ArticleNeurology. Clinical practice2019
Appointment completion in pediatric neurology telemedicine clinics serving underserved patients.
Article in Neurology. Clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled 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.
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
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Systematic review and meta-analysis of no show or non-attendance rates among telehealth and in-person models of care.BMC health services research · 2025Pooled it
- Telemedicine Implementation for Safety Net Populations: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Pooled it
- Telemedicine in pediatrics: a critical narrative review of innovations, limitations, and future priorities.European journal of pediatrics · 2026Review
- The Influence of Structural Factors and Telemedicine on Missed Appointments Among Medicaid-Insured Patients.Journal of racial and ethnic health disparities · 2026Article
- Integrating telemedicine into nutritional management of infants with inherited metabolic disorders: a pilot study.Frontiers in pediatrics · 2026Article
- An evaluation of telehealth services at New York City tuberculosis clinics throughout the COVID-19 pandemic.PLOS digital health · 2025Article
- Telemedicine in nutritional management of children with severe neurological impairment: implication for quality of life.Frontiers in nutrition · 2024Review
- Patient characteristics and telehealth are associated with attendance rates in an outpatient rehabilitation infant bridge program.PloS one · 2024Article
- The 2023 Impact of Inflammatory Bowel Disease in Canada: Access to and Models of Care.Journal of the Canadian Association of Gastroenterology · 2023Review
- Telehealth Use and Access to Neurology Outpatient Clinical Services for Children: An Observational Cohort Study.North Carolina medical journal · 2023Observational
- Feasibility of Video Consultation for Preterm Neurodevelopmental Follow-up Care During the COVID-19 Pandemic: Cohort Study.JMIR pediatrics and parenting · 2023Article
- Telemedicine in Neurosurgery During the COVID-19 Outbreak: Where We Are 1 Year Later.World neurosurgery · 2022Article
- Predictors of No-Show in Neurology Clinics.Healthcare (Basel, Switzerland) · 2022Article
- Use of Telehealth Across Pediatric Subspecialties Before and During the COVID-19 Pandemic.JAMA network open · 2022Article
- Analyzing 2,589 child neurology telehealth encounters necessitated by the COVID-19 pandemic.Neurology · 2020Article
- Hospital Utilization Among Rural Children Served by Pediatric Neurology Telemedicine Clinics.JAMA network open · 2019Observational
- How Providers in Child Neurology Transitioned to Telehealth During COVID-19 Pandemic.Child neurology openArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 1 institution in 1 country.
Funding
Abstract
backgroundTo determine whether telemedicine improves access to outpatient neurology care for underserved patients, we compared appointment completion between urban, in-person clinics and telemedicine clinics held in rural and underserved communities where neurology consultations are provided remotely.
methodsIn this retrospective study, we identified patients scheduled for outpatient care from UCDH pediatric neurologists between January 1, 2009, and July 31, 2017, in person and by telemedicine. Demographic and clinical variables were abstracted from electronic medical records. We evaluated the association between consultation modality and visit completion in overall and matched samples using hierarchical multivariable logistic regression.
resultsWe analyzed 13,311 in-person appointments by 3,831 patients and 1,158 telemedicine appointments by 381 patients. The average travel time to the site of care was 45.8 ± 52.1 minutes for the in-person cohort and 22.3 ± 22.7 minutes for the telemedicine cohort. Telemedicine sites were located at an average travel time of 217.1 ± 114.8 minutes from UCDH. Telemedicine patients were more likely to have nonprivate insurance, lower education, and lower household income. They had different diagnoses and fewer complex chronic conditions. Telemedicine visits were more likely to be completed than either "cancelled" or missed ("no show") compared with in-person visits (OR 1.57, 95% CI: 1.34-1.83; OR 1.66, 95% CI: 1.31-2.10 matched on travel time to the site of care; OR 2.22, 95% CI: 1.66-2.98 matched on travel time to UCDH).
conclusionsThe use of telemedicine for outpatient pediatric neurology visits has high odds of completion and can serve as an equal adjunct to in-person clinic visits.
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.