unidade de Saúde Familiar Beira Ria, Gafanha da Nazaré, Portugal,Corresponding author
| | | | | | - Filipe Prazeres
- Unidade de Saúde Familiar Beira Ria, Gafanha da Nazaré, Portugal,Faculty of Health Sciences, University of Beira Interior, Covilhã, Portugal
| |
Collapse
|
6
|
Wu JJ, Wu CL, Lee MH, Huang CC, Huang YJ, Hsu PS. Perception Disparity of Telemedicine Use between Outpatients and Medical Staff during the COVID-19 Pandemic. Healthcare (Basel) 2022; 10:healthcare10101965. [PMID: 36292412 PMCID: PMC9602430 DOI: 10.3390/healthcare10101965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2022] [Revised: 10/03/2022] [Accepted: 10/06/2022] [Indexed: 11/04/2022] Open
Abstract
We assessed the characteristics and perception of telephone appointments among outpatients and medical staff during the COVID-19 pandemic in Taiwan. Our survey was performed by giving self-administered questionnaires to the enrollees. Basic socioeconomic status data were collected. We used a valid and reliable telehealth usability questionnaire (TUQ) to assess the telemedicine experience among outpatients and medical staff. Only outpatients with chronic illness and who had regular visits before the pandemic were enrolled. We delivered the questionnaire survey to participants who used telephone appointments from 20 May 2021 to 31 July 2021 in Taichung Veterans General Hospital. A total of 471 outpatients and 203 medical staff completed the survey. Most of the respondents were aged 30-69, college-educated, women, and married. Outpatients have higher scores in all dimensions of TUQ than medical staff, especially in the dimensions of ease of use and effectiveness. Age, gender, education, and marriage have no significant associations in the medical staff group. In the outpatient group, gender is the only significant factor in the six dimensions of TUQ. We found a significant disparity in the perception gap of telemedicine among outpatient and medical staff. Outpatients are satisfied with telephone appointments during the COVID-19 pandemic, but medical staff are concerned about the ease of use and effectiveness.
Collapse
Affiliation(s)
- Jia-Jyun Wu
- Department of Family Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan
- Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung 40227, Taiwan
| | - Chieh-Liang Wu
- Department of Critical Care Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan
| | - Meng-Hsun Lee
- Department of Medical Administration, Taichung Veterans General Hospital, Taichung 40705, Taiwan
| | - Chieh-Chung Huang
- Computer and Communications Center, Taichung Veterans General Hospital, Taichung 40705, Taiwan
| | - Yi-Jhen Huang
- Department of Critical Care Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan
| | - Pi-Shan Hsu
- Department of Family Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan
- Correspondence: ; Tel.: +886-4-2359-2525 (ext. 3800)
| |
Collapse
|
7
|
Northcraft H, Bai J, Griffin AR, Hovsepian S, Dobalian A. Association of the COVID-19 Pandemic on VA Resident and Fellow Training Satisfaction and Future VA Employment: A Mixed Methods Study. J Grad Med Educ 2022; 14:593-598. [PMID: 36274776 PMCID: PMC9580318 DOI: 10.4300/jgme-d-22-00168.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 06/27/2022] [Accepted: 07/12/2022] [Indexed: 03/16/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic altered learning experiences of residents and fellows worldwide, including at the US Department of Veterans Affairs (VA). Because the VA is the largest training provider in the United States, understanding VA trainee experiences is vital to understanding the pandemic's impact on graduate medical education nationwide. Additionally, understanding the pandemic's potential impacts on future employment allows for a better understanding of any future disruptions in the supply of physicians. OBJECTIVE To examine whether COVID-19 affected the satisfaction with VA training experiences and likelihood to consider future VA employment among residents and fellows. METHODS Responses from the VA Trainee Satisfaction Survey were collected for 3 academic years (2018-2021). Quantitative analysis (bivariate logistic regression) and qualitative content analysis were conducted to determine COVID-19's impact on satisfaction and likelihood of future VA employment. RESULTS Across 3 academic years, 17 900 responses from a total of 140 933 physician trainees were analyzed (12.7%). Following COVID-19, respondents expressed decreased satisfaction (84.58% vs 86.01%, P=.008) and decreased likelihood to consider future VA employment compared to prior to the pandemic (53.42% vs 55.32%, P=.013). COVID-19-related causes of dissatisfaction included the onboarding process, which slowed due to the pandemic, limited workspace that precluded social distancing, and reduced learning opportunities. CONCLUSIONS Since the pandemic, physician trainees expressed decreased training satisfaction and decreased likelihood to seek future VA employment. Causes of dissatisfaction included increased difficulties with onboarding, further limitations to accessible workspaces, and the direct obstruction of learning opportunities including decreased patient volume or case mix.
