ArticleArquivos de neuro-psiquiatria2025
Revolutionizing pediatric neurology care: telemedicine advancements and regulatory impact in the Northeast of Brazil.
Article in Arquivos de neuro-psiquiatria, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
Who cites it
2 citing papers in PubMed.
- Telemedicine in pediatrics: a critical narrative review of innovations, limitations, and future priorities.European journal of pediatrics · 2026Review
- Reducing referrals in primary care through specialist-supported telehealth: quasi-experimental evidence from Northeast Brazil.Frontiers in digital health · 2026Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTelemedicine, a patient-centered approach that leverages technology, has emerged as a cost-effective solution to provide comprehensive medical services for acute and chronic conditions.
objectiveWe aim to document the experiences of pediatric neurologists using teleconsultations within the TeleNortheast program, a specialized medical assistance initiative in the Northeast of Brazil.
methodsA retrospective analysis of teleconsultations was conducted from January to October 2023. Data from 546 teleconsultations, involving 506 pediatric patients, were extracted from medical records. Consultations were conducted between pediatric neurologists in São Paulo and primary care professionals in Sergipe. The analysis included patients' demographics, diagnoses, and outcomes.
resultsOf the 506 teleconsultation patients seen, 89% continued treatment within their primary care settings without needing in-person referrals. Discharge was observed in 9.5% of cases, and only 1.4% required specialized in-person care. The most frequent diagnosis was autism spectrum disorder (19.1%), followed by epilepsy (7.1%), attention-deficit/hyperactivity disorder (6.7%), and intellectual disability (5.9%). A cost-saving analysis indicated that teleconsultations avoided significant transportation costs, which could reach up to R$ 21 thousand for travel and feeding expenses.
conclusionThe results highlight the effectiveness of teleconsultations in improving access to pediatric neurological care in underserved regions, reducing the need for in-person counseling, with the potential to provide significant cost savings for the public health system. The TeleNortheast program demonstrates the potential of this approach to bridge healthcare gaps, particularly in regions with limited access to specialized care.
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Registered trials
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