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Review
. 2020 Jul:139:549-557.
doi: 10.1016/j.wneu.2020.05.066. Epub 2020 May 16.

Telemedicine in the Era of Coronavirus Disease 2019 (COVID-19): A Neurosurgical Perspective

Affiliations
Review

Telemedicine in the Era of Coronavirus Disease 2019 (COVID-19): A Neurosurgical Perspective

Rachel Blue et al. World Neurosurg. 2020 Jul.

Abstract

Despite the substantial growth of telemedicine and the evidence of its advantages, the use of telemedicine in neurosurgery has been limited. Barriers have included medicolegal issues surrounding provider reimbursement, interstate licensure, and malpractice liability as well as technological challenges. Recently, the coronavirus disease 2019 (COVID-19) pandemic has limited typical evaluation of patients with neurologic issues and resulted in a surge in demand for virtual medical visits. Meanwhile, federal and state governments took action to facilitate the rapid implementation of telehealth programs, placing a temporary lift on medicolegal barriers that had previously limited its expansion. This created a unique opportunity for widespread telehealth use to meet the surge in demand for remote medical care. After initial hurdles and challenges, our experience with telemedicine in neurosurgery at Penn Medicine has been overall positive from both the provider and the patients' perspective. One of the unique challenges we face is guiding patients to appropriately set up devices in a way that enables an effective neuroexamination. However, we argue that an accurate and comprehensive neurologic examination can be conducted through a telemedicine platform, despite minor weaknesses inherent to absence of physical presence. In addition, certain neurosurgical visits such as postoperative checks, vascular pathology, and brain tumors inherently lend themselves to easier evaluation through telehealth visits. In the era of COVID-19 and beyond, telemedicine remains a promising and effective approach to continue neurologic patient care.

Keywords: COVID-19; Clinic; Neurologic examination; Telehealth; Telemedicine.

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Figures

Figure 1
Figure 1
In-office visits versus telehealth visits at Penn Medicine.

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References

    1. Glazer E., Marshall C., Cunningham N. Remote pediatric consultation in the inner city: television or telephone? Am J Public Health. 1978;68:1133–1135. - PMC - PubMed
    1. Ryu S. Telemedicine: opportunities and developments in member states: report on the second global survey on eHealth 2009 (Global Observatory for eHealth Series, Volume 2) Healthcare Informatics Res. 2012;18:153.
    1. Kahn E.N., La Marca F., Mazzola C.A. Neurosurgery and telemedicine in the United States: assessment of the risks and opportunities. World Neurosurg. 2016;89:133–138. - PubMed
    1. Balas E.A., Jaffrey F., KupermanJ G.J. Electronic communication with patients. Evaluation of distance medicine technology. JAMA. 1997;278:152–159. - PubMed
    1. Davis L.E., Coleman J., Harnar J., King M.K. Teleneurology: successful delivery of chronic neurologic care to 354 patients living remotely in a rural state. Telemed J E Health. 2014;20:473–477. - PubMed