Evidence map›Paper›PMID 40554502›Full record

ArticlePLOS digital health2025

An evaluation of telehealth services at New York City tuberculosis clinics throughout the COVID-19 pandemic.

Grace E Gao, Alice V Easton, Marco M Salerno, Matthew Angulo, Claudia Buchanan, Deandra J Ingram, Erica Humphrey, Marci Whitehead, Errol Robinson, Christine Chuck and 4 more

Abstract read
In one paragraph

Article in PLOS digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Grace E GaoBureau of Tuberculosis Control, New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.ORCID https://orcid.org/0009-0004-8220-0280
Alice V EastonBureau of Tuberculosis Control, New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.ORCID https://orcid.org/0000-0002-4476-9415
Marco M SalernoBureau of Tuberculosis Control, New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.
Matthew AnguloBureau of Tuberculosis Control, New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.
Claudia BuchananBureau of Public Health Clinics, New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.
Deandra J IngramDivision of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Erica HumphreyBureau of Tuberculosis Control, New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.
Marci WhiteheadBureau of Public Health Clinics, New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.
Errol RobinsonBureau of Public Health Clinics, New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.
Christine ChuckBureau of Tuberculosis Control, New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.
Joseph BurzynskiBureau of Tuberculosis Control, New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.
Felicia DworkinBureau of Public Health Clinics, New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.
Diana NilsenBureau of Tuberculosis Control, New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.
Michelle MacaraigBureau of Tuberculosis Control, New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In March 2020, three New York City (NYC) Department of Health and Mental Hygiene Tuberculosis (TB) clinics suspended most in-person services due to the COVID-19 pandemic and rapidly implemented telehealth to provide remote TB care. We conducted a prospective cohort study of patients with TB or latent TB infection (LTBI), who received treatment from TB clinics between April 2020 and December 2022, to compare telehealth and in-clinic services. To evaluate the success and breadth of the telehealth program, we compared patients who utilized telehealth with those who did not, analyzing differences in demographic characteristics and key outcomes, including utilization of telehealth, appointment completion, and treatment completion. "Telehealth patients" completed at least one scheduled telehealth visit during the study period. We conducted bivariate analyses comparing telehealth versus in-clinic patients. 56% (497/885) of patients with TB and 45% (954/2127) of patients with LTBI had a telehealth visit. Among patients with TB, no disparities in proportions of telehealth and in-clinic patients were observed for age (p = 0.31) or primary language spoken (p = 0.37). Among patients with LTBI, younger patients were more likely to use telehealth (p < 0.001). Using mixed-effects logistic regression models, the AOR of completing a telehealth visit was lower compared to in-clinic for patients with TB (0.77, CI:0.65-0.91). However, excluding April to June 2020, the AORs of completing a telehealth visit were comparable to an in-clinic visit for patients with TB (0.94, CI:0.77-1.14) and for patients with LTBI (0.96, CI:0.82-1.13). Among 641 patients with drug-susceptible TB, 95% (333/352) of telehealth patients completed treatment within one year compared to 88% (254/289) of in-clinic patients (p = 0.002). This result is limited to the descriptive summary of this study population. During the COVID-19 pandemic, NYC Health Department provided telehealth to many patients with TB and LTBI of diverse demographics, and telehealth services were mostly comparable to in-clinic services.

Identifiers

PMID40554502
PMCPMC12186896

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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.