Patient acceptability of virtual follow-up by surgical care practitioners after peroral endoscopic myotomy for achalasia

Background: There are currently no national guidelines in the UK for outpatient follow-up after peroral endoscopic myotomy (POEM) procedures, despite the increasing application of POEM in managing achalasia. Virtual follow up (VFU), conducted by a surgical care practitioner (SCP) or another non-physician, has not been thoroughly examined in this context. Aim: This study explored the opinion of patients regarding the acceptability of VFU undertaken by an SCP following a POEM procedure. Methods: A cross-sectional survey was conducted from 12 October 2023 to 19 November 2023 at a university teaching hospital tertiary referral centre. A total of 39 patients who met the inclusion criteria were invited, with a response rate of 72% (n=27). Results: Responses were received from 15 males (54%) and 12 females (46%). Over half (56%) had follow-up at 6 weeks, while 92% of local area participants were willing to have VFU. A total of 93% accepted SCP-led VFU, with only 7% expressing opposition. Conclusions: These findings suggest that SCP-led VFU could improve patient satisfaction and accessibility; however, further qualitative research is necessary to explore potential advantages and disadvantages for a wider population.