Evidence map›Paper›PMID 32460041›Full record

ArticleJournal of the neurological sciences2020

Teleneurology during the COVID-19 pandemic: A step forward in modernizing medical care.

Bhaskar Roy, Richard J Nowak, Ricardo Roda, Babar Khokhar, Huned S Patwa, Thomas Lloyd, Seward B Rutkove

Abstract readMulticenter Study
In one paragraph

Article in Journal of the neurological sciences, 2020. 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
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  14. Experience with telemedicine in neuromuscular clinic during COVID-19 pandemic.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2023
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  19. Development and validation of the Myasthenia Gravis TeleScore (MGTS).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
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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

7 authors.

Bhaskar RoyYale University School of Medicine, Department of Neurology, 15 York Street, LCI 9, P.O. Box 208108, New Haven 06519, CT, USA. Electronic address: bhaskar.roy@yale.edu.
Richard J NowakYale University School of Medicine, Department of Neurology, 15 York Street, LCI 9, P.O. Box 208108, New Haven 06519, CT, USA. Electronic address: richard.nowak@yale.edu.
Ricardo RodaJohns Hopkins School of Medicine, Department of Neurology, 600 N. Wolfe Street, Baltimore, MD 21287, USA.
Babar KhokharYale University School of Medicine, Department of Neurology, 15 York Street, LCI 9, P.O. Box 208108, New Haven 06519, CT, USA.
Huned S PatwaYale University School of Medicine, Department of Neurology, 15 York Street, LCI 9, P.O. Box 208108, New Haven 06519, CT, USA.
Thomas LloydJohns Hopkins School of Medicine, Department of Neurology, 600 N. Wolfe Street, Baltimore, MD 21287, USA.
Seward B RutkoveBeth Israel Deaconess Medical Center, Department of Neurology, 330 Brookline Ave, Boston 02215, MA, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic mandated rapid transition from face-to-face encounters to teleneurology visits. While teleneurology is regularly used in acute stroke care, its application in other branches of neurology was limited. Here we review how the recent pandemic has created a paradigm shift in caring for patients with chronic neurological disorders and how academic institutions have responded to the present need.

methodLiterature review was performed to examine the recent changes in health policies. Number of outpatient visits and televisits in the Department of Neurology was reviewed from Yale University School of Medicine and Johns Hopkins School of Medicine to examine the road to transition to televisit.

resultsThe federal government and the insurance providers extended their supports during the COVID-19 pandemic. Several rules and regulations regarding teleneurology were revised and relaxed to address the current need. New technologies for video conferencing were incorporated. The transition to televisits went smoothly in both the institutions and number of face-to-face encounters decreased dramatically along with a rapid rise in televisits within 2 weeks of the declaration of national emergency. CONCLUSION AND RELEVANCE: The need for "social distancing" during the COVID-19 pandemic has created a major surge in the number of teleneurology visits, which will probably continue for the next few months. It may have initiated a more permanent transition to virtual technology incorporated medical care.

Indexed as

BetacoronavirusCoronavirus InfectionsPandemicsPneumonia, ViralChronic DiseaseCOVID-19HumansInternetLicensure, MedicalMedicaidMedicareNervous System DiseasesNeurologic ExaminationNeurologyQuarantineSARS-CoV-2COVID-19Practice standardsTelehealthTelemedicineTeleneurology

Identifiers

PMID32460041
PMCPMC7241381

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.