Evidence map›Paper›PMID 33077389›Full record

ArticleJournal of pediatric urology2020

Benefits and barriers to pediatric tele-urology during the COVID-19 pandemic.

Andrew J Winkelman, Haerin L Beller, Kathryn E Morgan, Sean T Corbett, Susan V Leroy, Sean W Noona, Kaitlin L Berry, Nora G Kern

Open access · bronzeAbstract read
In one paragraph

Article in Journal of pediatric urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 32 citations in OpenAlex.

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  11. Empowering Bladder Health Education for Children: Integrating Situated Learning Theory and the ARCS Model in Online Program Design.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
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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

8 authors at 1 institution in 1 country.

Andrew J WinkelmanSchool of Medicine, University of Virginia, Charlottesville, VA, USA. Electronic address: ajw6na@virginia.edu.
Haerin L BellerDepartment of Urology, University of Virginia, Charlottesville, VA, USA. Electronic address: hl9qh@virginia.edu.
Kathryn E MorganDepartment of Urology, University of Virginia, Charlottesville, VA, USA. Electronic address: keb7f@virginia.edu.
Sean T CorbettDepartment of Urology, University of Virginia, Charlottesville, VA, USA. Electronic address: stc2u@virginia.edu.
Susan V LeroyDepartment of Urology, University of Virginia, Charlottesville, VA, USA. Electronic address: svg5m@virginia.edu.
Sean W NoonaSchool of Medicine, University of Virginia, Charlottesville, VA, USA. Electronic address: swn5dv@virginia.edu.
Kaitlin L BerrySchool of Medicine, University of Virginia, Charlottesville, VA, USA. Electronic address: klb4en@virginia.edu.
Nora G KernDepartment of Urology, University of Virginia, Charlottesville, VA, USA. Electronic address: ngl2z@virginia.edu.
University of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTelemedicine video visits are an under-utilized form of delivering health care. However due to the COVID-19 pandemic, practices are rapidly adapting telemedicine for patient care. We describe our experience in rapidly introducing video visits in a tertiary academic pediatric urology practice, serving primarily rural patients during the COVID-19 pandemic.

objectiveThe primary aim of this study was to assess visit success rate and identify barriers to completing video visits. The secondary aim identified types of pathologies feasible for video visits and travel time saved. We hypothesize socioeconomic status is a predictor of a successful visit. MATERIALS AND

methodsData was prospectively collected and analyzed on video visits focusing on visit success, defined by satisfactory completion of the visit as assessed by the provider. Other variables collected included duration, video platform and technical problems. Retrospective data was collected via chart review and analyzed including demographics, insurance, and distance to care. Socioeconomic status was estimated using the Distressed Communities Index generated for patient zip code. RESULTS/DISCUSSION: Out of 116 attempted visits, 81% were successful. The top two reasons for failure were "no-show" (64%) and inability to connect (14%). Success versus failure of visit was similar for patient age (p = 0.23), sex (p = 0.42), type of visit (initial vs. established) (p = 0.51), and socioeconomic status (p = 0.39). After adjusting for race, socioeconomic status, and type of provider, having public insurance remained a significant predictor of failure (p = 0.017). Successful visits were conducted on multiple common pediatric urologic problems (excluding visits requiring palpation on exam), and video was sufficient for physical exams in most cases (Summary Table). A median of 2.25 h of travel time was saved.

conclusionsWhile socioeconomic status, estimated using the Distressed Communities Index, did not predict success of video visits, patients with public insurance were more likely to have a failed video visit. There is compelling evidence that effective video visits for certain pathologies can be rapidly achieved in a pediatric urology practice with minimal preparation time.

Indexed as

PandemicsSARS-CoV-2ChildChild, PreschoolComorbidityCOVID-19FemaleFollow-Up StudiesHumansInfantMaleProspective StudiesRural PopulationSocioeconomic FactorsTelemedicineUnited StatesCOVID-19PediatricsTelemedicineTele-urologyVideo visit

Identifiers

PMID33077389
PMCPMC7543732
OpenAlexW3091864756

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.