A trial case of medical treatment for primary headache using telemedicine

Akiyama, Hisanao; Hasegawa, Yasuhiro

doi:10.1097/md.0000000000009891

Cited by 19 publications

(19 citation statements)

References 21 publications

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“…Previous studies of internet-based interventions and telemedicine for treating various neurological (including headache) conditions support their utility in consultation and psychological therapies (5,7–15). Our study differs from previous studies in several respects.…”

Section: Discussionmentioning

confidence: 89%

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A randomized trial of telemedicine for migraine management

2019

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Objective To determine whether synchronous video-based telemedicine visits with specialists are feasible and to evaluate clinical effectiveness, patient perceptions, and other benefits of telemedicine visits for follow-up migraine care in a tertiary headache center. Design A one-year, randomized clinical trial. Results Fifty patients were screened and 45 entered the study (43 women, two men). Out of 96 scheduled visits, 89 were successfully conducted using telemedicine. Eighteen patients (out of 22) in the telemedicine cohort and 12 patients (out of 23) in the in-office cohort completed the study. In this small study, clinical outcomes, namely improvement in MIDAS, number of headache days, and average severity at 12 months for participants in the telemedicine group, were not different from those in the in-office group. Convenience was rated higher and visit times were shorter in the telemedicine group. Conclusions In this cohort of patients with severe migraine-related disability, telemedicine was a feasible mode of treatment and an effective alternative to in-office visits for follow-up migraine care. Physician productivity could be higher with telemedicine, and patients may get better access because of its convenience. Trial Registration This study is listed on ClinicalTrials.gov (NCT01706003).

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Section: Discussionmentioning

confidence: 89%

“…A case report successfully utilized telemedicine to facilitate communication between a headache medicine specialist and a patient presenting for care at a branch hospital (7). In contrast to that case report, patients participating in our telemedicine visits were not located in a clinical setting.…”

Section: Discussionmentioning

confidence: 99%

A randomized trial of telemedicine for migraine management

2019

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“…In medical treatment for a primary headache, the service consisted of face-to-face interviews, examination, cranial magnetic resonance imaging, and electroencephalogram, a discussion between 2 physicians at different locations, and prescription of medication, all through data and video transmission. The network demonstrated safe and efficacious delivery of services [ 31 ].…”

Section: Resultsmentioning

confidence: 99%

Clinical Videoconferencing as eHealth: A Critical-Realist Review and Qualitative Meta-Synthesis

2018

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BackgroundEarlier work has described videoconferencing technologies, peripheral equipment, organizational models, human relations, purposes, goals and roles as versatile, multifaceted, and those used differently in different clinical practices. Knowledge about benefits and challenges connected to specific characteristics of services are lacking. A 2005 systematic review of published definitions of electronic health (eHealth) identified 51 unique definitions. In addition, the “10 E’s of eHealth” was developed. In 2015, the question “What Is eHealth: Time for an Update?” was posed.ObjectiveConsidering videoconferencing as eHealth, the objective of the paper is twofold: to demonstrate and cluster (different) clinical videoconferencing practices and their situated implications and to suggest interpretive concepts that apply to all clusters and contribute to generative learning of eHealth by discussing the concepts as add-ons to existing descriptions of eHealth in the “10 E’s of eHealth.”MethodsWe performed a literature search via the National Center for Biotechnology Information, encompassing PubMed and PubMedCentral, for quality reviews and primary studies. We used the terms “videoconferencing” and “clinical practices.” The selection process was based upon clearly defined criteria. We used an electronic form to extract data. The analysis was inspired by critical and realist review types, grounded theory, and qualitative meta-synthesis.ResultsThe search returned 354 reviews and primary studies. This paper considered the primary studies, and 16 were included. We identified the following 4 broad clusters: videoconferencing as a controlled technological intervention within existing health care organizations for expert advice, controlled mixed interventions with experimental organizational arrangements, videoconferencing as an emerging technosocial service involving dialogue and empowerment of patients, and videoconferencing as a controlled intervention to improve administrative efficiency. The analysis across the clusters resulted in a proposal to add the following 4 D’s to the existing 10 E’s: (inter)-dependent, differentiated across services and along temporal lines, dynamic in terms of including novel elements for meeting incremental needs, and demanding in terms of making new challenges and dual results visible and needing fresh resources to meet those challenges. For a normative discussion about what eHealth should be according to authors’ conclusions, results suggested ethical, in that users interests should be respected, and not harmful in terms of increasing symptom burden.ConclusionsServices were enacted as dynamic, differentiated concerning content and considerations of quality and adaptive along temporal lines. They were made to work from an ongoing demand for fresh resources, making them interdependent. The 4 D’s—Dynamic, Differentiated, Demanding, and (inter) Dependent—serve as pragmatic add-ons to the “10 E’s of eHealth.” Questions concerning outcome of specified balances between standardization and custom...

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“…While headache clearly causes significant disability, only a small percentage of these individuals seek care in specialized clinics or hospital settings. It is estimated that only 5 percent of those with migraines receive the comprehensive medical care they deserve [ 3 , 4 ••]. Despite this, headaches still represent the second most common reason for referral to pediatric neurology [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Telemedicine in Pediatric Headache: A Review and Practical Implementation

Rosenthal

Yonker

2021

Curr Neurol Neurosci Rep

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Purpose of Review The purpose of this review was to summarize the current literature about telemedicine in pediatric headache and to provide practical guidance for its implementation. Recent Findings There are few studies dedicated to telemedicine in pediatric headache, and existing studies are small. Patients and families report high levels of satisfaction with telemedicine, and most are willing to continue telemedicine visits in the future. Telemedicine demonstrated similar reductions in headache frequency, severity, and duration as patients treated in-person. Remotely delivered psychologic interventions have some utility in reducing headache severity acutely. Families feel telemedicine reduces geographic and financial barriers to care. Summary Telemedicine in pediatric headache is a growing field. While there is limited research available, it appears safe, efficacious, and feasible. Headache-related outcomes, including frequency, severity, and duration, were similar amongst telemedicine and in-person visits. Future studies should include larger sample sizes and detailed analysis of adverse outcomes.

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A trial case of medical treatment for primary headache using telemedicine

Cited by 19 publications

References 21 publications

A randomized trial of telemedicine for migraine management

A randomized trial of telemedicine for migraine management

Clinical Videoconferencing as eHealth: A Critical-Realist Review and Qualitative Meta-Synthesis

Telemedicine in Pediatric Headache: A Review and Practical Implementation

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