Endocrine Abstracts

Introducton: Telemedicine consultations (TMC) are a useful tool for ensuring communication between medical specialists, especially in a large country and in the era of COVID-19. It is important to study the needs and possibilities of TMC for various diseases, in particular, for the pathology of the parathyroid glands.

Materials and methods: TMC between regional health specialists and Endocrinology Research Centre (Moscow, Russian Federation) were conducted in 2019–2021 via All-Russian Center for Disaster Medicine «Zashchita».

Results: In 2019 1221 TMC were held in our center, 859 (70%) – for adult patients. In 2020 there were 1248 TMC, in 2021 – 3005 TMC, among them there were 1077 (86%) and 1622 (54%) TMC for adults, respectively. A high prevalence of parathyroid disorders in TMC was noticed (Table 1).

Conclusion: The relatively high proportion of parathyroid gland pathology in the structure of P2P TMC may indicate a relatively low awareness of doctors in the regions of Russian Federation about these diseases. At the same time, a high percentage of recommended hospitalizations indicates that such patients need high-tech treatment in a specialized center, which leads to their referral to a fourth-level facility. Further analysis is needed to determine the role of P2P TMC in routing of patients with parathyroid disorders.