Preoperative history and physical update visits offer limited clinical value in colorectal surgery.

ABSTRACT:

Background

United States regulations require a history and physical (H&P) ≤30 days before planned procedures. We evaluated the impact of H&P update visits in colorectal surgery.

Methods

Preoperative H&P update visits conducted in colorectal clinics at our institution during 2019 were identified. Two independent reviewers assessed whether update visits identified interval changes to history, exam, or operative plan. Secondary outcomes included visit times, estimated travel times and distances.

Results

For 132 visits, interval changes were identified in 39% of histories, but only 4.2% of exams and 6.8% of operative plans. When plans changed, visit goals could have been accomplished via telehealth in 77.8%. Median clinic and round-trip driving time were 61.5 and 62.2 min

SUBMITTER: Soegaard Ballester JM 

PROVIDER: S-EPMC10524396 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature