Summary of your 'study carrel' ============================== This is a summary of your Distant Reader 'study carrel'. The Distant Reader harvested & cached your content into a collection/corpus. It then applied sets of natural language processing and text mining against the collection. The results of this process was reduced to a database file -- a 'study carrel'. The study carrel can then be queried, thus bringing light specific characteristics for your collection. These characteristics can help you summarize the collection as well as enumerate things you might want to investigate more closely. This report is a terse narrative report, and when processing is complete you will be linked to a more complete narrative report. Eric Lease Morgan Number of items in the collection; 'How big is my corpus?' ---------------------------------------------------------- 43 Average length of all items measured in words; "More or less, how big is each item?" ------------------------------------------------------------------------------------ 3178 Average readability score of all items (0 = difficult; 100 = easy) ------------------------------------------------------------------ 45 Top 50 statistically significant keywords; "What is my collection about?" ------------------------------------------------------------------------- 40 telemedicine 16 patient 8 visit 8 COVID-19 4 covid-19 4 care 3 Telemedicine 2 telehealth 2 screening 2 medical 2 SARS 2 Health 1 transplant 1 subspecialist 1 study 1 sleep 1 monitoring 1 intention 1 health 1 facial 1 disease 1 diabetic 1 consultation 1 als 1 Use 1 TUQ 1 Retinopathy 1 PALTC 1 ORL 1 Medicaid 1 Glaucoma 1 Eye 1 Expectancy 1 Ebola 1 ENT 1 Disease 1 Deep 1 CoV-2 1 Cabin 1 AMD Top 50 lemmatized nouns; "What is discussed?" --------------------------------------------- 2184 telemedicine 1578 patient 928 care 787 visit 516 health 472 study 416 % 399 technology 373 use 365 service 363 pandemic 314 time 283 disease 252 telehealth 244 system 242 video 235 provider 226 person 222 consultation 214 access 207 physician 203 clinic 201 practice 200 management 200 datum 189 clinician 188 cost 185 face 183 program 181 healthcare 179 case 176 home 167 diagnosis 166 review 163 encounter 160 screening 160 evaluation 157 application 147 state 146 population 146 child 142 hospital 140 treatment 140 risk 136 examination 135 monitoring 135 information 130 need 124 barrier 123 experience Top 50 proper nouns; "What are the names of persons or places?" -------------------------------------------------------------- 386 COVID-19 273 Telemedicine 154 Health 129 al 116 et 91 SARS 72 Telehealth 71 Medicare 69 CoV-2 66 tele 66 American 64 Care 60 Medicaid 56 DR 51 . 50 United 49 AI 47 States 45 US 42 Table 41 Medical 41 March 39 National 38 Services 38 China 38 Cabin 37 teleophthalmology 36 Retinopathy 36 HIPAA 36 Disease 36 Association 36 AMD 34 sha 34 Use 31 Coronavirus 30 J 30 Center 29 DOI 27 Review 26 Expectancy 25 CMS 25 Act 24 Tele 24 Study 24 Patient 24 Ebola 23 UK 23 Fig 23 Eye 23 Covid-19 Top 50 personal pronouns nouns; "To whom are things referred?" ------------------------------------------------------------- 357 it 356 we 165 they 39 them 25 she 23 he 22 us 16 i 12 themselves 10 you 9 one 8 itself 3 yourself 1 mg 1 him 1 her Top 50 lemmatized verbs; "What do things do?" --------------------------------------------- 3979 be 970 have 586 use 258 provide 251 include 209 base 178 increase 170 improve 167 require 160 need 155 do 147 allow 139 reduce 127 compare 112 conduct 108 identify 107 report 106 perform 104 make 98 follow 92 relate 92 demonstrate 90 show 89 see 88 limit 88 evaluate 86 find 85 utilize 83 offer 81 develop 78 remain 77 continue 76 assess 74 implement 74 give 73 facilitate 71 consider 71 address 69 help 68 support 68 regard 68 receive 65 associate 64 present 63 become 61 manage 61 enable 60 exist 60 care 59 take Top 50 lemmatized adjectives and adverbs; "How are things described?" --------------------------------------------------------------------- 409 not 384 medical 320 such 283 clinical 270 patient 269 also 259 remote 229 more 215 - 186 high 177 well 175 other 155 virtual 151 new 142 many 139 as 137 however 137 digital 130 important 128 covid-19 121 only 121 current 116 pediatric 110 low 108 most 107 primary 100 available 98 further 96 physical 95 specific 95 rural 93 diabetic 92 non 92 chronic 91 long 85 electronic 82 systematic 81 remotely 79 potential 78 acute 76 often 75 mobile 75 diagnostic 74 first 72 effective 71 future 70 surgical 70 able 69 large 67 early Top 50 lemmatized superlative adjectives; "How are things described to the extreme?" ------------------------------------------------------------------------- 39 most 25 good 21 least 13 Most 9 high 5 near 4 great 3 large 2 sick 2 low 2 late 1 warm 1 short 1 safe 1 big 1 bad 1 Least 1 -which Top 50 lemmatized superlative adverbs; "How do things do to the extreme?" ------------------------------------------------------------------------ 69 most 7 least 4 well Top 50 Internet domains; "What Webbed places are alluded to in this corpus?" ---------------------------------------------------------------------------- 2 www.rheumatology.org 2 orcid.org 1 youtu.be 1 www.uni-frankfurt 1 www.google.com 1 www 1 wissenschaft.hessen.de 1 uroweb.org 1 soziales.hessen.de 1 intouchhealth.com 1 doi 