Evidence map›Paper›PMID 33738110›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Expanded access to multiple sclerosis teleneurology care following the COVID-19 pandemic.

Marisa P McGinley, Shauna Gales, William Rowles, Zhini Wang, Wan-Yu Hsu, Lilyana Amezcua, Riley Bove

Abstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. 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
  3. Review
  4. Article
  5. Article
  6. Exploring COVID-19 experiences for persons with multiple sclerosis and carers: An Australian qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  7. Remote Observational Research for Multiple Sclerosis: A Natural Experiment.Neurology(R) neuroimmunology & neuroinflammation · 2023
    Article
  8. Article
  9. Article
  10. Neuroethics in the Era of Teleneurology.Seminars in neurology · 2022
    Article
  11. Article
  12. Article
  13. 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

7 authors.

Shauna GalesMellen Center, Cleveland Clinic, Cleveland, USA.
William RowlesDepartment of Neurology and Weill Institute for Neurosciences, University of California, San Francisco, USA.
Zhini WangMellen Center, Cleveland Clinic, Cleveland, USA.
Wan-Yu HsuDepartment of Neurology and Weill Institute for Neurosciences, University of California, San Francisco, USA.ORCID https://orcid.org/0000-0003-1410-8429
Lilyana AmezcuaDepartment of Neurology, University of Southern California, Los Angeles, USA.ORCID https://orcid.org/0000-0003-1542-7819
Riley BoveDepartment of Neurology and Weill Institute for Neurosciences, University of California, San Francisco, USA.ORCID https://orcid.org/0000-0002-2034-8800

Funding

Institutional Career Development CoreKL2TR002547 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI DWEIK, RAED A. · 2018 to 2022
$7.7M
NCATS NIH HHS KL2 TR002547
6 · The paper itself

Abstract

backgroundTeleneurology for multiple sclerosis (MS) care was considered feasible, but utilization was limited.

objectiveTo describe how the existing teleneurology populations at two academic MS Centers changed during the COVID-19 pandemic.

methodsIn this cross-sectional study, we captured all in-person and teleneurology visits at two academic MS Centers between January 2019 and April 2020. We compared group differences between the Centers, and COVID-related changes using T-, chi-squared Kruskal-Wallis and Fisher exact tests.

results2268 patients completed 2579 teleneurology visits (mean age 48.3 ± 13.3 years, 72.9% female). Pre-COVID, the Centers' teleneurology populations were similar for age, sex, MS type, and disability level (all p > 0.1), but differed for race (96.5% vs 80.7% white, p ≤ 0.001), MS treatment (49.1% vs 32.1% infusible, p ≤ 0.001), and median distance from Center (72 vs 186 miles, p ≤ 0.001). Post-COVID, both Centers' teleneurology populations had more black (12.7% vs 4.37%, p ≤ 0.001) and local (median 34.5 vs 102 miles, p ≤ 0.001) patients.

conclusionTeleneurology visits in 2019 reflected the organizational and local teleneurology reimbursement patterns of our Centers. Our post-COVID-19 changes illustrate the potential for payors and policy to change disparities in access to, or utilization of, remote care. Patients' perception of care quality and value following this shift warrants study.

Indexed as

COVID-19health disparitiesmodels of careMultiple sclerosis

Identifiers

PMID33738110
PMCPMC7934057

What OpenQuestion holds

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LicenceCC BY-NC
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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.