Collapse
Affiliation(s)
- Heather Northcraft
- Heather Northcraft, MA, is a Statistician, Veterans Emergency Management Evaluation Center (VEMEC), US Department of Veterans Affairs
| | - Jia Bai
- Jia Bai, MPH, is a Project Manager, VEMEC, US Department of Veterans Affairs
| | - Anne R. Griffin
- Anne R. Griffin, RN, MPH, is a Senior Clinical Project Director, VEMEC, US Department of Veterans Affairs
| | - Sona Hovsepian
- Sona Hovsepian, LCSW, is a Senior Clinical Project Director, VEMEC, US Department of Veterans Affairs
| | - Aram Dobalian
- Aram Dobalian, PhD, JD, MPH, is the Founding Director, VEMEC, US Department of Veterans Affairs, and Associate Dean of Academic Affairs and Chair, Division of Health Services Management and Policy, College of Public Health, The Ohio State University
| |
Collapse
|
8
|
Schweiberger K, Bohnhoff J, Hanmer J, Ray KN. Perceived Usefulness of Increased Telemedicine Use by Pediatric Subspecialists: A National Survey. Telemed J E Health 2022; 28:1367-1373. [PMID: 35143360 PMCID: PMC10039272 DOI: 10.1089/tmj.2021.0583] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 12/08/2021] [Accepted: 12/28/2021] [Indexed: 11/13/2022] Open
Abstract
Introduction: Although many studies have explored the perceived ease-of-use of telemedicine, the perceived usefulness of telemedicine for pediatric subspecialty care is less clear. Methods: We invited a national sample of 840 general pediatricians and 840 pediatric subspecialists to participate in a survey fielded in May-June 2020. Respondents ranked perceptions of usefulness of telemedicine for pediatric subspecialty care on a 5-point Likert scale and prioritization of potential strategies to support telemedicine use on a 4-point scale. Results: Of 285 respondents (18% response rate), physicians perceived that increased telemedicine use by pediatric subspecialists would modestly improve child health (mean = 3.5, standard deviation [SD] = 0.7), and access to care (mean = 3.9, SD = 0.6), but would slightly worsen the clinician experience (mean = 2.8, SD = 0.8). Most respondents highly prioritized payment-related strategies to support use of telemedicine. Conclusions: Pediatric clinicians anticipated that increased telemedicine use by pediatric subspecialists would improve child health and health care access but would worsen clinician experience.
Collapse
Affiliation(s)
- Kelsey Schweiberger
- Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - James Bohnhoff
- Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Janel Hanmer
- Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Kristin N. Ray
- Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA
| |
Collapse
|
9
|
Shaikh A, Khan M, Ismail FW. Experience of Telemedicine in Gastroenterology Out-Patient Practice During the COVID-19 Pandemic: Experiences from a Tertiary-Care Hospital in a Developing Country. Clin Exp Gastroenterol 2022; 15:91-99. [PMID: 35747839 PMCID: PMC9211076 DOI: 10.2147/ceg.s361381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Accepted: 06/06/2022] [Indexed: 11/23/2022] Open
Abstract
Objective Telemedicine is being widely implemented in the COVID-19 pandemic to avoid infection risk. However, its effectiveness has not been evaluated, especially in developing countries, where it is invaluable for healthcare access. This study assesses physicians’ and patients’ perspectives of the usefulness and challenges of telemedicine in the gastroenterology department to identify its pitfalls. Methods A cross-sectional telephonic survey was conducted on patients presenting to the gastroenterology department at a tertiary care hospital in Pakistan. An online survey was sent to physicians in the department. Results A total of 160 patients participated, with a mean age 49.8 years, and 42.8% (n=68) males. There were 23.8% (n=38) initial visits and 76.3% (n=122) follow-ups. More than 85% of patients agreed telemedicine saved cost and time, 46.5% (n=74) said it improved healthcare access, and 76.3% (n=122) wanted to use it again. More than 80% were satisfied with the physician-patient interaction. Of the 7 physicians who participated, most felt telemedicine was inadequately facilitated, but felt comfortable with technology. Most felt it did not negatively affect healthcare, but thought it was complex for patients and that lack of physical interaction is a limitation. Nearly half were in favor of continuing its use after the pandemic. Conclusion Telemedicine is an effective alternative to in-person visits. Patients find it convenient, with adequate interaction. Physicians have reservations that need addressal, such as poor administration. Most patients and half of physicians are welcome to using telemedicine in the post-COVID era.