1 datawarehouse.hrsa.gov 1 creativecommons.org Top 50 URLs; "What is hyperlinked from this corpus?" ---------------------------------------------------- 1 http://youtu.be/IpF9gW9OZQQ 1 http://www.uni-frankfurt 1 http://www.rheumatology.org/Portals/0/Files/Telemedicine-Position-Statement.pdf 1 http://www.rheumatology.org/Portals/0/Files/Guiding-Principles-Urgent-vs-Non-Urgent-Services.pdf 1 http://www.google.com/maps 1 http://www 1 http://wissenschaft.hessen.de/ 1 http://uroweb.org/ 1 http://soziales.hessen.de/ 1 http://orcid.org/0000-0002-1000-3171 1 http://orcid.org/0000-0001-9973-8379David 1 http://intouchhealth.com/privacypolicy/ 1 http://doi 1 http://datawarehouse.hrsa.gov/ 1 http://creativecommons.org/licenses/by/4.0/ Top 50 email addresses; "Who are you gonna call?" ------------------------------------------------- 1 wjiang@rchsd.org Top 50 positive assertions; "What sentences are in the shape of noun-verb-noun?" ------------------------------------------------------------------------------- 6 telemedicine is not 4 telemedicine has already 4 telemedicine is likely 3 care using store 3 patients were more 3 studies have also 3 telemedicine has also 3 telemedicine has not 2 clinicians are able 2 consultations was high 2 consultations were highly 2 patient developed shortness 2 patients are able 2 patients are not 2 patients are willing 2 patients were significantly 2 physicians using plain 2 providers using telemedicine 2 services are not 2 telemedicine do not 2 telemedicine has several 2 telemedicine is also 2 telemedicine is as 2 telemedicine is often 2 telemedicine is principally 2 telemedicine offers many 2 telemedicine was also 2 telemedicine was equivalent 2 times were significantly 2 visits are also 2 visits are now 1 % had access 1 % had regular 1 % had unreadable 1 % have access 1 % reported satisfaction 1 access using telemedicine 1 care are inherently 1 care are more 1 care are often 1 care are ongoing 1 care have difficulty 1 care improving patient 1 care is already 1 care is complex 1 care is hard 1 care is incredibly 1 care is indispensable 1 care is not 1 care is often Top 50 negative assertions; "What sentences are in the shape of noun-verb-no|not-noun?" --------------------------------------------------------------------------------------- 1 clinician is not adequate 1 diseases are not uncommon 1 health has not yet 1 patient is not actually 1 patients are not able 1 patients is not applicable 1 physicians are not available 1 services are not adequately 1 services are not appropriately 1 studies are not able 1 study are not publicly 1 study requires no ethics 1 systems are not novel 1 technology is not available 1 telehealth is not adequate 1 telemedicine did not negatively 1 telemedicine do not necessarily 1 telemedicine is not able 1 telemedicine is not immune 1 telemedicine is not new 1 telemedicine is not only 1 telemedicine was no longer A rudimentary bibliography -------------------------- id = cord-330545-jrmott3i author = Abuzeineh, Mohammad title = Telemedicine in the Care of Kidney Transplant Recipients with COVID-19: Case Reports date = 2020-07-16 keywords = COVID-19; telemedicine; transplant summary = doi = 10.1016/j.transproceed.2020.07.009 id = cord-266371-eynmgvbd author = Baudier, Patricia title = The future of Telemedicine Cabin? The case of the French students’ acceptability() date = 2020-06-13 keywords = Cabin; Expectancy; Telemedicine; Use; intention summary = doi = 10.1016/j.futures.2020.102595 id = cord-343205-zjw4fbfd author = Bhaskar, Sonu title = Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2) date = 2020-09-07 keywords = COVID-19; care; disease; health; monitoring; patient; telemedicine summary = Due to the COVID-19 pandemic, the American College of Cardiology urgently updated its guidance on "Telehealth: Rapid Implementation for Your Cardiology Clinic, " in which it encouraged remote monitoring and virtual visits of patients with cardiac problems (16) . A program developed in Germany known as TRANSIT-stroke, in which rural hospitals established a telemedicine network, saw an improvement in patient outcomes as neurological assessment was made faster, treatments were issued within the required timeframe, and 24 h neurologist access was enabled (27) . The rapid move by various bodies, associations, and providers to use telemedicine in maintaining patient continuity while limiting COVID-19 risks of exposure to patients and healthcare workers will have a long-term impact well-beyond the current pandemic. Key Strategies for clinical management and improvement of healthcare services for cardiovascular disease and diabetes patients in the coronavirus (COVID-19) settings: recommendations from the REPROGRAM consortium doi = 10.3389/fpubh.2020.00410 id = cord-345809-tevi0sup author = Bidmead, Elaine title = Covid-19 and the ‘new normal’: are remote video consultations here to stay? date = 2020-08-22 keywords = consultation; covid-19; telemedicine summary = doi = 10.1093/bmb/ldaa025 id = cord-281796-sutgyaep author = Bluman, Eric M. title = Orthopedic telemedicine encounter during the COVID-19 pandemic: A cautionary tale date = 2020-06-27 keywords = telemedicine summary = The COVID-19 pandemic has necessitated increased use of telemedicine for diagnosis and management of musculoskeletal disorders. J o u r n a l P r e -p r o o f Summary The COVID-19 pandemic has necessitated increased use of telemedicine for diagnosis and management of musculoskeletal disorders. We describe the initial virtual/telemedicine encounter and management of a patient with knee pain initially diagnosed as gonarthrosis but that actually resulted from an impending pathologic fracture of the femur. We describe the initial virtual/telemedicine encounter and management of a patient with knee pain initially diagnosed as gonarthrosis but that actually resulted from an impending pathologic fracture of the femur. One obvious drawback to using telemedicine visits is the limitation placed in conducting a physical examination. Physical examinations through the video component of eVisits are also limited, albeit less so than with telephonic encounters. Some locales have services that provide mobile imaging at the home of the patient. doi = 10.1016/j.tcr.2020.100323 id = cord-254040-s3k51rkk author = Bombaci, Alessandro title = Telemedicine for management of patients with amyotrophic lateral sclerosis through COVID-19 tail date = 2020-10-06 keywords = als; patient; telemedicine summary = In this context, patients affected by chronic neurological diseases, such as amyotrophic lateral sclerosis (ALS), are at risk to be lost at follow-up, leading to a higher risk of morbidity and mortality. In this context, patients affected by chronic neurological diseases, such as amyotrophic lateral sclerosis (ALS), are at risk of being lost at follow-up with a consequently higher morbidity and mortality. Neurological examination and ALS Functional Rating Scale revised (ALSFRSr) are the most important tools to monitor disease progression. In a recent randomized trial comparing remote nutritional counseling with or without mobile health technology in ALS patients, Nu Planit application was an acceptable and useful mobile app to check nutritional status [17] . In conclusion, implementing telemedicine services for patients with ALS is necessary to allow direct clinical evaluation during COVID-19 pandemic, in order to plan the appropriate medical and nursing care, avoiding hospitalizations or urgent interventions. Telemedicine for patients with amyotrophic lateral sclerosis during COVID-19 pandemic: an Italian ALS referral center experience doi = 10.1007/s10072-020-04783-x id = cord-287350-xj2i6fgd author = Camhi, Stephanie S. title = Telehealth Training Is Essential to Care for Underserved Populations: a Medical Student Perspective date = 2020-06-15 keywords = medical; telehealth; telemedicine summary = doi = 10.1007/s40670-020-01008-w id = cord-282730-pawasfh4 author = Contreras, Carlo M. title = Telemedicine: Patient-Provider Clinical Engagement During the COVID-19 Pandemic and Beyond date = 2020-05-08 keywords = COVID-19; patient; telemedicine summary = RESULTS: At many institutions, the number of telemedicine visits dramatically increased within days following the institution of novel coronavirus pandemic restrictions on in-person clinical encounters. To minimize interruption of crucial clinical services and the associated revenue, a rapid transition from in-person outpatient visits to telemedicine encounters was implemented by many academic medical centers and adopted by surgery departments throughout the country. The Centers for Medicare and Medicaid Services (CMS) sought to decrease in-person medical visits by issuing a temporary and emergency relaxation of telemedicine rules via the 1135 waiver and the Coronavirus Preparedness and Response Supplemental Appropriations Act. Enacted on March 6, 2020, this act allowed Original Medicare enrollees the same telemedicine benefits that had been extended to Medicare Advantage enrollees in January 2020. In addition, on March 13, 2020 the FCC funded the Rural Health Care Program that aims to make telemedicine services available to geographically remote patients. doi = 10.1007/s11605-020-04623-5 id = cord-322394-b18fv3r3 author = Eichberg, Daniel G title = Telemedicine in Neurosurgery: Lessons Learned from a Systematic Review of the Literature for the COVID-19 Era and Beyond date = 2020-07-20 keywords = patient; telemedicine; visit summary = doi = 10.1093/neuros/nyaa306 id = cord-314028-sf8zt9r9 author = Esposito, Susanna title = Telemedicine for management of paediatric infectious diseases during COVID-19 outbreak date = 2020-06-23 keywords = telemedicine summary = From March 7 to May 3, during the lockdown phase, 61 requests of telemedicine consultation (28, 45.9%, males; mean age ± standard deviation, 4.69 ± 3.22 years) to the paediatric infectious disease specialist in the hospital by the primary care paediatricians were made. A total of 55 (90.2%) paediatric problems that without telemedicine support could have led the patient to the emergency room of the hospital were solved in the community: 30 (54.5%) children with fever of unknown origin, 20 (36.4%) with skin rash, 3 (5.5%) with suspected primary immunodeficiency and 2 (3.6%) with acrocyanosis. This experience shows that during the COVID-19 outbreak, the use of telemedicine for the management of paediatric infectious diseases permitted us to avoid hospital access J o u r n a l P r e -p r o o f in 90% of the cases, favouring reduction of the pressure on the hospitals. Our experience shows that telemedicine may be an easy and