Evidence map›Paper›PMID 32668026›Full record

ArticleEpilepsia2020

The development of an epilepsy electronic patient portal: Facilitating both patient empowerment and remote clinician-patient interaction in a post-COVID-19 world.

Kevin Power, Zita McCrea, Maire White, Annette Breen, Brendan Dunleavy, Sean O'Donoghue, Tim Jacquemard, Veronica Lambert, Hany El-Naggar, Norman Delanty and 2 more

Abstract read
In one paragraph

Article in Epilepsia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. COVID-19, de novo seizures, and epilepsy: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
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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

12 authors.

Kevin PowerFuture Neuro SFI Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland.ORCID 0000-0001-5621-3660
Zita McCreaFuture Neuro SFI Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland.
Maire WhiteFuture Neuro SFI Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland.
Annette BreenDepartment of Neurology, Beaumont Hospital, Dublin, Ireland.
Brendan DunleavyERGO IT Solutions, Dublin 3, Ireland.
Sean O'DonoghueERGO IT Solutions, Dublin 3, Ireland.
Tim JacquemardFuture Neuro SFI Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland.
Veronica LambertSchool of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland.
Hany El-NaggarFuture Neuro SFI Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland.
Norman DelantyFuture Neuro SFI Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland.ORCID 0000-0002-3953-9842
Colin DohertyFuture Neuro SFI Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland.
Mary FitzsimonsFuture Neuro SFI Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland.ORCID 0000-0001-9499-0129

Funding

eHealth Ireland, Health Service Executive of IrelandHealth Research Board (HRB) Ireland APA-2017-011
6 · The paper itself

Abstract

objectivesThe current coronavirus disease 2019 (COVID-19) pandemic stresses an urgency to accelerate much-needed health service reform. Rapid and courageous changes being made to address the immediate impact of the pandemic are demonstrating that the means and technology to enable new models of health care exist. For example, innovations such as electronic patient portals (ePortal) can facilitate (a) radical reform of outpatient care; (b) cost containment in the economically constrained aftermath of the pandemic; (c) environmental sustainability by reduction of unnecessary journeys/transport. Herein, the development of Providing Individualised Services and Care in Epilepsy (PiSCES), an ePortal to the Irish National Epilepsy Electronic Patient Record, is demonstrated. This project, which pre-dates the COVID-19 crisis, aims to facilitate better patient- and family-centered epilepsy care.

methodsA combination of ethnographic research, document analysis, and joint application design sessions was used to elicit PiSCES requirements. From these, a specification of desired modules of functionality was established and guided the software development.

resultsPiSCES functional features include "My Epilepsy Care Summary," "My Epilepsy Care Goals," "My Epilepsy Clinic Letters," "Help Us Measure Your Progress," "Prepare For Your Clinic Visit," "Information for Your Healthcare Provider." The system provides people with epilepsy access to, and engages them as co-authors of, their own medical record. It can promote improved patient-clinician partnerships and facilitate patient self-management. SIGNIFICANCE: In the aftermath of COVID-19, it is highly unlikely that the healthcare sector will return to a "business as usual" way of delivering services. The pandemic is expected to accelerate adoption of innovations like PiSCES. It is therefore a catalyst for change that will deliver care that is more responsive to individual patient needs and preferences.

Indexed as

COVID-19EpilepsyPatient PortalsHumansSARS-CoV-2TelemedicineCOVID-19electronic health recordsepilepsypatient portal

Identifiers

PMID32668026
PMCPMC7404863

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.