Telehealth in Neurosurgery: 2021 Council of State Neurosurgical Societies National Survey Results

OBJECTIVE: Telehealth was rapidly adopted during the COVID-19 pandemic. A survey was distributed to neuro-surgeons in the United States (U.S.) to understand its use within neurosurgery, what barriers exist, unique issues related to neurosurgery, and opportunities for improvement.METHODS: A survey was distributed via email and used the SurveyMonkey platform. The survey was sent to 3828 prac-ticing neurosurgeons within the U.S., 404 responses were collected between October 30, 2021 and December 4, 2021.RESULTS: During the pandemic, telehealth was used multiple times per week by 60.65% and used daily by an additional 12.78% of respondents. A supermajority (89.84%) of respondents felt that evaluating patients across state lines with telemedicine is beneficial. Most respondents (95.81%) believed that telehealth improves patient access to care. The major criticism of telehealth was the inability to perform a neurological exam.CONCLUSIONS: Telehealth has been widely imple-mented within the field of neurosurgery during the COVID-19 pandemic and has increased access to care. It has allowed patients to be evaluated remotely, including across state lines. While certain aspects of the neurological exam are suited for video evaluation, sensation and reflexes cannot be adequately assessed. Neurosurgeons believe that telehealth adds value to their ability to deliver care.

Automated summary

During the COVID-19 pandemic, telehealth has been widely implemented in the field of neurosurgery in the United States, improving patient access to care. Although there are limitations in performing neurological exams, neurosurgeons believe that telehealth adds value to their ability to deliver care.