effective measure to solve many paediatric problems in the community during COVID-19 outbreak, reducing emergency room visits. doi = 10.1016/j.jcv.2020.104522 id = cord-330017-t14o7rua author = Galiero, Raffaele title = The Importance of Telemedicine during COVID-19 Pandemic: A Focus on Diabetic Retinopathy date = 2020-10-14 keywords = COVID-19; diabetic; telemedicine summary = doi = 10.1155/2020/9036847 id = cord-323625-co5j8wwd author = Garcia, Marcos Vinicius Fernandes title = Telemedicine, legal certainty, and COVID-19: where are we? date = 2020 keywords = telemedicine summary = doi = 10.36416/1806-3756/e20200363 id = cord-300620-scauefiv author = Gillespie, Suzanne M. title = Innovation Through Regulation: COVID-19 and the Evolving Utility of Telemedicine date = 2020-07-28 keywords = PALTC; telemedicine summary = doi = 10.1016/j.jamda.2020.06.054 id = cord-257229-5ml5ceu0 author = Grandizio, Louis C. title = Telemedicine After Upper Extremity Surgery: A Prospective Study of Program Implementation date = 2020-07-18 keywords = telemedicine; visit summary = We aimed to compare travel burden, visit time, and patient satisfaction between an initial postoperative telemedicine visit and a second conventional in-clinic visit. METHODS: Telemedicine guidelines established by our hospital system were used as inclusion criteria for this prospective study, which included patients indicated for surgery in the outpatient clinic during a 3-month period. CONCLUSIONS: A telemedicine program for postoperative care after hand and upper extremity surgery decreases travel burdens associated with conventional in-clinic appointments. CLINICAL RELEVANCE: Telemedicine after hand and upper extremity surgery results in high levels of patient satisfaction and decreases visit times and the travel burdens associated with conventional in-clinic appointments. We aimed to compare travel burden, visit time, patient satisfaction, and ease of use between an initial postoperative telemedicine visit and the second conventional inclinic visit. A telemedicine program for postoperative care after hand and upper extremity surgery decreases travel burdens associated with conventional in-clinic appointments. doi = 10.1016/j.jhsa.2020.06.002 id = cord-285277-8w03car3 author = Hare, Nathan title = COVID-19: Unmasking Telemedicine. date = 2020-06-27 keywords = COVID-19; Health; telemedicine; visit summary = doi = 10.1016/j.jaip.2020.06.038 id = cord-354885-fkgr2o9i author = Hoffer-Hawlik, Michael A. title = Leveraging Telemedicine for Chronic Disease Management in Low- and Middle-Income Countries During Covid-19 date = 2020-09-15 keywords = covid-19; telemedicine summary = doi = 10.5334/gh.852 id = cord-259395-ytj21cit author = Hoyo, Javier Del title = Implementing Telemedicine in Inflammatory Bowel Disease: is COVID-19 the definitive trigger? date = 2020-05-15 keywords = Disease; telemedicine summary = the pandemic, we already lived times of overwhelmed consultations with financial constraints, and the promise of telemedicine for improving access to better health services at lower costs drew attention to its use. Moreover, the efficacy of telemedicine on health outcomes is inconsistent across different programs used in inflammatory bowel disease (IBD), and their value is difficult to establish when only few economic data are available. In a previous pilot trial, TECCU showed to be a safe strategy to improve health outcomes of complex IBD patients [3] , with a high probability of being more cost-effective in the short term compared to standard care and telephone care [4] . Maybe the pandemic has reduced reluctance amongst physicians to use telemedicine, but funders, policy-makers, providers and patients need to align their interests to implement remote healthcare successfully. In spite of the use of telephone and e-mail in many centers, the development of mature telemedicine programs integrated with electronic health records requires further collaborative efforts between different investigators. doi = 10.1016/j.gastrohep.2020.05.002 id = cord-309074-pys4aa60 author = Huang, Victoria W. title = Telehealth in the times of SARS-CoV-2 infection for the Otolaryngologist date = 2020-05-30 keywords = CoV-2; SARS; telemedicine summary = doi = 10.1016/j.wjorl.2020.04.008 id = cord-321594-x5wv9p7n author = Jiang, Wen title = Equal Access to Telemedicine during COVID‐19 Pandemic: A Pediatric Otolaryngology Perspective date = 2020-10-05 keywords = patient; telemedicine; visit summary = Due to the technology requirement, our concern is that telemedicine 7 In a recently published article by Nouri et al, the authors found that, in a primary care practice managing chronic diseases, a significantly smaller proportion of the visits after scaled-up telemedicine implementation was observed for vulnerable patients: age 65+ years, non-English language preference, and those insured by Medicare or Medicaid. Using a self-administered survey, DeMartini et al reported a high level of digital technology access among parents in an urban pediatric primary care clinic setting with a high percentage of African American and Medicaid-insured families in a low socioeconomic area. To provide a sustainable level of telemedicine care beyond the COVID-19 pandemic era and well into the future, we need to be cognizant of the language barrier and