Physician and patient satisfaction with the switch to remote outpatient encounters in epilepsy clinics during the Covid-19 pandemic

Teng, Théo; Sareidaki, Doxa Eleni; Chémaly, Nicole; Bar, Claire; Coste-Zeitoun, Delphine; Kuchenbuch, Mathieu; Nabbout, Rima

doi:10.1016/j.seizure.2021.05.013

Cited by 12 publications

(17 citation statements)

References 25 publications

(39 reference statements)

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“…We have thus progressively identi ed a decrease in the number of telehealth activities in parallel with a progressive increase in the number of face-to-face encounters. In a study to assess caregivers' and physicians' satisfaction with telehealth, we found that only 19.6% of practitioners agreed to do a second visit in telehealth after a rst one, expressing the need to meet physically with their patients on a regular basis [12]. Although there has been an increase in telehealth activities, there remains a de cit in the total number of encounters in 2020 compared to 2019.…”

Section: Discussionmentioning

confidence: 98%

“…A large number of health care systems have swapped all or part of their encounters for remote ones [9,11,13,30]. Many studies on telehealth have asked the question: what will be the evolution of this type of encounters after the COVID-19 pandemic [9,12,13]? Our study, like others in primary care, shows a strong increase in this practice during the rst lockdown (+ 890%) [30].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of the COVID-19 Pandemic on the Care of Rare and Undiagnosed Diseases Patients in France: A Longitudinal Population-Based Study

Soussand¹,

Kuchenbuch²,

Messiaen³

et al. 2022

SSRN Journal

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on the Care of Rare and Undiagnosed Diseases Patients in France: A Longitudinal Population-Based Study

Soussand¹,

Kuchenbuch²,

Messiaen³

et al. 2022

SSRN Journal

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“…The results showed that 93% of clinicians (1,200/1,286) were satisfied with telemedicine services, and 89% (1,144/1,286) recommended telemedicine as an integral part of follow-up care after the COVID-19 pandemic. However, in a survey of telepractice visits to pediatric epilepsy clinics, physicians (79.9%) were less satisfied with telepractice than parents (91.3%) who used the telephone for their children remote encounters ( 93 ). Challenges to the widespread use of telemedicine in neurology clinics include (1) the lack of effective clinical examinations; (2) increased social isolation; (3) difficulties with patients with cognitive impairment; (4) workflow and technology availability challenges; and (5) legal issues and reimbursement problems ( 94 ).…”

Section: Discussionmentioning

confidence: 99%

A bibliometric analysis of COVID-19 publications in neurology by using the visual mapping method

Zhang

Weng

2022

Front. Public Health

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BackgroundThe characteristic symptom of coronavirus disease 2019 (COVID-19) is respiratory distress, but neurological symptoms are the most frequent extra-pulmonary symptoms. This study aims to explore the current status and hot topics of neurology-related research on COVID-19 using bibliometric analysis.MethodsPublications regarding neurology and COVID-19 were retrieved from the Web of Science Core Collection (WoSCC) on March 28 2022. The Advanced search was conducted using “TS = (‘COVID 19’ or ‘Novel Coronavirus 2019’ or ‘Coronavirus disease 2019’ or ‘2019-nCOV’ or ‘SARS-CoV-2’ or ‘coronavirus-2’) and TS = (‘neurology’or ‘neurological’ or ‘nervous system’ or ‘neurodegenerative disease’ or ‘brain’ or ‘cerebra’ or ‘nerve’)”. Microsoft Excel 2010 and VOSviewer were used to characterize the largest contributors, including the authors, journals, institutions, and countries. The hot topics and knowledge network were analyzed by CiteSpace and VOSviewer.ResultsA total of 5,329 publications between 2020 and 2022 were retrieved. The United States, Italy, and the United Kingdom were three key contributors to this field. Harvard Medical School, the Tehran University of Medical Sciences, and the UCL Queen Square Institute of Neurology were the major institutions with the largest publications. Josef Finsterer from the University of São Paulo (Austria) was the most prolific author. Tom Solomon from the University of Liverpool (UK) was the most cited author. Neurological Sciences and Frontiers in Neurology were the first two most productive journals, while Journal of Neurology held the first in terms of total citations and citations per publication. Cerebrovascular diseases, neurodegenerative diseases, encephalitis and encephalopathy, neuroimmune complications, neurological presentation in children, long COVID and mental health, and telemedicine were the central topics regarding the neurology-related research on COVID-19.ConclusionNeurology-related research on COVID-19 has attracted considerable attention worldwide. Research topics shifted from “morality, autopsy, and telemedicine” in 2020 to various COVID-19-related neurological symptoms in 2021, such as “stroke,” “Alzheimer's disease,” “Parkinson's disease,” “Guillain–Barre syndrome,” “multiple sclerosis,” “seizures in children,” and “long COVID.” “Applications of telemedicine in neurology during COVID-19 pandemic,” “COVID-19-related neurological complications and mechanism,” and “long COVID” require further study.

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“…One study reporting on the opinions of pediatric epilepsy care providers noted that 90.6% had reduced access, 3.6% had no access, and 13.5% with inpatient access only to EEG services (11). In a pediatric epilepsy center, 76% of outpatient EEGs ordered in outpatient settings were canceled in response to local restrictions on healthcare services during the Pandemic (16).…”

Section: Routine Inpatient and Outpatient Eegsmentioning

confidence: 99%

“…EEG (16). Further, the value of remote EEG monitoring during the pandemic was demonstrated by its use in evaluating the neurological complications from COVID-19 (19).…”

Section: Advancements and Opportunitiesmentioning

confidence: 99%

EEG as an indispensable tool during and after the COVID-19 pandemic: A review of tribulations and successes

Freund

Feyissa

2022

Front. Neurol.

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During the coronavirus disease 2019 (COVID-19) pandemic, elective and non-emergent tests and procedures were delayed or suspended in lieu of diverting resources to more emergent treatment of critically ill patients and to avoid the spread and contraction of COVID-19. Further, the workforce was stretched thin, and healthcare facilities saw high turnover rates for full-time and contract employees, which strained the system and reduced the ability to provide clinical services. One of the casualties of these changes was electroencephalography (EEG) procedures, which have been performed less frequently throughout the world since the pandemic. Whether considered routine or emergent, the deferral of EEG studies can cause downstream effects, including a delay in diagnosis and initiation of treatment for epilepsy and non-epileptic seizures resulting in a higher risk of morbidity and mortality. Despite these limitations, the importance and utility of EEG and EEG technologists have been reinforced with the development of COVID-related neurological complications, including encephalopathy and seizures, which require EEG for diagnosis and treatment. Since the pandemic, reliance on remote telemonitoring has further highlighted the value and ease of using EEG. There has also been a heightened interest in rapid EEG devices that non-technologist professionals can attach quickly, allowing minimum patient contact to avoid exposure to COVID-19 and taking advantage of remote EEG monitoring. This review discusses the acute and potential long-term effects of the COVID-19 pandemic on the use and performance of EEG.

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Physician and patient satisfaction with the switch to remote outpatient encounters in epilepsy clinics during the Covid-19 pandemic

Cited by 12 publications

References 25 publications

Impact of the COVID-19 Pandemic on the Care of Rare and Undiagnosed Diseases Patients in France: A Longitudinal Population-Based Study

Impact of the COVID-19 Pandemic on the Care of Rare and Undiagnosed Diseases Patients in France: A Longitudinal Population-Based Study

A bibliometric analysis of COVID-19 publications in neurology by using the visual mapping method

EEG as an indispensable tool during and after the COVID-19 pandemic: A review of tribulations and successes

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