Parent-Reported Experience With Pediatric Urology Telemedicine Visits During the COVID-19 Pandemic

Introduction Telemedicine has had a slow integration into surgical subspecialties like urology. Little data exists on its effect urologic patient-provider rapport nor long term clinical outcomes. The purpose of this study was to assess the feasibility and parent-reported experience with telemedicine visits in tertiary pediatric urology practice during COVID-19 pandemic. Methods Parents/guardians patients who were seen via between March 12 th - October 30 , 2020, at Children’s Hospital Colorado main campus or satellite contacted within 1 week their child’s visit invited take telephone survey. A total 4 yes/no questions an open-ended question asked explore domains drawbacks benefits telemedicine. Categorical responses associations parent demographics telehealth satisfaction analyzed descriptive statistics. Open-ended using team-based content analysis approach. Results Response rate 76.7% (376/490). Median patient age years. 60.9% (229/376) male, 39.1% (147/376) female. 96.5% parents felt that all answered by end appointment. 97.8% comfortable for future appointments. Patient sex, age, provider type, insurance clinic site, distance from diagnosis no significant impact survey response. Based responses, five general themes emerged: issues accessing technology, time saving logistics, challenging interactions, positive overall experience, having about 50/50 split preference person visits. Multiple expressed discomfort genital exam Conclusions Overall, found be acceptable alternative in-person demonstrated willingness continue use it future. type Parents noted offers unique challenges due personal sensitive treatment, including need evaluate genitalia. As role continues expand, consideration these is needed ensure are