Evidence map›Paper›PMID 26501125›Full record

Trial reportEBioMedicine2015

Telephone Consultation as a Substitute for Routine Out-patient Face-to-face Consultation for Children With Inflammatory Bowel Disease: Randomised Controlled Trial and Economic Evaluation.

Anthony K Akobeng, Neil O'Leary, Andy Vail, Nailah Brown, Dono Widiatmoko, Andrew Fagbemi, Adrian G Thomas

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in EBioMedicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02319798 (Telephone Consultation as a Substitute for Routine Out-patient Face-to-face Consultation for Children With Inflammatory Bowel Disease), which is not on this map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
1.0field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02319798 nacompletednot on this map

Telephone Consultation as a Substitute for Routine Out-patient Face-to-face Consultation for Children With Inflammatory Bowel Disease: Randomised Controlled Trial and Economic Evaluation.

TypeinterventionalSponsorManchester University NHS Foundation TrustRan2010 to 2014Enrolled86ConditionsCrohn's Disease, Ulcerative ColitisArmstelephone consultations, face-to-face consultations
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  3. Remote care through telehealth for people with inflammatory bowel disease.The Cochrane database of systematic reviews · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Anthony K AkobengRoyal Manchester Children's Hospital, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK ; Department of Paediatric Gastroenterology, Royal Manchester Children's Hospital, Central Manchester NHS Foundation Trust, Manchester, UK ; Sidra Medical and Research Centre, Doha, Qatar.
Neil O'LearyCentre for Biostatistics, Institute of Population Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Andy VailCentre for Biostatistics, Institute of Population Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Nailah BrownDepartment of Paediatric Gastroenterology, Royal Manchester Children's Hospital, Central Manchester NHS Foundation Trust, Manchester, UK.
Dono WidiatmokoUniversity of Tees, Middlesborough, UK.
Andrew FagbemiDepartment of Paediatric Gastroenterology, Royal Manchester Children's Hospital, Central Manchester NHS Foundation Trust, Manchester, UK.
Adrian G ThomasDepartment of Paediatric Gastroenterology, Royal Manchester Children's Hospital, Central Manchester NHS Foundation Trust, Manchester, UK.
Royal Manchester Children's Hospital · GBUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence for the use of telephone consultation in childhood inflammatory bowel disease (IBD) is lacking. We aimed to assess the effectiveness and cost consequences of telephone consultation compared with the usual out-patient face-to-face consultation for young people with IBD.

methodsWe conducted a randomised-controlled trial in Manchester, UK, between July 12, 2010 and June 30, 2013. Young people (aged 8-16 years) with IBD were randomized to receive telephone consultation or face-to-face consultation for 24 months. The primary outcome measure was the paediatric IBD-specific IMPACT quality of life (QOL) score at 12 months. Secondary outcome measures included patient satisfaction with consultations, disease course, anthropometric measures, proportion of consultations attended, duration of consultations, and costs to the UK National Health Service (NHS). Analysis was by intention to treat. This trial is registered with ClinicalTrials.gov, number NCT02319798.

findingsEighty six patients were randomised to receive either telephone consultation (n = 44) or face-to-face consultation (n = 42). Baseline characteristics of the two groups were well balanced. At 12 months, there was no evidence of difference in QOL scores (estimated treatment effect in favour of the telephone consultation group was 5.7 points, 95% CI - 2.9 to 14.3; p = 0.19). Mean consultation times were 9.8 min (IQR 8 to 12.3) for telephone consultation, and 14.3 min (11.6 to 17.0) for face-to-face consultation with an estimated reduction (95% CI) of 4.3 (2.8 to 5.7) min in consultation times (p < 0.001). Telephone consultation had a mean cost of UK£35.41 per patient consultation compared with £51.12 for face-face consultation, difference £15.71 (95% CI 11.8-19.6; P < 0.001).

interpretationWe found no suggestion of inferiority of telephone consultation compared with face-to-face consultation with regard to improvements in QOL scores, and telephone consultation reduced consultation time and NHS costs. Telephone consultation is a cost-effective alternative to face-to-face consultation for the routine outpatient follow-up of children and adolescents with IBD.

fundingResearch for Patient Benefit Programme, UK National Institute for Health Research.

Indexed as

OutpatientsReferral and ConsultationTelephoneAdolescentChildFemaleHumansInflammatory Bowel DiseasesMaleQuality of LifeTreatment OutcomeCrohn's diseaseInflammatory bowel diseaseTelemedicineTelephone consultationUlcerative colitis

Identifiers

PMID26501125
PMCPMC4588430
OpenAlexW2147954111

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.