Evidence map›Paper›PMID 26852710›Full record

ReviewWorld neurosurgery2016

Neurosurgery and Telemedicine in the United States: Assessment of the Risks and Opportunities.

Elyne N Kahn, Frank La Marca, Catherine A Mazzola

Abstract readReview
PubMed Publisher
In one paragraph

Review in World neurosurgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Challenges of Implementing Telemedicine Technology: A systematized Review.International journal of preventive medicine · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Parental Satisfaction from Telemedicine in the Follow-up of Children Operated for Craniosynostosis during COVID-19 Pandemic.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2023
    Article
  13. Article
  14. The impact of telephone consultations due to COVID-19 on paediatric neurosurgical health services.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Beyond COVID-19: Prospect of telemedicine for obstetrics patients in Pakistan.International journal of medical informatics · 2022
    Article
  20. Telemedicine during and post-COVID 19: The insights of neurosurgery patients and physicians.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Elyne N KahnDepartment of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA. Electronic address: elyne.kahn@gmail.com.
Frank La MarcaDepartment of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA.
Catherine A MazzolaNew Jersey Pediatric Neuroscience Institute, Morristown, New Jersey, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemedicine has seen substantial growth in the past 20 years, related to technologic advancements and evolving reimbursement policies. The risks and opportunities of neurosurgical telemedicine are nuanced.

methodsWe reviewed general and peer-reviewed literature as it relates to telemedicine and neurosurgery, with particular attention to best practices, relevant state and federal policy conditions, economic evaluations, and prospective clinical studies.

resultsDespite technologic development, growing interest, and increasing reimbursement opportunities, telemedicine's utilization remains limited because of concerns regarding an apparent lack of need for telemedicine services, lack of widespread reimbursement, lack of interstate licensure reciprocity, lack of universal access to necessary technology, concerns about maintaining patient confidentiality, and concerns and limited precedent regarding liability issues. The Veterans Health Administration, a component of the U.S. Department of Veterans Affairs, represents a setting in which these concerns can be largely obviated and is a model for telemedicine best practices. Results from the VA demonstrate substantial cost savings and patient satisfaction with remote care for chronic neurologic conditions. Overall, the economic and clinical benefits of telemedicine will likely come from 1) diminished travel times and lost work time for patients; 2) remote consultation of subspecialty experts, such as neurosurgeons; and 3) remote consultation to assist with triage and care in time-sensitive scenarios, including acute stroke care and "teletrauma."

conclusionsTelemedicine is effective in many health care scenarios and will become more relevant to neurosurgical patient care. We favor proceeding with legislation to reduce barriers to telemedicine's growth.

Indexed as

HumansNeurosurgeryNeurosurgical ProceduresTelemedicineUnited StatesHealth policyNeurosurgeryTelemedicine

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.