MeMoSA®: A Teleconsultation App for Follow-up of Patients with Oral Potentially Malignant Disorder During the COVID-19 Pandemic

Introduction: Patients with oral potentially malignant disorders (OPMD) require regular follow-up which was disrupted during the COVID-19 pandemic1. At least 50% of patients had their appointments cancelled or postponed. Teleconsultation has been demonstrated as a viable approach to follow-up oral lesions2. To facilitate continued care, we evaluated the use of the MeMoSA®, as an application for teleconsultation. Objectives: 1. To evaluate knowledge and perception of OPMD patients towards teleconsultation. 2. To evaluate usability and acceptance of teleconsultation for follow-up of OPMD patients. Methodology: OPMD patients on long-term follow-up in University Malaya were invited to participate. Survey 1 was used to assess patients' knowledge and perception of teleconsultation. Patients who consented used MeMoSA® to capture and upload images of their oral lesion. Answers to clinical questions and the images were reviewed by specialists on MeMoSA® before a video teleconsultation through WhatsApp. Survey 2 was administered post-teleconsultation to assess usability and acceptance. Patients were examined face-to-face within three months from teleconsultation. Data were analysed using RStudio Statistical Software. Results: Forty-seven patients answered Survey 1. The majority were aged above 50 years (85.1%) and had oral lichen planus (87.2%). Thirty-two of 47 (72.3%) participated in teleconsultation. Knowledge on teleconsultation was low (34%), but more than 77% had positive perception. Seventy-percent of patients would like teleconsultation to be integrated within their care. Ninety-percent of patients agreed that teleconsultation increases convenience and accessibility to care. The majority (80%) found MeMoSA® to be simple and easy to use. In 83.3% of patients, specialists found that images and information provided during teleconsultation were sufficient for clinical decision making, similar to face-to-face examination. A 100% of patients would like to continue having teleconsultation as an option. Conclusion: Teleconsultation is well-accepted by patients and could facilitate OPMD patient follow-up particularly during the COVID-19 pandemic. [Disclaimer: Abstract text might vary slightly from what is displayed in the e-poster]This poster was submitted to the 14th National Conference for Clinical Research (NCCR) on August 18-20 2021. https://nccrconference.com.my