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Telemedicine in an Academic Movement Disorders Center during COVID-19.
Esper, Christine Doss; Scorr, Laura; Papazian, Sosi; Bartholomew, Daniel; Esper, Gregory Jacob; Factor, Stewart Alan.
  • Esper CD; Department of Neurology, Emory University, Atlanta, GA, USA.
  • Scorr L; Department of Neurology, Emory University, Atlanta, GA, USA.
  • Papazian S; Department of Neurology, Emory University, Atlanta, GA, USA.
  • Bartholomew D; Department of Neurology, Emory University, Atlanta, GA, USA.
  • Esper GJ; Department of Neurology, Emory University, Atlanta, GA, USA.
  • Factor SA; Department of Neurology, Emory University, Atlanta, GA, USA.
J Mov Disord ; 14(2): 119-125, 2021 May.
Article in English | MEDLINE | ID: covidwho-1136663
Semantic information from SemMedBD (by NLM)
1. Telemedicine TREATS Movement Disorders
Subject
Telemedicine
Predicate
TREATS
Object
Movement Disorders
2. Patients LOCATION_OF Elements
Subject
Patients
Predicate
LOCATION_OF
Object
Elements
3. Patients USES brain stimulators
Subject
Patients
Predicate
USES
Object
brain stimulators
4. Telemedicine ADMINISTERED_TO Patients
Subject
Telemedicine
Predicate
ADMINISTERED_TO
Object
Patients
5. Movement Disorders PROCESS_OF Patients
Subject
Movement Disorders
Predicate
PROCESS_OF
Object
Patients
6. Telemedicine TREATS Movement Disorders
Subject
Telemedicine
Predicate
TREATS
Object
Movement Disorders
7. Patients LOCATION_OF Elements
Subject
Patients
Predicate
LOCATION_OF
Object
Elements
8. Patients USES brain stimulators
Subject
Patients
Predicate
USES
Object
brain stimulators
9. Telemedicine ADMINISTERED_TO Patients
Subject
Telemedicine
Predicate
ADMINISTERED_TO
Object
Patients
10. Movement Disorders PROCESS_OF Patients
Subject
Movement Disorders
Predicate
PROCESS_OF
Object
Patients
ABSTRACT

OBJECTIVE:

Telemedicine has rapidly gained momentum in movement disorder neurology during the coronavirus disease (COVID-19) pandemic to preserve clinical care while mitigating the risks of in-person visits. We present data from the rapid implementation of virtual visits in a large, academic, movement disorder practice during the COVID-19 pandemic.

METHODS:

We describe the strategic shift to virtual visits and retrospectively examine elements that impacted the ability to switch to telemedicine visits using historical prepandemic in-person data as a comparator, including demographics, distance driven, and diagnosis distribution, with an additional focus on patients with deep brain stimulators.

RESULTS:

A total of 686 telemedicine visits were performed over a five-week period (60% of those previously scheduled for in-office visits). The average age of participants was 65 years, 45% were female, and 73% were Caucasian. Men were more likely to make the transition (p = 0.02). Telemedicine patients lived farther from the clinic than those seen in person (66.47 km vs. 42.16 km, p < 0.001), age was not associated with making the switch, and patient satisfaction did not change. There was a significant shift in the distribution of movement disorder diagnoses seen by telemedicine compared to prepandemic in-person visits (p < 0.001). Patients with deep brain stimulators were more likely to use telemedicine (11.5% vs. 7%, p < 0.001).

CONCLUSION:

Telemedicine is feasible, viable and relevant in the care of movement disorder patients, although health care disparities appear evident for women and minorities. Patients with deep brain stimulators preferred telemedicine in our study. Further study is warranted to explore these findings.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: J Mov Disord Year: 2021 Document Type: Article Affiliation country: Jmd.20099

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: J Mov Disord Year: 2021 Document Type: Article Affiliation country: Jmd.20099