Evidence map›Paper›PMID 28056832›Full record

ArticleBMC geriatrics2017

Telemedicine and primary care obesity management in rural areas - innovative approach for older adults?

John A Batsis, Sarah N Pletcher, James E Stahl

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04616118 (Comparing Modes of Telehealth Delivery), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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.

NCT04616118 nacompletednot on this mapstarted 2020, after this paper: background citation

Comparing Modes of Telehealth Delivery:Phone vs. Video Visits

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2020 to 2021Enrolled269ConditionsRheumatic Disease, Cardiac Disease, Primary Care, Infectious DiseaseArmsPhone Visit, Video Visit
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Effectiveness of Telepharmacy in Rural Communities in Africa: A Scoping Review.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2023
    Article
  9. Article
  10. Article
  11. A Scoping Literature Review of Rural Institutional Elder Care.International journal of environmental research and public health · 2022
    Article
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  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

John A BatsisSection of General Internal Medicine, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03756, USA. john.batsis@gmail.com.
Sarah N PletcherGeisel School of Medicine at Dartmouth, Hanover, NH, USA.
James E StahlSection of General Internal Medicine, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03756, USA.
Dartmouth–Hitchcock Medical Center · US

Funding

Rapid Fluorescence-Based Determination of Antibiotic SusceptibilityU54EB015408 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI PARRISH, JOHN A, SCHACHTER, STEVEN · 2012 to 2022
$49.2M
SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
Development of a Prototype Healthcare Intranet for Improved Health OutcomesU01EB012470 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI GOLDMAN, JULIAN M · 2010 to 2014
$9.3M
Health Promotion and Disease Prevention Research CenterU48DP005018 · DP · DARTMOUTH COLLEGE · PI ADACHI-MEJIA, ANNA MARIA · 2014 to 2018
$5.6M
Rational Integration of Genomic Healthcare Testing (RIGHT)U01HL122904 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GRAVES, JOHN A., PETERSON, JOSEPH F. · 2013 to 2016
$1.9M
Systematic Design of Meaningful Presentations of Medical Test Data for PatientsR01HS021681 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZIKMUND-FISHER, BRIAN J · 2013 to 2015
$1.5M
Mobile Health Obesity Wellness Intervention in Rural Older Adults_Res1K23AG051681 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BATSIS, JOHN A. · 2016 to 2022
$1.1M
ACL HHS U48DP005018AHRQ HHS R01 HS021681NCATS NIH HHS UL1 TR001086NCCDPHP CDC HHS U48 DP005018NHLBI NIH HHS U01 HL122904NIA NIH HHS K23 AG051681NIBIB NIH HHS U01 EB012470NIBIB NIH HHS U54 EB015408
6 · The paper itself

Abstract

backgroundThe growing prevalence of obesity is paralleling a rise in the older adult population creating an increased risk of functional impairment, nursing home placement and early mortality. The Centers for Medicare and Medicaid recognized the importance of treating obesity and instituted a benefit in primary care settings to encourage intensive behavioral therapy in beneficiaries by primary care clinicians. This benefit covers frequent, brief, clinic visits designed to address older adult obesity. DISCUSSION: We describe the challenges in the implementation and delivery into real-world settings. The challenges in rural settings that have the fastest growing elderly population, high obesity rates, but also workforce shortages and lack of specialized services are emphasized. The use of Telemedicine has successfully been implemented in other specialties and could be a useful modality in delivering much needed intensive behavioral therapy, particularly in distant, under-resourced environments. This review outlines some of the challenges with the current benefit and proposed solutions in overcoming rural primary care barriers to implementation, including changes in staffing models.

conclusionsRecommendations to extend the benefit's coverage to be more inclusive of non-physician team members is needed but also for improvement in reimbursement for telemedicine services for older adults with obesity.

Indexed as

Behavior TherapyObesityTelemedicineAgedFemaleHealth Services AccessibilityHumansMaleMedicaidMedicareNeeds AssessmentPrimary Health CareQuality ImprovementRural Health ServicesRural PopulationUnited StatesMedicareObesityPrimary careTelemedicineWeight loss

Identifiers

PMID28056832
PMCPMC5216556
OpenAlexW2571263149

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.