Collapse
Affiliation(s)
- Anjiya Shaikh
- Department of Medicine, University of Connecticut School of Medicine, Farmington, CT, USA
| | - Maria Khan
- Department of Medicine, Aga Khan University, Karachi, Sindh, Pakistan
| | - Faisal Waseem Ismail
- Section of Gastroenterology, Department of Medicine, Aga Khan University, Karachi, Sindh, Pakistan
| |
Collapse
|
10
|
Setty M, Mougey EB, Berg E, Rosen JM, Lee J, Li B, Venkatesh RD, Franciosi JP. Telehealth for Pediatric Gastroenterology Care Now: The Transition to Telehealth and the Impact of Webinar-Based Didactics. JPGN REPORTS 2022; 3:e182. [PMID: 37168904 PMCID: PMC10158463 DOI: 10.1097/pg9.0000000000000182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Accepted: 01/21/2022] [Indexed: 05/13/2023]
Abstract
With the coronavirus disease 2019 public health emergency (PHE), telehealth (TH) became essential for continued delivery of care. Members of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) formed the Telehealth for Pediatric Gastrointestinal Care Now (TPGCN) working group and rapidly organized a telemedicine webinar to provide education and guidance. We aim to describe the webinar development and prospectively assess the effectiveness of this webinar-based educational intervention. Methods NASPGHAN members who registered for the TPGCN webinar received pre- and post-webinar surveys. Outcome measures included a modified Telehealth Acceptance Model (TAM) survey and a Student Evaluation of Educational Quality (SEEQ) standardized instrument. Results Seven hundred seventy-six NASPGHAN members participated in the webinar, 147 (33%) completed the pre-webinar survey; of these, 25 of 147 (17%) completed a post-webinar survey. Before the PHE, 50.3% of the pre-webinar survey participants had no TH knowledge. Webinar participants trended to have increased acceptance of TH for follow-up visits (pre-webinar, 68% versus post-webinar, 81%; P = 0.15) and chronic disease care (pre-webinar, 57% vs post-webinar, 81%; P = 0.01). The overall acceptance of TH as shown by TAM pre-webinar was 1.74 ± 0.8, which improved to 1.62 ± 0.8 post-webinar (lower scores indicate greater acceptance; P < 0.001). SEEQ results indicate that webinar material was understandable (post-webinar, 95%). Participants found breakout sessions informative and enjoyable (post-webinar, 91%). Conclusion The TPGCN TH webinar was an effective educational intervention that fostered increased TH usage for follow-up and chronic care visits, improved TAM scores, and was well received by participants as seen by high SEEQ scores. Sustained and expanded pediatric gastrointestinal TH usage beyond the coronavirus disease 2019 PHE is expected.
Collapse
Affiliation(s)
- Mala Setty
- From the Department of Pediatrics, UCSF Benioff Children’s Hospital, Oakland, CA
| | - Edward B. Mougey
- Center for Pharmacogenomics and Translational Research, Nemours Children’s Health System, Jacksonville, FL
| | - Elizabeth Berg
- Department of Pediatrics, Columbia University Irving Medical Center, New York City, NY
- Division of Pediatric Gastroenterology, Pediatric Intestinal Rehabilitation Center, Hepatology and Nutrition, NewYork-Presbyterian Morgan Stanley Children’s Hospital, New York City, NY
| | - John M. Rosen
- Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Children’s Mercy Kansas City, Kansas City, MO
| | - Jennifer Lee
- Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children’s Hospital, Columbus, OH
| | - B.U.K. Li
- Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI
| | - Rajitha D. Venkatesh
- Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children’s Hospital, Columbus, OH
| | - James P. Franciosi
- Division of Gastroenterology, Hepatology and Nutrition, Nemours Children’s Hospital, Orlando, FL
- Department of Pediatrics, University of Central Florida College of Medicine, Orlando, FL
| |
Collapse
|
11
|
Katz DT, Saps M, Llanos-Chea A, Febo-Rodriguez L. Anorectal Disorders in the Era of Telemedicine. J Pediatr Gastroenterol Nutr 2022; 74:e40-e41. [PMID: 34596607 DOI: 10.1097/mpg.0000000000003314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Affiliation(s)
- Daphna T Katz
- Division of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Miami Miller School of Medicine
- Department of Pediatrics, Jackson Memorial Hospital, Miami, FL
| | - Miguel Saps
- Division of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Miami Miller School of Medicine
| | - Alejandro Llanos-Chea
- Division of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Miami Miller School of Medicine
| | - Liz Febo-Rodriguez
- Division of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Miami Miller School of Medicine
| |
Collapse
|