Evidence map›Paper›PMID 36736891›Full record

ArticleThe Journal of pediatrics2023

Telehealth Coverage for a Pediatric Gastroenterology Consult Service at a Regional Hospital: An Accepted, Useful, and Sustainable Model of Care.

Christine Waasdorp Hurtado, Deborah Neigut, Edward J Hoffenberg, Brooke Geyer, Jennifer Marable, Nichole Combest, Sana Yousuf, Christina A Olson

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Observational
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

8 authors at 3 institutions in 1 country.

Christine Waasdorp HurtadoSection of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, University of Colorado School of Medicine, Colorado Springs, CO; Children's Hospital Colorado-Colorado Springs Campus, Colorado Springs, CO. Electronic address: christine.waasdorp@childrenscolorado.org.
Deborah NeigutSection of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, University of Colorado School of Medicine, Colorado Springs, CO; Children's Hospital Colorado-Anschutz Medical Campus, Aurora, CO.
Edward J HoffenbergSection of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, University of Colorado School of Medicine, Colorado Springs, CO; Children's Hospital Colorado-Anschutz Medical Campus, Aurora, CO.
Brooke GeyerChildren's Hospital Colorado-Colorado Springs Campus, Colorado Springs, CO; Section of Hospital Medicine, Department of Pediatrics, University of Colorado School of Medicine, Colorado Springs, CO.
Jennifer MarableSection of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, University of Colorado School of Medicine, Colorado Springs, CO; Children's Hospital Colorado-Colorado Springs Campus, Colorado Springs, CO.
Nichole CombestSection of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, University of Colorado School of Medicine, Colorado Springs, CO; Children's Hospital Colorado-Colorado Springs Campus, Colorado Springs, CO.
Sana YousufChildren's Hospital Colorado-Anschutz Medical Campus, Aurora, CO.
Christina A OlsonChildren's Hospital Colorado-Anschutz Medical Campus, Aurora, CO; Section of Hospital Medicine, Department of Pediatrics, University of Colorado School of Medicine, Colorado Springs, CO.
Children's Hospital Colorado · USUniversity of Colorado Colorado Springs · USUniversity of Colorado Hospital · US

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

objectiveTo evaluate a novel telehealth inpatient pediatric gastroenterology (GI) consult service at a regional children's hospital in regard to acceptance, utility, quality, sustainability, and provider resiliency. STUDY

designPatients requiring GI care at a regional children's hospital between July 2020 and June 2021 were treated by an in-person or telehealth physician with physician assistant support, randomly assigned based on a weekly preset staffing schedule. A retrospective, multidomain program evaluation was performed based on the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) and STEM (SPROUT Telehealth Evaluation and Management) frameworks, using statistical analysis to compare the patient cohorts and anonymous surveys to assess provider perceptions.

resultsIn total, 1051 patient-days of GI care were provided for 348 patients, 17% by telehealth and 83% in-person. There were no significant differences in diagnosis, transfer, or readmission rates between the cohorts. No transfers occurred for reasons other than need to access specialized services not available at the regional hospital. Daily consult workload was slightly greater for telehealth physicians. Primary and consult team providers accepted the practice. The model continued beyond the first year. In total, 75% of local GI physicians reported greater Brief Resilience Scores in the context of shifting 20% of their inpatient call weeks to another campus's physicians.

conclusionEpisodic pediatric GI consult service coverage via telehealth at a regional hospital was well accepted, useful, and sustainable, with improved physician resilience and no adverse outcomes seen. Telehealth holds promise for leveraging pediatric subspecialty physicians across hospitals, allowing complex patients to be admitted closer to home while reducing inpatient coverage requirements for smaller physician groups.

Indexed as

GastroenterologyTelemedicineChildHospitalizationHospitalsHumansRetrospective Studiesgastroenterologyhospital medicinequalityresiliencysustainabilitytelehealth

Identifiers

PMID36736891
PMCPMC10905322
OpenAlexW4318769615

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.