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Delivering tertiary centre specialty care to ALS patients via telemedicine: a retrospective cohort analysis
Objective: This study was undertaken to determine if ALS patients evaluated via telemedicine received the same quality of care as patients evaluated by traditional face-to-face encounters. Methods: A retrospective cohort study design was used. Participants were patients diagnosed with ALS that recei...
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| Published in: | Amyotrophic lateral sclerosis and frontotemporal degeneration 2017-07, Vol.18 (5-6), p.324-332 |
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| container_title | Amyotrophic lateral sclerosis and frontotemporal degeneration |
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| creator | Selkirk, Stephen M. Washington, Monique O. McClellan, Frances Flynn, Broderick Seton, Jacinta M. Strozewski, Richard |
| description | Objective: This study was undertaken to determine if ALS patients evaluated via telemedicine received the same quality of care as patients evaluated by traditional face-to-face encounters.
Methods: A retrospective cohort study design was used. Participants were patients diagnosed with ALS that received multidisciplinary care at the tertiary Cleveland VA ALS Centre between 1 March 2008- and 31 anuary 2015. Participants were not randomised, but chose telemedicine based on preference, disability level or distance from the clinic. Telemedicine in this study consisted of a video conferencing platform enabling remote rather than face-to-face encounters with participants.
Results: There was no significant association between receiving quality ALS care and the mode of care. There was a trend for telemedicine patients to utilise home health care less often than those that received clinic care (AOR 0.50; 95% CI 0.16-1.59). There was no significant difference in survival time between the two groups (log-rank test χ
2
= 3.62, df = 1, p = 0.05). Patients receiving telemedicine had a higher probability of remaining stable or having |
| doi_str_mv | 10.1080/21678421.2017.1313867 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1891128271</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1891128271</sourcerecordid><originalsourceid>FETCH-LOGICAL-c366t-a08128cf3e7f1c1f0b39d01a4b28168c52e55c27e74ad8875ab2ab3c299940c03</originalsourceid><addsrcrecordid>eNp9kEtPJCEUhYnRqFF_goblbLrlUVVQrjSOr6QTF-qa3KJvKUoXLdBO-t9LpdtZyoLH5Zx74CPklLMpZ5qdC94oXQk-FYyrKZdc6kbtkMOxPmmFkLvb_Sg6ICcpvbMylGqrRu2TA1HqqkyH5OMveveF0Q2vNGPMDuKaWhxyRJqWaB34XApQjjnQq9kTXUJ25T7RLwfF4nGBc2fdgBcUaMQcw-jLpSm14S3ETGEAv04uHZO9HnzCk-16RF5ub56v7yezx7uH66vZxMqmyRNgmgtte4mq55b3rJPtnHGoOqF5o20tsK6tUKgqmGutaugEdNKKtm0rZpk8In82fZcxfK4wZbNwyaL3MGBYJcN1y0uCULxI643UlmeniL1ZRrcoDAxnZkRtflCbEbXZoi6-s23Eqiv__-_6AVsElxuBG_oQF_AvRD83GdY-xD7CYF0y8veMb7dXjmE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1891128271</pqid></control><display><type>article</type><title>Delivering tertiary centre specialty care to ALS patients via telemedicine: a retrospective cohort analysis</title><source>Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list)</source><creator>Selkirk, Stephen M. ; Washington, Monique O. ; McClellan, Frances ; Flynn, Broderick ; Seton, Jacinta M. ; Strozewski, Richard</creator><creatorcontrib>Selkirk, Stephen M. ; Washington, Monique O. ; McClellan, Frances ; Flynn, Broderick ; Seton, Jacinta M. ; Strozewski, Richard</creatorcontrib><description>Objective: This study was undertaken to determine if ALS patients evaluated via telemedicine received the same quality of care as patients evaluated by traditional face-to-face encounters.
Methods: A retrospective cohort study design was used. Participants were patients diagnosed with ALS that received multidisciplinary care at the tertiary Cleveland VA ALS Centre between 1 March 2008- and 31 anuary 2015. Participants were not randomised, but chose telemedicine based on preference, disability level or distance from the clinic. Telemedicine in this study consisted of a video conferencing platform enabling remote rather than face-to-face encounters with participants.
Results: There was no significant association between receiving quality ALS care and the mode of care. There was a trend for telemedicine patients to utilise home health care less often than those that received clinic care (AOR 0.50; 95% CI 0.16-1.59). There was no significant difference in survival time between the two groups (log-rank test χ
2
= 3.62, df = 1, p = 0.05). Patients receiving telemedicine had a higher probability of remaining stable or having <30% decrease in ALSFRS-R over time (log-rank test χ
2
= 4.46, df = 1, p = 0.03). There was a significantly lower risk of disease progression for patients receiving telemedicine (HR = 0.39, 95% CI = 0.16-0.93).
