Evidence map›Paper›PMID 33444381›Full record

ArticlePloS one2021

Utility of teleconsultation in accessing eye care in a developing country during COVID-19 pandemic.

Hassan Mansoor, Saad Alam Khan, Tayyab Afghani, Muhammad Zaman Assir, Mahmood Ali, Wajid Ali Khan

Abstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  3. The Role of Optometry in the Delivery of Eye Care via Telehealth: A Systematic Literature Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022
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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

6 authors.

Hassan MansoorAl-Shifa Trust Eye Hospital, Rawalpindi, Pakistan.ORCID 0000-0002-7198-0582
Saad Alam KhanAl-Shifa Trust Eye Hospital, Rawalpindi, Pakistan.
Tayyab AfghaniAl-Shifa Trust Eye Hospital, Rawalpindi, Pakistan.
Muhammad Zaman AssirDepartment of Medicine, Allama Iqbal Medical College, University of Health Sciences, Lahore, Pakistan.
Mahmood AliAl-Shifa Trust Eye Hospital, Rawalpindi, Pakistan.ORCID 0000-0003-0963-9014
Wajid Ali KhanAl-Shifa Trust Eye Hospital, Rawalpindi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the utility of teleconsultation in the provision of eye care services during the COVID-19 lockdown. Disparities in the consultation burden of sub-specialities and socio-demographic differences in teleconsultation utilization were also assessed.

methodsAl-Shifa Trust Eye Hospital Rawalpindi began audio and video teleconsultation using broadband telecommunication services during the lockdown. Patients' and consultations' data gathered during the first three weeks after the commencement of this programme were compared with data from the four weeks prior to lockdown. The weekly consultation ratio and overall consultation burden of sub-specialities were measured. Chi-Square tests of association determined the relationship between different variables (socioeconomic status and consultation characteristics) and consultation modality (on-site vs online).

resultsIn total, 17507 on-site consultations (4377/week) were conducted compared to 1431 teleconsultations (477/week), which maintained 10.89% of the weekly pre-lockdown eye care services. The post-lockdown teleconsultation programme saw a relatively higher percentage of service utility among female (47.09% vs 44.71%), younger-age (31.33±19.45 vs 41.25±23.32 years) and higher-socioeconomic-status (32.21% vs 0.30%) patients compared to pre-lockdown on-site consultations. The most common indication for teleconsultation was red-eye (16.70%). While cornea and glaucoma clinics maintained most of the pre-lockdown services (30.42% and 29% respectively), the highest dropout was seen in optometric and vitreoretinal services supporting only 5.54% and 8.28% of pre-lockdown services, respectively.

conclusionDigital initiatives could partially maintain eye care services during the lockdown. Focused strategies to improve teleconsultation utilization are required during the pandemic and beyond.

Indexed as

AdolescentAdultAgedCOVID-19Developing CountriesEye DiseasesFemaleHumansMaleMiddle AgedPakistanPandemicsQuarantineRemote ConsultationSARS-CoV-2

Identifiers

PMID33444381
PMCPMC7808582

What OpenQuestion holds

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Registered trials

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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.