Monoclonal gammopathies: Electronic subspecialty consultation

Burwick, Nicholas; Stein, Jane; García, David; Broudy, Virginia C.; Richard, Robert E.

doi:10.1111/ejh.13019

Cited by 6 publications

(23 citation statements)

References 17 publications

(38 reference statements)

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“…Although the search retrieval included results published since 1980, the earliest eligible study was from 1998, which corresponds to our knowledge of when telemedicine was first introduced [ 71 ]. The most recent study was published in 2018 [ 56 ].…”

Section: Resultsmentioning

confidence: 99%

“…Table 1 and Table 2 summarize study characteristics for the pediatric and adult populations, respectively. Out of the 32 studies, 16 (50%) were conducted in the United States [52,53,[55][56][57]60,62,63,65,69,[71][72][73]77,78,81], 6 (19%) in Canada [58,64,68,74,75,79], 2 (6%) each in Australia [42,61], India [51,76], and Italy [54,70], and 1 (3%) each in Brazil [80], France [59], Germany [66], Ireland [67], and Rwanda [81]. Although the search retrieval included results published since 1980, the earliest eligible study was from 1998, which corresponds to our knowledge of when telemedicine was first introduced [71].…”

Section: Description Of the Included Studiesmentioning

confidence: 99%

“…The sample size ranged from 1 [74] to 217,014 [62], with a median of 157 and a mean of 7977 participants per study. Overall, 21 studies enrolled ≥100 participants [51,[53][54][55][56][57][58][59][60]62,63,[65][66][67][68][69][70]72,73,76,80] and 11 had <100 participants [42,52,61,64,71,74,75,[77][78][79]81].…”

Section: Description Of the Included Studiesmentioning

confidence: 99%

“…Of the 32 included studies, 12 (34%) studied malignant hematological conditions [42,53,[58][59][60][61]64,67,69,77,80,81], 18 (59%) studied nonmalignant conditions with percentages [51,52,[54][55][56][57]62,63,65,66,68,[70][71][72][73][74]76,78], and 2 (6%) studied both malignant and nonmalignant conditions [75,79]. [68,79], 1 (3%) was a case study [74], 1 (3%) was a pre-post study [54], 1 (3%) was a noncomparative prospective study [59], and 1 (3%) was a prospective cohort study [66].…”

Section: Description Of the Included Studiesmentioning

confidence: 99%

“…Follow-up activity after the telemedicine interventions was tracked in six of the studies in the forms of postintervention neuroimaging examination (n=1, 17%) [77], follow-up assessments (n=3, 50%) [52,53,64], number of patient visits (n=1, 17%) [62], and interview (n=1, 17%) [82]. Based on the GRADE criteria, four included studies were rated as "moderate" [52,53,69,77], four were rated as "low" [54,61,70,79], and 24 were rated as "very low" [42,51,[55][56][57][58][59][60][62][63][64][65][66][67][68][71][72][73][74][75][76]78,80,81]. The "low" and "very low" ratings were mainly a result of the type of study and indirectness of evidence.…”

Section: Description Of the Included Studiesmentioning

confidence: 99%

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Telemedicine in Malignant and Nonmalignant Hematology: Systematic Review of Pediatric and Adult Studies

Shah

O’Dwyer

Badawy

2021

JMIR Mhealth Uhealth

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Background Telemedicine, including video-, web-, and telephone-based interventions, is used in adult and pediatric populations to deliver health care and communicate with patients. In the realm of hematology, telemedicine has recently been used to safely and efficiently monitor treatment side-effects, perform consultations, and broaden the reach of subspecialty care. Objective We aimed to synthesize and analyze information regarding the feasibility, acceptability, and potential benefits of telemedicine interventions in malignant and nonmalignant hematology, as well as assess the recognized limitations of these interventions. Methods Studies were identified through a comprehensive Medical Subject Headings (MeSH) search on the PubMed MEDLINE, Controlled Register of Clinical Trials (Cochrane CENTRAL from Wiley), Embase, and CINAHL (EBSCO) databases on February 7, 2018. A second search, utilizing the same search strategy, was performed on October 1, 2020. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in the reporting of included evidence. Included studies were original articles researching the feasibility, acceptability, and clinical outcomes of telemedicine or telehealth interventions in pediatric or adult populations with malignant or nonmalignant hematological conditions. Data items in the extraction form included first author name, publication year, country, malignant or nonmalignant hematological condition or disease focus of the study, participant age, participant age subgroup (pediatric or adult), study design and setting, telemedicine intervention type and description, study purpose, and main study outcomes. Results A total of 32 articles met the preset criteria and were included in this study. Most (25/32) studies were conducted in adults, and the remaining (7/32) were conducted in the pediatric population. Of the 32 studies, 12 studied malignant hematological conditions, 18 studied nonmalignant conditions, and two studied both malignant and nonmalignant conditions. Study types included pilot study (11/32), retrospective study (9/32), randomized controlled trial (6/32), cross-sectional study (2/32), case study (1/32), pre-post study (1/32), noncomparative prospective study (1/32), and prospective cohort study (1/32). The three main types of telemedicine interventions utilized across all studies were video-based (9/32), telephone-based (9/32), and web-based interventions (14/32). Study results showed comparable outcomes between telemedicine and traditional patient encounter groups across both pediatric and adult populations for malignant and nonmalignant hematological conditions. Conclusions Evidence from this review suggests that telemedicine use in nonmalignant and malignant hematology provides similar or improved health care compared to face-to-face encounters in both pediatric and adult populations. Telemedicine interventions utilized in the included studies were well received in both pediatric and adult settings. However, more research is needed to determine the efficacy of implementing more widespread use of telemedicine for hematological conditions.

