Evidence map›Paper›PMID 34215677›Full record

ReviewPediatrics2021

Pediatric Telehealth in the COVID-19 Pandemic Era and Beyond.

Alison Curfman, S David McSwain, John Chuo, Brooke Yeager-McSwain, Dana A Schinasi, James Marcin, Neil Herendeen, Sandy L Chung, Karen Rheuban, Christina A Olson

Abstract readReview
In one paragraph

Review in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 4 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

79 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Guideline
  2. A Systematic Review of Telehealth-Based Pediatric Cancer Rehabilitation Interventions on Disability.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Pooled it
  3. Guideline
  4. Sexual Health and Relationship Abuse Interventions in Pediatric Primary Care: A Systematic Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Pooled it
  5. Article
  6. Observational
  7. Article
  8. Article
  9. An Environmental Scan of Interventions Implemented by Pediatric Health Organizations to Improve Telehealth Equity.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

19 more citing papers are in PubMed but not listed here.

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

10 authors.

Alison CurfmanDepartment of Pediatrics, Mercy Children's Hospital, St Louis, Missouri alison.curfman@mercy.net.
S David McSwainDepartment of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.
John ChuoChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Brooke Yeager-McSwainHealthcare Information and Management Systems Society Foundation, Chicago, Illinois.
Dana A SchinasiAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
James MarcinDepartment of Pediatrics, School of Medicine, University of California Davis, Sacramento, California.
Neil HerendeenDivision of General Pediatrics, Golisano Children's Hospital, University of Rochester Medical Center, Rochester, New York.
Sandy L ChungTrusted Doctors, LLC, Fairfax, Virginia.
Karen RheubanDepartment of Pediatrics, University of Virginia Health System, Charlottesville, Virginia.
Christina A OlsonChildren's Hospital Colorado, Aurora, Colorado.

Funding

SPROUT-CTSA Collaborative Telehealth Research NetworkU01TR002626 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHUO, JOHN, MCSWAIN, STEVEN D · 2019 to 2023
$3.6M
NCATS NIH HHS U01 TR002626
6 · The paper itself

Abstract

The coronavirus disease 2019 (COVID-19) pandemic led to an unprecedented demand for health care at a distance, and telehealth (the delivery of patient care using telecommunications technology) became more widespread. Since our 2018 state-of-the-art review assessing the pediatric telehealth landscape, there have been many changes in technology, policy, payment, and physician and patient acceptance of this care model. Clinical best practices in telehealth, on the other hand, have remained unchanged during this time, with the primary difference being the need to implement them at scale.Because of the pandemic, underlying health system weaknesses that have previously challenged telehealth adoption (including inequitable access to care, unsustainable costs in a fee-for-service system, and a lack of quality metrics for novel care delivery modalities) were simultaneously exacerbated. Higher volume use has provided a new appreciation of how patients from underrepresented backgrounds can benefit from or be disadvantaged by the shift toward virtual care. Moving forward, it will be critical to assess which COVID-19 telehealth changes should remain in place or be developed further to ensure children have equitable access to high-quality care.With this review, we aim to (1) depict today's pediatric telehealth practice in an era of digital disruption; (2) describe the people, training, processes, and tools needed for its successful implementation and sustainability; (3) examine health equity implications; and (4) critically review current telehealth policy as well as future policy needs. The American Academy of Pediatrics (AAP) is continuing to develop policy, specific practice tips, training modules, checklists, and other detailed resources, which will be available later in 2021.

Indexed as

PandemicsTelemedicineChildCOVID-19Health EquityHumansPatient Acceptance of Health CarePractice Guidelines as TopicProgram Evaluation

Identifiers

PMID34215677
PMCPMC8669573

What OpenQuestion holds

Textmetadata
LicenceTDM
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.