The effect of telemedicine on the duration of treatment in dementia patients
We studied 442 patients who met the DSM-IV-TR criteria for dementia and whose treatment was initiated at the Kangwon National University Hospital (KNUH) in Chuncheon. Over a five-year period, there were 259 patients who regularly visited the KNUH dementia clinic in person, and 168 patients who recei...
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| Veröffentlicht in: | Journal of telemedicine and telecare 2015-06, Vol.21 (4), p.214-218 |
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| creator | Cheong, Chae-Kyo Lim, Kyu-Hyoung Jang, Jae-Won Jhoo, Jin Hyeong |
| description | We studied 442 patients who met the DSM-IV-TR criteria for dementia and whose treatment was initiated at the Kangwon National University Hospital (KNUH) in Chuncheon. Over a five-year period, there were 259 patients who regularly visited the KNUH dementia clinic in person, and 168 patients who received medical services from the dementia clinic via telemedicine. The telemedicine patients attended a public health centre in Hongcheon, a facility located in a rural area about 50 km south east of the KNUH. The mean treatment duration was significantly longer for the telemedicine group than for the clinical visit group (P |
| doi_str_mv | 10.1177/1357633X14566571 |
| format | Article |
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Over a five-year period, there were 259 patients who regularly visited the KNUH dementia clinic in person, and 168 patients who received medical services from the dementia clinic via telemedicine. The telemedicine patients attended a public health centre in Hongcheon, a facility located in a rural area about 50 km south east of the KNUH. The mean treatment duration was significantly longer for the telemedicine group than for the clinical visit group (P < 0.001), with durations of 26.6 and 14.6 months, respectively. Low Clinical Dementia Rating scores (hazard ratio = 1.47, 95% confidence interval = 1.26–1.71) and use of telemedicine (hazard ratio = 0.55, 95% confidence interval = 0.42–0.72) were found to be independent predictive factors of increased treatment duration. These findings suggest that telemedicine may be useful in slowing disease progression in dementia patients in rural areas.</description><identifier>ISSN: 1357-633X</identifier><identifier>EISSN: 1758-1109</identifier><identifier>DOI: 10.1177/1357633X14566571</identifier><identifier>PMID: 25586813</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Ambulatory Care Facilities - statistics & numerical data ; Dementia - therapy ; Disease Progression ; Female ; Humans ; Male ; Middle Aged ; Republic of Korea ; Telemedicine ; Time Factors</subject><ispartof>Journal of telemedicine and telecare, 2015-06, Vol.21 (4), p.214-218</ispartof><rights>The Author(s) 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav</rights><rights>The Author(s) 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-4e591a49416ab33fd96c03fcafbe457ea7d3b565ffa085dee695369a28d81943</citedby><cites>FETCH-LOGICAL-c403t-4e591a49416ab33fd96c03fcafbe457ea7d3b565ffa085dee695369a28d81943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1357633X14566571$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1357633X14566571$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25586813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheong, Chae-Kyo</creatorcontrib><creatorcontrib>Lim, Kyu-Hyoung</creatorcontrib><creatorcontrib>Jang, Jae-Won</creatorcontrib><creatorcontrib>Jhoo, Jin Hyeong</creatorcontrib><title>The effect of telemedicine on the duration of treatment in dementia patients</title><title>Journal of telemedicine and telecare</title><addtitle>J Telemed Telecare</addtitle><description>We studied 442 patients who met the DSM-IV-TR criteria for dementia and whose treatment was initiated at the Kangwon National University Hospital (KNUH) in Chuncheon. Over a five-year period, there were 259 patients who regularly visited the KNUH dementia clinic in person, and 168 patients who received medical services from the dementia clinic via telemedicine. The telemedicine patients attended a public health centre in Hongcheon, a facility located in a rural area about 50 km south east of the KNUH. The mean treatment duration was significantly longer for the telemedicine group than for the clinical visit group (P < 0.001), with durations of 26.6 and 14.6 months, respectively. Low Clinical Dementia Rating scores (hazard ratio = 1.47, 95% confidence interval = 1.26–1.71) and use of telemedicine (hazard ratio = 0.55, 95% confidence interval = 0.42–0.72) were found to be independent predictive factors of increased treatment duration. These findings suggest that telemedicine may be useful in slowing disease progression in dementia patients in rural areas.