consciously structure future encounters with increased staff support and longer allotted time and examine more efficient ways to provide digital education and translational services to this population. doi = 10.1002/lary.29164 id = cord-301083-nnh95i0k author = Jumreornvong, Oranicha title = Telemedicine and Medical Education in the Age of COVID-19 date = 2020-09-10 keywords = COVID-19; care; medical; telemedicine summary = doi = 10.1097/acm.0000000000003711 id = cord-270153-krhkqcev author = Khosla, Seema title = Implementation of Synchronous Telemedicine into Clinical Practice date = 2020-08-04 keywords = patient; telemedicine; visit summary = doi = 10.1016/j.jsmc.2020.05.002 id = cord-308873-73zv5ned author = Kim, Hun-Sung title = Lessons from Temporary Telemedicine Initiated owing to Outbreak of COVID-19 date = 2020-04-30 keywords = telemedicine summary = To prepare clinical evidence in earlier telemedicine projects, various medical devices were used to check the patient''s condition and provide medical treatment through videotelephony [5] [6] [7] [8] . For this reason, it is true that the earlier telemedicine projects concentrated on medical devices and platforms to check health conditions of patient [9, 10] . Patients unfamiliar with telemedicine will be more interested in taking prescriptions for repeated medications without visiting the hospital, rather than using telemedicine for the purpose of healthcare. Unlike face-to-face medical treatment, which consists of inspection, palpitation, percussion, and auscultation, telemedicine consists only of inspection; hence, safety problems and accountability are inevitable (Currently, temporary telemedicine is a telephone consultation, without inspection. However, it is difficult to judge whether telemedicine should be adopted in the future based only on the experience of temporary telemedicine initiated during COVID-19. doi = 10.4258/hir.2020.26.2.159 id = cord-029848-dj5xqlz1 author = Mahajan, Vidushi title = Using Telemedicine During the COVID-19 Pandemic date = 2020-05-14 keywords = patient; telemedicine summary = Telemedicine is defined as the delivery of health care services, where distance is a critical factor, by all healthcare professionals using information or communication technology. Telemedicine aims to ensure equitable services to everyone, is costeffective, provides safety to both patient and doctors during pandemics, and offers timely and faster care. Telemedicine can be classified on the basis of mode of communication as (i) audio, video or text-based (video mode is preferred as it allows limited examination as well); (ii) timing of information transmitted as real time or asynchronous exchange; (iii) purpose of consult as first time or follow up (in non-emergent cases or emergency consultation); and (iv) according to individuals involved as patient to medical practitioner, caregiver to medical practitioner, medical practitioner to medical practitioner or health worker to medical practitioner [2] . Doctors should avoid giving advice in such cases and the patient must be referred for an urgent in-person visit to the nearest hospital. doi = 10.1007/s13312-020-1895-6 id = cord-344258-19zzumqf author = Mustafa, S. Shahzad title = Patient Satisfaction with Telemedicine Encounters in an Allergy/Immunology Practice During the COVID-19 Pandemic date = 2020-06-22 keywords = telemedicine summary = doi = 10.1016/j.anai.2020.06.027 id = cord-345949-6aehkrsm author = North, Steve title = Telemedicine in the Time of Coronavirus Disease and Beyond date = 2020-06-27 keywords = care; telemedicine summary = doi = 10.1016/j.jadohealth.2020.05.024 id = cord-334719-zl5mhuth author = Ohannessian, R. title = Telemedicine: Potential applications in epidemic situations date = 2015-09-30 keywords = Ebola; telemedicine summary = doi = 10.1016/j.eurtel.2015.08.002 id = cord-337338-7uj2r0gy author = Ohlstein, Jason F. title = Telemedicine in Otolaryngology in the COVID‐19 Era: Initial Lessons Learned date = 2020-08-02 keywords = Telemedicine; patient; visit summary = doi = 10.1002/lary.29030 id = cord-323273-q53wf6au author = Olivia Li, Ji-Peng title = Digital technology, tele-medicine and artificial intelligence in ophthalmology: A global perspective date = 2020-09-06 keywords = Deep; Eye; Glaucoma; Health; Retinopathy; Telemedicine; patient; screening summary = These digital innovations include artificial intelligence (AI), 5th generation (5G) telecommunication networks and the Internet of Things (IoT), creating an inter-dependent ecosystem offering opportunities to develop new models of eye care addressing the challenges of COVID-19 and beyond. This article reviews how countries across the world have utilised these digital innovations to tackle diabetic retinopathy, retinopathy of prematurity, age-related macular degeneration, glaucoma, refractive error correction, cataract and other anterior segment disorders. Several advanced techniques that assess refractive error accurately have been 1432 developed, and Patients were found to be sufficiently motivated to report their symptoms at least 1598 once a month with a good correlation between the two dry eye questionnaires 1599 (r=0.67), underscoring the potential utility of a tele-health approach for monitoring telemedicine presents different challenges in comparison to screening. doi = 10.1016/j.preteyeres.2020.100900 id = cord-310976-24b3c3a4 author = Parikh, Neil R. title = Time-Driven Activity-Based Costing Analysis of Telemedicine Services in Radiation Oncology date = 2020-10-01 keywords = patient; telemedicine summary = We used time-driven activity-based costing to evaluate the change in resource use associated with transitioning to telemedicine in a radiation oncology department. CONCLUSIONS: A modified workflow incorporating telemedicine visits and work-from-home capability conferred savings to a department as well as significant time and costs to health care workers and patients alike. 