{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:20:50Z","timestamp":1760919650910,"version":"build-2065373602"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In response to coronavirus disease 19, healthcare organizations made dramatic and immediate shifts from in\u2010person office to telehealth visits to provide care to patients while adhering to social distancing restrictions. The objective of this study was to test the efficacy of virtual visits compared with \u201cbrick and mortar\u201d (in\u2010person visits) for patients receiving home parenteral nutrition for clinical outcomes of the incidence of catheter complications and 30\u2010day readmissions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study was conducted between January 2020 and December 2020 on eligible patients managed by the Cleveland Clinic Home Nutrition Support and the Center Gut Rehabilitation and Transplant teams. Those receiving home parenteral nutrition who were seen in a follow\u2010up clinic appointment were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 189 patients studied, 103 had in\u2010person visits and 86 had virtual visits. A total of 7.9% (<jats:italic>n<\/jats:italic>\u2009=\u200915) of patients had catheter complications. Virtual visits demonstrated statistical noninferiority of the incidence of catheter\u2010related complications when compared with in\u2010person visits (90% CI, \u22120.051 to 0.106; margin &lt;0.1). Readmission incidence for in\u2010person visits was 8.5% (<jats:italic>n<\/jats:italic>\u2009=\u200916) and 6.3% (<jats:italic>n<\/jats:italic>\u2009=\u200912) for virtual visits. Virtual visits demonstrated statistical noninferiority to in\u2010person visits for incidence of readmissions after the visit (90% CI, \u22120.094 to 0.106; margin &lt;0.1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Virtual visits demonstrate noninferiority to in\u2010person visits based on the incidence of catheter complications and readmission rates. New evaluation techniques need to be developed for this high\u2010risk populations in virtual visits to establish effective and safe patient management.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpen.2771","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T05:10:19Z","timestamp":1747631419000},"page":"643-649","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between virtual visits and central line\u2013associated complications in adult patients receiving home parenteral nutrition: A retrospective cohort study"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6732-885X","authenticated-orcid":false,"given":"Kristin","family":"Munroe","sequence":"first","affiliation":[{"name":"Center for Human Nutrition, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Bestic","sequence":"additional","affiliation":[{"name":"Center for Human Nutrition, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Feczko","sequence":"additional","affiliation":[{"name":"Center for Human Nutrition, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie","family":"Davila","sequence":"additional","affiliation":[{"name":"Center for Human Nutrition, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mandy L.","family":"Corrigan","sequence":"additional","affiliation":[{"name":"Center for Human Nutrition, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald F.","family":"Kirby","sequence":"additional","affiliation":[{"name":"Center for Human Nutrition, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.01.018"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ebiom.2015.08.011"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2016.10.014"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607107031003234"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.7309\/jmtm.4.2.4"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0071238"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2014.0037"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ncp.10736"},{"key":"e_1_2_8_10_1","unstructured":"CMS Newsroom. Medicare telemedicine health care provider fact sheet. Centers for Medicare and Medicaid Services. Published March 17 2020. Accessed October 31 2023.https:\/\/www.cms.gov\/newsroom\/fact-sheets\/medicare-telemedicine-health-care-provider-fact-sheet"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.50211"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.1609"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607116664785"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.2128"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607107031004302"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607111428452"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607111428453"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.00609"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2020.09.005"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpen.2771","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T09:02:18Z","timestamp":1760864538000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.2771"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,19]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1002\/jpen.2771"],"URL":"https:\/\/doi.org\/10.1002\/jpen.2771","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"type":"print","value":"0148-6071"},{"type":"electronic","value":"1941-2444"}],"subject":[],"published":{"date-parts":[[2025,5,19]]},"assertion":[{"value":"2024-02-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}