ArticleNeurology. Clinical practice2018
Ask a neurologist: What primary care providers ask, and reducing referrals through eConsults.
Article in Neurology. Clinical practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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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.
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.
Who cites it
14 citing papers in PubMed, 32 citations in OpenAlex.
- Assessment of the Predictive Value of Outpatient Smartphone Videos for Diagnosis of Epileptic Seizures.JAMA neurology · 2020Trial
- Article
- Electronic Consultations in a Community Neurology Practice: A Retrospective Study Informing Best Practice.Mayo Clinic proceedings. Innovations, quality & outcomes · 2024Article
- Beyond Audio-Video Telehealth: Perspective on the Current State and Future Directions of Digital Neurological Care in the United States.JMIR neurotechnology · 2024Article
- Does virtual consultation between primary and specialised care improve healthcare quality? A scoping review of healthcare quality domains assessment.BMJ open quality · 2023Article
- Store-and-forward teleneurology results in a large Brazilian city.Arquivos de neuro-psiquiatria · 2022Article
- Telemedicine in neurology: advances and possibilities.Arquivos de neuro-psiquiatria · 2022Review
- The Use of Electronic Consultations in Outpatient Surgery Clinics: Synthesized Narrative Review.JMIR perioperative medicine · 2022Review
- Headache in the neurology clinic: a 2-year audit.Irish journal of medical science · 2021Article
- Telemedicine as support for primary care referrals to neurologists: decision-making between different specialists when guiding the case over the phone.Arquivos de neuro-psiquiatria · 2021Article
- Synchronous neurology-primary care collaboration in a medical home.Neurology. Clinical practice · 2020Article
- Author Response: Ask a neurologist: What primary care providers ask, and reducing referrals through eConsults.Neurology. Clinical practice · 2018Article
- Reader Response: Ask a neurologist: What primary care providers ask, and reducing referrals through eConsults.Neurology. Clinical practice · 2018Article
- Curbside consults join the telemedicine era.Neurology. Clinical practice · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccess to neurology consultation is limited by high demand and urgency of the presentation. Champlain BASE
methodsThis is a retrospective review of 387 consecutive questions submitted to the Champlain BASE
resultsThe top 5 topics were headache (17%), incidental imaging findings (11%), numbness/tingling (11%), seizure (9%), and cerebrovascular disease (CVD) (9%). Fifty-one percent were related to diagnosis (choice of test, imaging interpretation, symptom interpretation), 23% to drug treatment (choice, adverse effects, prescribing instructions), and 17% to management (general, need for referral). Eighty-eight percent of questions took less than 10 minutes of specialist time to answer, and 80% were answered within 1 day. eConsults decreased face-to-face referrals by 50%. In 54% of cases, the PCP received information for a new course of action.
conclusionsWe found that an eConsult service provides timely access to neurologists and can divert half of intended face-to-face consultations. The most common questions posed by PCPs regarded diagnosis and drug therapy for headaches, seizures, altered sensation, and CVD. eConsult services could provide guidance for continuing medical education planning in neurology.
Identifiers
What OpenQuestion holds
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.