5 In this study, using a patient undergoing a 28-fraction treatment course as an example, we used TDABC to evaluate the overall change in resource use associated with transitioning to telemedicine in a radiation oncology department. For each patient undergoing 28-fraction treatment, 6 OTVs, and 1 follow-up visit, transitioning to telemedicine workflow reduced provider costs by $586 compared with the traditional workflow (Table 1 )d comprising space/equipment ($347) and personnel ($239). Compared with a traditional workflow involving in-person visits, a modified workflow incorporating telemedicine visits and work-from-home capability confers provider savings of $586/patient, with number of OTVs and cost of nursing time as the most important model inputs in the specific amount saved. doi = 10.1016/j.ijrobp.2020.06.053 id = cord-104485-3anla664 author = Patel, Tushar A title = Utilizing Telemedicine for Group Visit Provider Encounters: A Feasibility and Acceptability Study date = 2020-08-02 keywords = TUQ; telemedicine; visit summary = The objective of this study was to evaluate the feasibility and acceptability of group visit provider encounters conducted via telemedicine while CHWs led the educational sections in-person for a low-income, Latino(a) population. We conducted a prospective, feasibility and acceptability study of provider-patient telemedicine encounters in diabetes group visits at a 501(c)(3) community clinic that serves low-income (≤250% federal poverty level), uninsured individuals in Houston, Texas. We also evaluated eight focal areas of feasibility: acceptability (how participates reacted to telemedicine), adaptation (changing program (if applicable)), demand for intervention (attendance), expansion (potential success within a different population or setting), limitedefficacy testing (i.e., TUQ, clinical outcomes), implementation (likelihood telemedicine could be conducted as proposed), integration (level of change needed to initiate telemedicine), and practicality (extent telemedicine could be delivered) [21] . This study evaluated patient-provider telemedicine encounters during group visits and found that they were feasible and acceptable as evidenced by systematic positive findings on the TUQ and no negative clinical impact during the virtual months. doi = nan id = cord-267400-3mrqiofw author = Ray, Kristin N title = Telemedicine and Outpatient Subspecialty Visits among Pediatric Medicaid Beneficiaries date = 2020-04-08 keywords = Medicaid; subspecialist; telemedicine summary = Among children cared for by telemedicine-using and non-using subspecialists, we compared visit rates across child characteristics by assessing negative binomial regression interaction terms. Compared to children receiving care from telemedicine non-using subspecialists, matched children receiving care from telemedicine-using subspecialists had larger differences in visit rates by distance to care, county rurality, ZIP code median income, and child race/ethnicity (p<0.001 for interaction terms). We matched on child age group, gender, race, Medicaid eligibility category and plan type, ZIP code median income level, county rurality, distance to care, months enrolled, subspecialist characteristics, and state. Compared to children receiving care from telemedicine non-using subspecialists, matched children receiving care from telemedicine-using subspecialists had larger variation in incident rate ratios by distance to care, county rurality, ZIP code median income, and child race/ethnicity (p<0.001 for each interaction term). In conclusion, we found low use of telemedicine among subspecialists caring for pediatric Medicaid beneficiaries in 2014, but increased likelihood of telemedicine use among children in rural communities and at distance to subspecialty care. doi = 10.1016/j.acap.2020.03.014 id = cord-321030-isc3p46t author = Rodriguez Socarrás, Moises title = Telemedicine and Smart Working: Recommendations of the European Association of Urology date = 2020-07-10 keywords = covid-19; patient; telemedicine summary = EVIDENCE SYNTHESIS: Telemedicine refers to the use of electronic information and telecommunications tools to provide remote clinical health care support. It is time for us to formalize the place of telemedicine in routine urological practice, and it is our responsibility to adapt and learn about all the tools and possible strategies for their optimal implementation during the pandemic to ensure that the quality of care received by patients and the outcomes of patients and their families are of the highest standard. CONCLUSIONS: Telemedicine facilitates specialized urological clinical support at a distance, solves problems of limitations in