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Telehealth Improves Access and Efficiency in Pediatric Plastic Surgery: A Study on Surgical Conversion Rates and Time
Emily A Green1, Diego A Gomez1, Jason W Yu1,2
1Division of Plastic and Reconstructive Surgery, University of Colorado School of Medicine.
The Journal of Craniofacial Surgery
|November 24, 2025
Summary
Telehealth significantly improves surgical conversion rates in Pediatric Plastic Surgery, especially for out-of-state patients. This virtual approach enhances access and streamlines care pathways for children needing plastic surgery.
Area of Science:
- Medical Informatics
- Pediatric Surgery
- Health Services Research
Background:
- Telemedicine is a proven healthcare tool, but its use in Pediatric Plastic Surgery is understudied.
- This study examines telehealth's impact at a high-volume Pediatric Plastic Surgery center.
- The research aims to assess telehealth's role in improving access and patient care pathways.
Purpose of the Study:
- To evaluate the effectiveness of telehealth in Pediatric Plastic Surgery.
- To determine if telehealth expands access to care for remote patients.
- To analyze the impact of telehealth on surgical conversion rates and patient outcomes.
Main Methods:
- Retrospective analysis of patient referral data from January 2020 to December 2024.
- Inclusion of all patients referred to a tertiary pediatric hospital's plastic surgery department.
- Comparative analysis of telehealth versus in-person consultations, including in-state and out-of-state referrals.
Main Results:
- Telehealth consultations showed significantly higher surgical conversion rates (60.5%) compared to in-person visits (47.6%).
- Out-of-state patients utilizing telehealth had markedly higher surgical conversion rates (70.1%) versus in-person (36.9%).
- No significant difference in time to surgery was observed between telehealth and in-person cohorts.
Conclusions:
- Telehealth is crucial for enhancing access in Pediatric Plastic Surgery, particularly for distant patients.
- Higher surgical conversion rates with telehealth suggest streamlined planning and reduced travel burdens.
- Integrating telehealth can improve patient access, optimize resources, and expand care for underserved populations.
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