Conclusions: Patients managed by telemedicine received the same quality of care and had similar outcomes to those patients seen via traditional face-to-face encounters. Telemedicine is an effective platform for delivering high quality tertiary ALS care.</description><identifier>ISSN: 2167-8421</identifier><identifier>EISSN: 2167-9223</identifier><identifier>DOI: 10.1080/21678421.2017.1313867</identifier><identifier>PMID: 28427284</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Aged ; ALS ; Amyotrophic Lateral Sclerosis - diagnosis ; Amyotrophic Lateral Sclerosis - therapy ; Cohort Studies ; Delivery of Health Care - methods ; Delivery of Health Care - standards ; Female ; Follow-Up Studies ; Humans ; Male ; Medicine - methods ; Medicine - standards ; Middle Aged ; multidisciplinary care ; Quality of Health Care - standards ; quality of life ; Retrospective Studies ; survival ; telemedicine ; Telemedicine - methods ; Telemedicine - standards ; Tertiary Care Centers - standards</subject><ispartof>Amyotrophic lateral sclerosis and frontotemporal degeneration, 2017-07, Vol.18 (5-6), p.324-332</ispartof><rights>2017 World Federation of Neurology on behalf of the Research Group on Motor Neuron Diseases 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-a08128cf3e7f1c1f0b39d01a4b28168c52e55c27e74ad8875ab2ab3c299940c03</citedby><cites>FETCH-LOGICAL-c366t-a08128cf3e7f1c1f0b39d01a4b28168c52e55c27e74ad8875ab2ab3c299940c03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28427284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Selkirk, Stephen M.</creatorcontrib><creatorcontrib>Washington, Monique O.</creatorcontrib><creatorcontrib>McClellan, Frances</creatorcontrib><creatorcontrib>Flynn, Broderick</creatorcontrib><creatorcontrib>Seton, Jacinta M.</creatorcontrib><creatorcontrib>Strozewski, Richard</creatorcontrib><title>Delivering tertiary centre specialty care to ALS patients via telemedicine: a retrospective cohort analysis</title><title>Amyotrophic lateral sclerosis and frontotemporal degeneration</title><addtitle>Amyotroph Lateral Scler Frontotemporal Degener</addtitle><description>Objective: This study was undertaken to determine if ALS patients evaluated via telemedicine received the same quality of care as patients evaluated by traditional face-to-face encounters.
Methods: A retrospective cohort study design was used. Participants were patients diagnosed with ALS that received multidisciplinary care at the tertiary Cleveland VA ALS Centre between 1 March 2008- and 31 anuary 2015. Participants were not randomised, but chose telemedicine based on preference, disability level or distance from the clinic. Telemedicine in this study consisted of a video conferencing platform enabling remote rather than face-to-face encounters with participants.
Results: There was no significant association between receiving quality ALS care and the mode of care. There was a trend for telemedicine patients to utilise home health care less often than those that received clinic care (AOR 0.50; 95% CI 0.16-1.59). There was no significant difference in survival time between the two groups (log-rank test χ
2
= 3.62, df = 1, p = 0.05). Patients receiving telemedicine had a higher probability of remaining stable or having <30% decrease in ALSFRS-R over time (log-rank test χ
2
= 4.46, df = 1, p = 0.03). There was a significantly lower risk of disease progression for patients receiving telemedicine (HR = 0.39, 95% CI = 0.16-0.93).
Conclusions: Patients managed by telemedicine received the same quality of care and had similar outcomes to those patients seen via traditional face-to-face encounters. Telemedicine is an effective platform for delivering high quality tertiary ALS care.</description><subject>Aged</subject><subject>ALS</subject><subject>Amyotrophic Lateral Sclerosis - diagnosis</subject><subject>Amyotrophic Lateral Sclerosis - therapy</subject><subject>Cohort Studies</subject><subject>Delivery of Health Care - methods</subject><subject>Delivery of Health Care - standards</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine - methods</subject><subject>Medicine - standards</subject><subject>Middle Aged</subject><subject>multidisciplinary care</subject><subject>Quality of Health Care - standards</subject><subject>quality of life</subject><subject>Retrospective Studies</subject><subject>survival</subject><subject>telemedicine</subject><subject>Telemedicine - methods</subject><subject>Telemedicine - standards</subject><subject>Tertiary Care Centers - standards</subject><issn>2167-8421</issn><issn>2167-9223</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kEtPJCEUhYnRqFF_goblbLrlUVVQrjSOr6QTF-qa3KJvKUoXLdBO-t9LpdtZyoLH5Zx74CPklLMpZ5qdC94oXQk-FYyrKZdc6kbtkMOxPmmFkLvb_Sg6ICcpvbMylGqrRu2TA1HqqkyH5OMveveF0Q2vNGPMDuKaWhxyRJqWaB34XApQjjnQq9kTXUJ25T7RLwfF4nGBc2fdgBcUaMQcw-jLpSm14S3ETGEAv04uHZO9HnzCk-16RF5ub56v7yezx7uH66vZxMqmyRNgmgtte4mq55b3rJPtnHGoOqF5o20tsK6tUKgqmGutaugEdNKKtm0rZpk8In82fZcxfK4wZbNwyaL3MGBYJcN1y0uCULxI643UlmeniL1ZRrcoDAxnZkRtflCbEbXZoi6-s23Eqiv__-_6AVsElxuBG_oQF_AvRD83GdY-xD7CYF0y8veMb7dXjmE</recordid><startdate>20170703</startdate><enddate>20170703</enddate><creator>Selkirk, Stephen M.</creator><creator>Washington, Monique O.