mobility, reduces unnecessary visits to clinics, and is useful for reducing the risk of viral transmission in the current COVID-19 outbreak. As telemedicine has been used in previous epidemic outbreaks, it has rapidly been incorporated into solutions to manage COVID-19 patients and in several countries for continuation of specialty care such as urology. doi = 10.1016/j.eururo.2020.06.031 id = cord-307808-0t6sw0zp author = Romanick-Schmiedl, Sue title = Telemedicine — maintaining quality during times of transition date = 2020-06-01 keywords = patient; telemedicine summary = To decrease transmission of SARS-CoV-2, the virus responsible for COVID-19, while maintaining health-care access, telehealth -particularly, virtual visits in place of traditional in-person visits -has expanded rapidly around the world. Telemedicine specifically addresses the diagnosis, treatment and monitoring of patients (including history taking and appropriate physical examination) by means of electronic technology. In the midst of these major changes, clinicians are still responsible for ensuring patients receive the care they need, as well as understand the limitations of telemedicine visits. However, we feel strongly that complex medical problems involving major decision-making, such as in follow-up of organ transplant recipients who are manifesting symptoms suggestive of infection or rejection, require in-person patient evaluation. Health-care providers should be prepared to interrupt digital visits or arrange timely follow-up as necessary, so that any patient identified as requiring in-person evaluation will be appropriately directed to receive timely medical attention. doi = 10.1038/s41572-020-0185-x id = cord-333003-t1lo5jpv author = Said, Mena title = Navigating telemedicine for facial trauma during the COVID‐19 pandemic date = 2020-07-09 keywords = facial; telemedicine summary = As some telemedicine and telecommunication support tools have been incorporated into the otolaryngology practice in response to safety and access demands, it is essential to review how these tools and services can help facilitate facial trauma evaluation during a time when clinical resources are limited. OBJECTIVE: To review applications of telemedicine for the evaluation of facial trauma to better direct utilization of these methods and technologies during times of limited access to clinical resources such as the COVID‐19 pandemic. Telemedicine may provide a potential useful tool in the evaluation and triage of facial injuries and patient engagement. 11 As technologies developed and internet access improved over the years, however, some physicians envisioned telemedicine''s practical potential for facilitating medical care, such as implementing tele-tools for consultation to the underserved, proctored surgery, treatment, education, and research. Two studies explored the potential for using telemedicine tools to engage the patient in participating in their own facial trauma evaluation and follow up. doi = 10.1002/lio2.428 id = cord-271573-qsr3ka5p author = Schafer, Austin title = Telemedicine in Pediatric Otolaryngology: Ready for Prime Time? date = 2020-09-24 keywords = ENT; study; telemedicine summary = In a 2008 study, Smith and colleagues 5 attempted to determine concordance between pediatric otolaryngology diagnoses and surgical management plans made via a live videoconference and a subsequent, in-office consultation. 11, 12, 14 More recently, Gupta and colleagues 7 published a study in 2020 that examined the feasibility of equipping trained health workers with a store and forward telemedicine device to triage underserved otology patients in India. While much of the literature focuses on store and forward telemedicine in the context of providing care to remote or underserved populations, its benefits should be considered by all ENT practices during the COVID-19 era, as advances in technology have improved its cost effectiveness and convenience. Both of these studies indicate that smartphone otoscopy can be performed by parents; however, the diagnostic reliability of the captured media must improve for this technology to be widely implemented. doi = 10.1016/j.ijporl.2020.110399 id = cord-294487-hcuzxhb3 author = Shenoi, Susan title = Telemedicine in pediatric rheumatology: this is the time for the community to embrace a new way of clinical practice date = 2020-10-31 keywords = patient; telemedicine; visit summary = The current COVID 19 global pandemic has forced a paradigm shift with many centers rapidly adopting virtual visits to conduct care resulting in rapid expansion of use of telemedicine amongst practices. BODY: This commentary discusses practical tips for physicians including guidance around administrative and governance issues, preparation for telemedicine, involving the multidisciplinary care team, and teaching considerations. CONCLUSION: This commentary provides a starting framework for telemedicine use in pediatric rheumatology and further work on validation and acceptability is needed. Virtual care models with remote clinics and video visits (e-visits or telemedicine) have become widespread practice overnight. This commentary describes practical creative approaches based on our experiences and discusses the potential for telemedicine to address unmet needs in the wider context of pediatric