Evidence map›Paper›PMID 31680185›Full record

ArticleJournal of neurology2020

Teleneurology clinics for polyneuropathy: a pilot study.

Andrew M Wilson, Nasheed I Jamal, Eric M Cheng, Moira Inkelas, Debra Saliba, Andrea Hanssen, Jorge A Torres, Michael K Ong

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.4field-weighted citation impact, top 7% 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.

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

12 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. A Comparison of Patients' and Neurologists' Assessments of their Teleneurology Encounter: A Cross-Sectional Analysis.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
  6. Article
  7. Telemedicine applied to neuromuscular disorders: focus on the COVID-19 pandemic era.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2022
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. No lockdown for neurological diseases during COVID19 pandemic infection.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Article
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

8 authors at 5 institutions in 1 country.

Andrew M WilsonDepartment of Neurology, VA Greater Los Angeles Healthcare System, 10940 Wilshire Blvd., Suite 710, Los Angeles, CA, 90024, USA. amwilson@mednet.ucla.edu.ORCID http://orcid.org/0000-0002-6367-0621
Nasheed I JamalDepartment of Neurology, VA Greater Los Angeles Healthcare System, 10940 Wilshire Blvd., Suite 710, Los Angeles, CA, 90024, USA.
Eric M ChengDepartment of Neurology, David Geffen School of Medicine At UCLA, Los Angeles, CA, USA.
Moira InkelasDepartment of Health Policy and Management, Fielding School of Public Health At UCLA, Los Angeles, CA, USA.
Debra SalibaGeriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Andrea HanssenDepartment of Neurology, VA Greater Los Angeles Healthcare System, 10940 Wilshire Blvd., Suite 710, Los Angeles, CA, 90024, USA.
Jorge A TorresDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Michael K OngDepartment of Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
University of California, Los Angeles · USBrigham and Women's Hospital · USGeriatric Research Education and Clinical Center · USUCLA Health · USVA Greater Los Angeles Healthcare System · US

Funding

Office of Academic Affiliations, Department of Veterans Affairs 001
6 · The paper itself

Abstract

introductionPolyneuropathy (PN) is a common condition with significant morbidity. We developed tele-polyneuropathy (tele-PN) clinics to improve access to neurology and increase guideline-concordant PN care. This article describes the mixed-methods evaluation of pilot tele-PN clinics at three community sites within the Greater Los Angeles VA Healthcare System.

methodsFor the first 25 patients (48 scheduled visits), we recorded the duration of the tele-PN visit and exam; the performance on three guideline-concordant care indicators (PN screening labs, opiate reduction, physical therapy for falls); and patient-satisfaction scores. We elicited comments about the tele-PN clinic from patients and the clinical team. We combined descriptive statistics with qualitative themes to determine the feasibility and acceptability of the tele-PN clinics.

resultsThe average tele-PN encounter and exam times were 28.5 and 9.1 min, respectively. PN screening lab completion increased from 80 to 100%. Opiate freedom improved from 68 to 88%. Physical therapy for patients with recent falls increased from 58 to 100%. The tele-PN clinic was preferred for follow-up over in-person clinics in 86% of cases. Convenience was paramount to the clinic's success, saving an average of 231 min per patient in round-trip travel. The medical team's caring and collaborative spirit received high praise. While the clinic's efficiency was equal or superior to in-person care, the limited treatment options for PN and the small clinical exam space are areas for improvement.

conclusionIn this pilot, we were able to efficiently see and examine patients remotely, promote guideline-concordant PN care, and provide a high-satisfaction encounter.

Indexed as

Neurologic ExaminationAgedCommunity Health ServicesFeasibility StudiesHumansLos AngelesMaleNervous System DiseasesPatient Acceptance of Health CarePatient PreferencePilot ProjectsPolyneuropathiesPractice Guidelines as TopicQuality Indicators, Health CareTelemedicineUnited StatesEvidence-basedGuidelinesNeuropathyPolyneuropathyTelemedicineTeleneurology

Identifiers

PMID31680185
PMCPMC6989615
OpenAlexW2986263061

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.