Evidence map›Paper›PMID 40481854›Full record

ArticleDysphagia2025

Effects of Telemedicine on Dysphagia Rehabilitation in Patients Requiring Home Care: A Retrospective Study.

Rieko Moritoyo, Kazuharu Nakagawa, Kanako Yoshimi, Kohei Yamaguchi, Yuki Nagasawa, Ryosuke Yanagida, Koji Hara, Haruka Tohara

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Dysphagia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Ethical Challenges and Considerations in Dysphagia Management: A Scoping Review.International journal of language & communication disorders
    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

8 authors.

Rieko MoritoyoDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo (Formerly Tokyo Medical and Dental University), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.ORCID http://orcid.org/0009-0004-8992-0889
Kazuharu NakagawaDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo (Formerly Tokyo Medical and Dental University), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.ORCID http://orcid.org/0000-0002-5572-4159
Kanako YoshimiDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo (Formerly Tokyo Medical and Dental University), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan. k.yoshimi.gerd@tmd.ac.jp.ORCID http://orcid.org/0000-0002-5005-036X
Kohei YamaguchiDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo (Formerly Tokyo Medical and Dental University), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.ORCID http://orcid.org/0000-0002-7034-4402
Yuki NagasawaDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo (Formerly Tokyo Medical and Dental University), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.ORCID http://orcid.org/0009-0001-0986-1275
Ryosuke YanagidaDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo (Formerly Tokyo Medical and Dental University), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.ORCID http://orcid.org/0000-0002-5752-5946
Koji HaraDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo (Formerly Tokyo Medical and Dental University), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.ORCID http://orcid.org/0000-0003-0087-304X
Haruka ToharaDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo (Formerly Tokyo Medical and Dental University), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.ORCID http://orcid.org/0000-0001-5514-6419

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigated telemedicine as an alternative to home-visit medical care (HMC) when HMC for patients with dysphagia was suspended. This retrospective study assessed whether telemedicine reduced adverse events compared to suspending care during the initial 3 months of the coronavirus pandemic. Seventy-six HMC patients were enrolled. Those who received telemedicine formed the telemedicine group (TG), and those who declined comprised the suspended group (SG). Baseline data and adverse events, including whole-body and dysphagia-related adverse events, were analyzed using the Mann-Whitney U-test, Fisher's exact test, and binomial logistic regression. Of the 76 patients, 20 were in TG and 56 in SG. Telemedicine consultations' frequency was 1-3. Significant baseline differences occurred in the Charlson Comorbidity Index (CCI) and caregiver type. In the TG and SG, 0% and 12.5% of patients experienced whole-body adverse events and 10.0% and 33.9% had dysphagia-related adverse events, respectively. Dysphagia-related adverse events were significantly lower in TG (p = 0.046). Telemedicine was significantly associated with fewer dysphagia-related adverse events after adjusting for age, CCI, and Dysphagia Severity Scale (p = 0.040). Telemedicine effectively supplemented in-person dysphagia rehabilitation, enabling continued monitoring and reducing complications, although patient self-selection and caregiver support may have influenced outcomes.

Indexed as

Deglutition DisordersHome Care ServicesTelemedicineAgedAged, 80 and overCOVID-19FemaleHumansMaleMiddle AgedRetrospective StudiesSARS-CoV-2DysphagiaDysphagia rehabilitationHome-visit medical careRemote healthcareSwallowing functionTelemedicine

Identifiers

PMID40481854
PMCPMC12662845

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.