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ambulatory Care Facilities - statistics & numerical data</subject><subject>Dementia - therapy</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Republic of Korea</subject><subject>Telemedicine</subject><subject>Time Factors</subject><issn>1357-633X</issn><issn>1758-1109</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1PwzAUxC0EoqWwMyGPLAG_-iPxiCoKSJVYOrBFTvIMrvJRbGfgv8dRCwMSk8_63Z30jpBrYHcAeX4PXOaK8zcQUimZwwmZQy6LDIDp06QTziY-Ixch7BhbJqM-J7OllIUqgM_JZvuBFK3FOtLB0ogtdti42vVIh57GRJvRm-jSZ-IeTeywj9T1tMFJOUP3iScVLsmZNW3Aq-O7INv143b1nG1en15WD5usFozHTKDUYIQWoEzFuW20qhm3tbEVCpmjyRteSSWtNayQDaLSkittlkVTgBZ8QW4PtXs_fI4YYtm5UGPbmh6HMZSgCiWY1im1IOxgrf0Qgkdb7r3rjP8qgZXThOXfCVPk5tg-VmmK38DPZsmQHQzBvGO5G0bfp2P_L_wG15t5HA</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Cheong, Chae-Kyo</creator><creator>Lim, Kyu-Hyoung</creator><creator>Jang, Jae-Won</creator><creator>Jhoo, Jin Hyeong</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150601</creationdate><title>The effect of telemedicine on the duration of treatment in dementia patients</title><author>Cheong, Chae-Kyo ; Lim, Kyu-Hyoung ; Jang, Jae-Won ; Jhoo, Jin Hyeong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-4e591a49416ab33fd96c03fcafbe457ea7d3b565ffa085dee695369a28d81943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ambulatory Care Facilities - statistics & numerical data</topic><topic>Dementia - therapy</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Republic of Korea</topic><topic>Telemedicine</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheong, Chae-Kyo</creatorcontrib><creatorcontrib>Lim, Kyu-Hyoung</creatorcontrib><creatorcontrib>Jang, Jae-Won</creatorcontrib><creatorcontrib>Jhoo, Jin Hyeong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of telemedicine and telecare</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheong, Chae-Kyo</au><au>Lim, Kyu-Hyoung</au><au>Jang, Jae-Won</au><au>Jhoo, Jin Hyeong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of telemedicine on the duration of treatment in dementia patients</atitle><jtitle>Journal of telemedicine and telecare</jtitle><addtitle>J Telemed Telecare</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>21</volume><issue>4</issue><spage>214</spage><epage>218</epage><pages>214-218</pages><issn>1357-633X</issn><eissn>1758-1109</eissn><abstract>We studied 442 patients who met the DSM-IV-TR criteria for dementia and whose treatment was initiated at the Kangwon National University Hospital (KNUH) in Chuncheon. Over a five-year period, there were 259 patients who regularly visited the KNUH dementia clinic in person, and 168 patients who received medical services from the dementia clinic via telemedicine. The telemedicine patients attended a public health centre in Hongcheon, a facility located in a rural area about 50 km south east of the KNUH. The mean treatment duration was significantly longer for the telemedicine group than for the clinical visit group (P < 0.001), with durations of 26.6 and 14.6 months, respectively. Low Clinical Dementia Rating scores (hazard ratio = 1.47, 95% confidence interval = 1.26–1.71) and use of telemedicine (hazard ratio = 0.55, 95% confidence interval = 0.42–0.72) were found to be independent predictive factors of increased treatment duration. These findings suggest that telemedicine may be useful in slowing disease progression in dementia patients in rural areas.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>25586813</pmid><doi>10.1177/1357633X14566571</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of telemedicine and telecare, 2015-06, Vol.21 (4), p.214-218 |
| issn | 1357-633X 1758-1109 |
| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Aged Aged, 80 and over Ambulatory Care Facilities - statistics & numerical data Dementia - therapy Disease Progression Female Humans Male Middle Aged Republic of Korea Telemedicine Time Factors |
| title | The effect of telemedicine on the duration of treatment in dementia patients |
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