Evidence map›Paper›PMID 34309828›Full record

ArticleHeadache2021

Telehealth as a new care delivery model: The headache provider experience.

Mia T Minen, Christina L Szperka, Kayla Kaplan, Annika Ehrlich, Nina Riggins, Paul Rizzoli, Lauren Doyle Strauss

Open access · greenAbstract read
In one paragraph

Article in Headache, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. 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
  7. Article
  8. Telemedicine in Headache Medicine: A Narrative Review.Current pain and headache reports · 2023
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. 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 at 5 institutions in 1 country.

Mia T MinenDepartment of Neurology, NYU Langone Health, New York, NY, USA.
Christina L SzperkaDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-4786-8889
Kayla KaplanDepartment of Biology, Barnard College, Columbia University, New York, NY, USA.
Annika EhrlichUCSF Headache Center, San Francisco, San Francisco, CA, USA.
Nina RigginsUCSF Headache Center, San Francisco, San Francisco, CA, USA.ORCID 0000-0002-5463-2623
Paul RizzoliDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0001-7278-3110
Lauren Doyle StraussDepartment of Neurology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Brigham and Women's Hospital · USColumbia University · USNYU Langone Health · USUniversity of Pennsylvania · USWake Forest University · US

Funding

Global Pediatric Clinical Trials NetworkU18FD006298 · FDA · DUKE UNIVERSITY · PI COHEN-WOLKOWIEZ, MICHAEL, HORNIK, CHRISTOPH · 2017 to 2021
$5.5M
Occipital Nerve Blocks for Acute Treatment of Pediatric MigraineK23NS102521 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI SZPERKA, CHRISTINA LYNCH · 2018 to 2022
$940k
Progressive Muscle Relaxation for Chronic Pain in an Acute Care SettingK23AT009706 · NCCIH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MINEN, MIA · 2018 to 2022
$923k
FDA HHS U18 FD006298NCCIH NIH HHS K23 AT009706NCCIH NIH HHS K23 AT009706-01NINDS NIH HHS K23 NS102521
6 · The paper itself

Abstract

objectiveTo assess telehealth practice for headache visits in the United States.

backgroundThe rapid roll out of telehealth during the COVID-19 pandemic impacted headache specialists.

methodsAmerican Headache Society (AHS) members were emailed an anonymous survey (9/9/20-10/12/20) to complete if they had logged ≥2 months or 50+ headache visits via telehealth.

resultsOut of 1348 members, 225 (16.7%) responded. Most were female (59.8%; 113/189). Median age was 47 (interquartile range [IQR] 37-57) (N = 154). The majority were MD/DOs (83.7%; 159/190) or NP/PAs (14.7%; 28/190), and most (65.1%; 123/189) were in academia. Years in practice were 0-3: 28; 4-10: 58; 11-20: 42; 20+: 61. Median number of telehealth visits was 120 (IQR 77.5-250) in the prior 3 months. Respondents were "comfortable/very comfortable" treating via telehealth (a) new patient with a chief complaint of headache (median, IQR 4 [3-5]); (b) follow-up for migraine (median, IQR 5 [5-5]); (c) follow-up for secondary headache (median, IQR 4 [3-4]). About half (51.1%; 97/190) offer urgent telehealth. Beyond being unable to perform procedures, top barriers were conducting parts of the neurologic exam (157/189), absence of vital signs (117/189), and socioeconomic/technologic barriers (91/189). Top positive attributes were patient convenience (185/190), reducing patient travel stress (172/190), patient cost reduction (151/190), flexibility with personal matters (128/190), patient comfort at home (114/190), and patient medications nearby (103/190). Only 21.3% (33/155) of providers said telehealth visit length differed from in-person visits, and 55.3% (105/190) believe that the no-show rate improved. On a 1-5 Likert scale, providers were "interested"/"very interested" in digitally prescribing headache apps (median 4, IQR 3-5) and "interested"/"very interested" in remotely monitoring patient symptoms (median 4, IQR 3-5).

conclusionsRespondents were comfortable treating patients with migraine via telehealth. They note positive attributes for patients and how access may be improved. Technology innovations (remote vital signs, digitally prescribing headache apps) and remote symptom monitoring are areas of interest and warrant future research.

Indexed as

Attitude of Health PersonnelAdultFemaleHeadache DisordersHumansMaleMiddle AgedMigraine DisordersPhysiciansSocieties, MedicalTelemedicineUnited Statesclinical informaticsdigital prescribingneurologic examinationremote monitoringteleheadachetelemedicine

Identifiers

PMID34309828
PMCPMC8721517
OpenAlexW3185279885

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.