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Section: Resultsmentioning

confidence: 99%

Section: Description Of the Included Studiesmentioning

confidence: 99%

Section: Description Of the Included Studiesmentioning

confidence: 99%

Section: Description Of the Included Studiesmentioning

confidence: 99%

Section: Description Of the Included Studiesmentioning

confidence: 99%

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Telemedicine in Malignant and Nonmalignant Hematology: Systematic Review of Pediatric and Adult Studies

Shah

O’Dwyer

Badawy

2021

JMIR Mhealth Uhealth

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Family Physician–to–Hospital Specialist Electronic Consultation and Access to Hospital Care

Peeters,

Reichel,

Muris

et al. 2024

JAMA Netw Open

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ImportanceGlobally, health care systems face challenges in managing health care costs while maintaining access to hospital care, quality of care, and a good work balance for caregivers. Electronic consultations (e-consultations)—defined as asynchronous, consultative communication between family physicians and hospital specialists—may offer advantages to face these challenges.ObjectiveTo provide a quantitative synthesis of the association of e-consultation with access to hospital care and the avoidance of hospital referrals.Evidence ReviewA systematic search through PubMed, MEDLINE, and Embase was conducted. Eligible studies included original research studies published from January 2010 to March 2023 in English, Dutch, or German that reported on outcomes associated with access to hospital care and the avoidance of hospital referrals. Reference lists of included articles were searched for additional studies. Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) scores were assigned to assess quality of evidence.FindingsThe search strategy resulted in 583 records, of which 72 studies were eligible for data extraction after applying exclusion criteria. Most studies were observational, focused on multispecialty services, and were performed in either Canada or the US. Outcomes on access to hospital care and the avoidance of referrals indicated that e-consultation was associated with improved access to hospital care and an increase in avoided referrals to the hospital specialist, although outcomes greatly differed across studies. GRADE scores were low or very low across studies.Conclusions and RelevanceIn this systematic review of the association of e-consultation with access to hospital care and the avoidance of hospital referrals, results indicated that the use of e-consultation has greatly increased over the years. Although e-consultation was associated with improved access to hospital care and avoidance of hospital referrals, it was hard to draw a conclusion about these outcomes due to heterogeneity and lack of high-quality evidence (eg, from randomized clinical trials). Nevertheless, these results suggest that e-consultation seems to be a promising digital health care implementation, but more rigorous studies are needed; nonrandomized trial designs should be used, and appropriate outcomes should be chosen in future research on this topic.

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Multiple Myeloma for the Primary Care Provider: A Practical Review to Promote Earlier Diagnosis Among Diverse Populations

Mıkhael

Bhutani

Cole

2023

The American Journal of Medicine

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Monoclonal gammopathies: Electronic subspecialty consultation

Abstract: E-consult is a helpful mechanism for the evaluation of MGUS, reducing the need for outpatient appointments. However, timely risk stratification and persistent surveillance over time are critical for e-consult to work well.

Cited by 6 publications

References 17 publications

Telemedicine in Malignant and Nonmalignant Hematology: Systematic Review of Pediatric and Adult Studies

Telemedicine in Malignant and Nonmalignant Hematology: Systematic Review of Pediatric and Adult Studies

Family Physician–to–Hospital Specialist Electronic Consultation and Access to Hospital Care

Multiple Myeloma for the Primary Care Provider: A Practical Review to Promote Earlier Diagnosis Among Diverse Populations

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