</creator><creator>McClellan, Frances</creator><creator>Flynn, Broderick</creator><creator>Seton, Jacinta M.</creator><creator>Strozewski, Richard</creator><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170703</creationdate><title>Delivering tertiary centre specialty care to ALS patients via telemedicine: a retrospective cohort analysis</title><author>Selkirk, Stephen M. ; Washington, Monique O. ; McClellan, Frances ; Flynn, Broderick ; Seton, Jacinta M. ; Strozewski, Richard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-a08128cf3e7f1c1f0b39d01a4b28168c52e55c27e74ad8875ab2ab3c299940c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>ALS</topic><topic>Amyotrophic Lateral Sclerosis - diagnosis</topic><topic>Amyotrophic Lateral Sclerosis - therapy</topic><topic>Cohort Studies</topic><topic>Delivery of Health Care - methods</topic><topic>Delivery of Health Care - standards</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine - methods</topic><topic>Medicine - standards</topic><topic>Middle Aged</topic><topic>multidisciplinary care</topic><topic>Quality of Health Care - standards</topic><topic>quality of life</topic><topic>Retrospective Studies</topic><topic>survival</topic><topic>telemedicine</topic><topic>Telemedicine - methods</topic><topic>Telemedicine - standards</topic><topic>Tertiary Care Centers - standards</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Selkirk, Stephen M.</creatorcontrib><creatorcontrib>Washington, Monique O.</creatorcontrib><creatorcontrib>McClellan, Frances</creatorcontrib><creatorcontrib>Flynn, Broderick</creatorcontrib><creatorcontrib>Seton, Jacinta M.</creatorcontrib><creatorcontrib>Strozewski, Richard</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Amyotrophic lateral sclerosis and frontotemporal degeneration</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Selkirk, Stephen M.</au><au>Washington, Monique O.</au><au>McClellan, Frances</au><au>Flynn, Broderick</au><au>Seton, Jacinta M.</au><au>Strozewski, Richard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delivering tertiary centre specialty care to ALS patients via telemedicine: a retrospective cohort analysis</atitle><jtitle>Amyotrophic lateral sclerosis and frontotemporal degeneration</jtitle><addtitle>Amyotroph Lateral Scler Frontotemporal Degener</addtitle><date>2017-07-03</date><risdate>2017</risdate><volume>18</volume><issue>5-6</issue><spage>324</spage><epage>332</epage><pages>324-332</pages><issn>2167-8421</issn><eissn>2167-9223</eissn><abstract>Objective: This study was undertaken to determine if ALS patients evaluated via telemedicine received the same quality of care as patients evaluated by traditional face-to-face encounters.
Methods: A retrospective cohort study design was used. Participants were patients diagnosed with ALS that received multidisciplinary care at the tertiary Cleveland VA ALS Centre between 1 March 2008- and 31 anuary 2015. Participants were not randomised, but chose telemedicine based on preference, disability level or distance from the clinic. Telemedicine in this study consisted of a video conferencing platform enabling remote rather than face-to-face encounters with participants.
Results: There was no significant association between receiving quality ALS care and the mode of care. There was a trend for telemedicine patients to utilise home health care less often than those that received clinic care (AOR 0.50; 95% CI 0.16-1.59). There was no significant difference in survival time between the two groups (log-rank test χ
2
= 3.62, df = 1, p = 0.05). Patients receiving telemedicine had a higher probability of remaining stable or having <30% decrease in ALSFRS-R over time (log-rank test χ
2
= 4.46, df = 1, p = 0.03). There was a significantly lower risk of disease progression for patients receiving telemedicine (HR = 0.39, 95% CI = 0.16-0.93).
Conclusions: Patients managed by telemedicine received the same quality of care and had similar outcomes to those patients seen via traditional face-to-face encounters. Telemedicine is an effective platform for delivering high quality tertiary ALS care.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>28427284</pmid><doi>10.1080/21678421.2017.1313867</doi><tpages>9</tpages></addata></record> |
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| ispartof | Amyotrophic lateral sclerosis and frontotemporal degeneration, 2017-07, Vol.18 (5-6), p.324-332 |
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| source | Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list) |
| subjects | Aged ALS Amyotrophic Lateral Sclerosis - diagnosis Amyotrophic Lateral Sclerosis - therapy Cohort Studies Delivery of Health Care - methods Delivery of Health Care - standards Female Follow-Up Studies Humans Male Medicine - methods Medicine - standards Middle Aged multidisciplinary care Quality of Health Care - standards quality of life Retrospective Studies survival telemedicine Telemedicine - methods Telemedicine - standards Tertiary Care Centers - standards |
| title | Delivering tertiary centre specialty care to ALS patients via telemedicine: a retrospective cohort analysis |
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