rheumatology. Young patients (< 3 years) are more challenging to keep on task with a virtual joint exam, but a care-giver only visit to discuss symptoms or medication side effects is often feasible. Decreasing patient cost and travel time through pediatric rheumatology telemedicine visits doi = 10.1186/s12969-020-00476-z id = cord-306293-miyc5kok author = Sherman, Courtney B title = In‐Person Outreach and Telemedicine in Liver and Intestinal Transplant: A Survey of National Practices, Impact of COVID‐19 and Areas of Opportunity date = 2020-08-09 keywords = covid-19; telemedicine summary = During the COVID-19 pandemic, among 55 of the 73 original responding programs (75%) from all 11 OPTN regions, telemedicine use increased from 16% to 98% and was used throughout all phases of transplant care. We conducted a national survey of all liver and intestinal adult and pediatric transplant programs active in 2018 in UNOS to assess practice patterns of in-person outreach clinics and telemedicine from January to March 2019. We assessed the use of outreach clinics as well as live video and asynchronous telemedicine (e.g. electronic consultation by review of medical records or imaging studies), including the frequency of telemedicine, duration of use, phase of transplant care in which it was used, providing care across state lines, and reimbursement. Given high clinical demands during the COVID-19 pandemic, our follow-up survey asked targeted questions limited to: 1) use of synchronous telemedicine modality (live video, telephone, both), 2) type of provider using telemedicine, 3) phase of transplant care for which telemedicine was used. doi = 10.1002/lt.25868 id = cord-265934-wjdxqj8h author = Singh, Amrita K. title = A Review of Telemedicine Applications in Otorhinolaryngology: Considerations During the Coronavirus Disease of 2019 Pandemic date = 2020-10-01 keywords = COVID-19; ORL; patient; telemedicine summary = 21 Recent studies on remote free flap monitoring provide clear examples of how telemedicine can not only expedite care, but also improve patient outcomes. There is a further need for controlled studies comparing telemedicine to in-person assessment of head and neck cancer patients in terms of cost, safety, surveillance adherence, and oncologic outcomes. published clinical practice guidelines for the management of dysphagia in the COVID-19 pandemic, suggesting use of telemedicine for triage and remote evaluation. 63 High levels of patient satisfaction were also achieved with smartphone-based follow-up of facial cosmetic surgery and reviewing images remotely. Telemedicine has a wide applicability in pediatric ORL for obtaining patient history and assessing need for common surgeries such as obstructive sleep apnea, recurrent tonsillitis, and recurrent otitis media (Table VII) . Utilization of SAF techniques have already proven useful in head and neck oncology consultations, remote otologic and audiologic evaluation, cochlear implant and hearing aid management, laryngeal ultrasonography, nasolaryngoscopy, as well as CT sinus review. doi = 10.1002/lary.29131 id = cord-333123-pglsgi2f author = Singh, Jaspal title = Overview of Telemedicine and Sleep Disorders date = 2020-07-02 keywords = sleep; telehealth; telemedicine summary = doi = 10.1016/j.jsmc.2020.05.005 id = cord-311000-abntwzuy author = Sommer, Adir C. title = Telemedicine in ophthalmology in view of the emerging COVID-19 outbreak date = 2020-08-19 keywords = AMD; patient; screening; telemedicine summary = doi = 10.1007/s00417-020-04879-2 id = cord-312947-ppc4w23a author = Spiess, Philippe E. title = Meeting the challenge of the 2019 novel coronavirus disease in patients with cancer date = 2020-04-23 keywords = telemedicine summary = authors: Spiess, Philippe E.; Greene, John; Keenan, Robert J.; Paculdo, David; Letson, G. title: Meeting the challenge of the 2019 novel coronavirus disease in patients with cancer This commentary proposes a simple 5‐part strategy plus rapidly expanded use of telemedicine to anticipate and deal with COVID‐19 and, by extension, future epidemics in patients with cancer. Cancer Month 0, 2020 restrictions on telemedicine use, clinical trials be put into place for evaluating telemedicine''s clinical effectiveness, overall costs of care, diagnostic accuracy, and real and perceived effects on patient confidentiality. With these regulatory changes, however, providers need to be reassured that these changes and future regulatory changes, such as eliminating the need to first conduct an in-person visit before telemedicine is used, will encourage expanded use of telemedicine among oncologists to reduce COVID-19 infections today and improve access to care tomorrow. Infection in cancer patients: a continuing association doi = 10.1002/cncr.32919 id = cord-316414-1dho7mmd author = Valentino, Leonard.A. title = The role of telemedicine in the delivery of healthcare in the COVID‐19 Pandemic date = 2020-05-12 keywords = care; telemedicine summary = doi = 10.1111/hae.14044 id = cord-323980-rcyjthze author = Willems, Laurent M. title = SARS-CoV-2-related rapid reorganization of an epilepsy outpatient clinic from personal appointments to telemedicine services: A German single-center experience date = 2020-10-06 keywords = COVID-19; SARS; patient; telemedicine summary = doi = 10.1016/j.yebeh.2020.107483