Evidence map›Paper›PMID 36229830›Full record

ArticleSystematic reviews2022

A scoping review of the unassisted physical exam conducted over synchronous audio-video telemedicine.

Peter Yao, Mahad Adam, Sunday Clark, Hanson Hsu, Michael Stern, Rahul Sharma, Keith Mages, Peter Greenwald, Neel Naik

Open access · goldAbstract readScoping Review
In one paragraph

Article in Systematic reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
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  6. Review
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  10. Asthma management in the digital age.Frontiers in allergy · 2024
    Review
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  13. Article
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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

9 authors at 2 institutions in 1 country.

Peter YaoWeill Cornell Medical College, New York, NY, USA.
Mahad AdamColumbia University, New York, NY, USA.
Sunday ClarkBoston University School of Medicine, Boston, MA, USA.
Hanson HsuDepartment of Emergency Medicine, Weill Cornell Medicine, 525 E 68th Street, New York, NY, 10065, USA.
Michael SternDepartment of Emergency Medicine, Weill Cornell Medicine, 525 E 68th Street, New York, NY, 10065, USA.
Rahul SharmaDepartment of Emergency Medicine, Weill Cornell Medicine, 525 E 68th Street, New York, NY, 10065, USA.
Keith MagesSamuel J. Wood Library and C.V. Starr Biomedical Information Center, Weill Cornell Medicine, New York, NY, USA.
Peter GreenwaldDepartment of Emergency Medicine, Weill Cornell Medicine, 525 E 68th Street, New York, NY, 10065, USA.
Neel NaikDepartment of Emergency Medicine, Weill Cornell Medicine, 525 E 68th Street, New York, NY, 10065, USA. nen9010@med.cornell.edu.ORCID 0000-0003-4802-0150
Cornell University · USColumbia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis scoping review aims to provide a broad overview of the research on the unassisted virtual physical exam performed over synchronous audio-video telemedicine to identify gaps in knowledge and guide future research.

methodsSearches for studies on the unassisted virtual physical exam were conducted in 3 databases. We included primary research studies in English on the virtual physical exam conducted via patient-to-provider synchronous, audio-video telemedicine in the absence of assistive technology or personnel. Screening and data extraction were performed by 2 independent reviewers.

resultsSeventy-four studies met inclusion criteria. The most common components of the physical exam performed over telemedicine were neurologic (38/74, 51%), musculoskeletal (10/74, 14%), multi-system (6/74, 8%), neuropsychologic (5/74, 7%), and skin (5/74, 7%). The majority of the literature focuses on the telemedicine physical exam in the adult population, with only 5% of studies conducted specifically in a pediatric population. During the telemedicine exam, the patients were most commonly located in outpatient offices (28/74, 38%) and homes and other non-clinical settings (25/74, 34%). Both patients and providers in the included studies most frequently used computers for the telemedicine encounter.

conclusionsResearch evaluating the unassisted virtual physical exam is at an early stage of maturity and is skewed toward the neurologic, musculoskeletal, neuropsychologic, and skin exam components. Future research should focus on expanding the range of telemedicine exam maneuvers studied and evaluating the exam in the most relevant settings, which for telemedicine is trending toward exams conducted through mobile devices and in patients' homes.

Indexed as

TelemedicineAdultChildHumansPhysical ExaminationPhysical examinationScoping reviewTelehealthTelemedicine

Identifiers

PMID36229830
PMCPMC9559902
OpenAlexW4304893120

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.