Telemedicine in neurology: advances and possibilities

Aquino, Emanuelle Roberta da Silva; Suffert, Soraya Camargo Ito

doi:10.1590/0004-282x-anp-2022-s127

Cited by 4 publications

(3 citation statements)

References 54 publications

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“…The COVID-19 pandemic hit Brazil hard and made recruitment of participants in this study very challenging. Moreover, the COVID-19 pandemic also changed clinical practice in Brazil: it accelerated the use of telemedicine 35 , 36 , thereby increasing the accessibility to specialized care and reducing the number of levodopa-naive patients. A second limitation is that we were unable to correct for possible socioeconomic differences, such as access to nutrition, education, and healthcare, which are obviously present between the Netherlands and Brazil.…”

Section: Discussionmentioning

confidence: 99%

Exploring the levodopa-paradox of freezing of gait in dopaminergic medication-naïve Parkinson’s disease populations

Jansen,

Capato,

Darweesh

et al. 2023

npj Parkinsons Dis.

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The relationship between dopaminergic treatment and freezing of gait (FOG) in Parkinson’s disease (PD) is complex: levodopa is the most effective symptomatic treatment for FOG, but long-term pulsatile levodopa treatment has also been linked to an increase in the occurrence of FOG. This concept, however, continues to be debated. Here, we compared the occurrence of FOG between a levodopa-naive PD cohort and a levodopa-treated cohort. Forty-nine treatment-naive patients and 150 levodopa-treated patients were included. The time since first motor symptoms was at least 5 years. Disease severity was assessed using the MDS-UPDRS part III. Occurrence of FOG was assessed subjectively (new freezing-of-gait-questionnaire) and objectively (rapid turns test and Timed Up-and-Go test). The presence of FOG was compared between the levodopa-treated and levodopa-naive groups using a chi-square test of homogeneity. We also performed a binomial Firth logistic regression with disease duration, disease severity, country of inclusion, location of measurement, and executive function as covariates. Subjective FOG was more common in the levodopa-treated cohort (n = 41, 27%) compared to the levodopa-naive cohort (n = 2, 4%, p < 0.001). The association between FOG and levodopa treatment remained after adjustment for covariates (OR = 6.04, 95%Cl [1.60, 33.44], p = 0.006). Objectively verified FOG was more common in the levodopa-treated cohort (n = 21, 14%) compared to the levodopa-naive cohort (n = 1, 2%, p = 0.02). We found an association between long-term pulsatile levodopa treatment and an increased occurrence of FOG. Future studies should further explore the role of nonphysiological stimulation of dopamine receptors in generating FOG, as a basis for possible prevention studies.

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Section: Discussionmentioning

confidence: 99%

Exploring the levodopa-paradox of freezing of gait in dopaminergic medication-naïve Parkinson’s disease populations

Jansen,

Capato,

Darweesh

et al. 2023

npj Parkinsons Dis.

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“…In addition, Brazil has participated in international collaborations in this field, and its academic community has demonstrated a significant commitment to telemedicine research. Together, these factors have consolidated its position as a leader in adopting and developing this technology (77) (78). Six clusters can be highlighted when studying the different groupings of words according to the co-occurrence analysis.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine in Latin America: a bibliometric analysis

Carpio-Delgado,

Romero-Carazas,

Pino-Espinoza

et al. 2023

EAI Endorsed Trans Perv Health Tech

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Introduction: Telemedicine revolutionizes health care by removing geographic barriers and improving access. Although it faces challenges such as privacy and equity of access, bibliometric studies are crucial to understanding its impact and guiding future research. Methods: The study used a descriptive bibliometric methodology based on the Scopus database to analyze telemedicine research in Latin America over the last ten years, resulting in 2105 academic articles. Tools such as SciVal and VOSviewer were used to perform quantitative and visual analyses of the publications, including creating bibliometric maps. Result: From 2013-2022, 2105 academic articles on telemedicine were published in Latin America, with a significant impact on the health field. A particular focus is observed on topics such as psychological support, COVID-19, imaging diagnosis and cancer treatment, highlighting the relevance of telemedicine in these contexts. In addition, international collaboration was associated with a more significant impact. Brazil produced articles, and the importance of collaboration between academia and the corporate sector in this field was highlighted. Conclusions: Telemedicine has grown in Latin America, especially during the pandemic, offering benefits such as psychological support and expedited diagnosis and treatment; however, it faces challenges such as a lack of equitable access to technology and concerns about data privacy. Brazil leads scientific production in this field.

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“…Telemedicine is an effective method of providing medical assistance via remote consultation using telephone, email, video chat, or smartphone applications [ 144 ]. This remote consultation method is particularly suitable for the long-term management of patients with headaches and allows clinicians to track the evolution of headaches and provide timely treatment adjustments.…”

Section: Participatory Strategymentioning

confidence: 99%

New management strategies for primary headache disorders: Insights from P4 medicine

Zhang,

Huang,

Pan

et al. 2023

Heliyon

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Telemedicine in neurology: advances and possibilities

Cited by 4 publications

References 54 publications

Exploring the levodopa-paradox of freezing of gait in dopaminergic medication-naïve Parkinson’s disease populations

Exploring the levodopa-paradox of freezing of gait in dopaminergic medication-naïve Parkinson’s disease populations

Telemedicine in Latin America: a bibliometric analysis

New management strategies for primary headache disorders: Insights from P4 medicine

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