{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T04:43:26Z","timestamp":1776401006001,"version":"3.51.2"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      Patient travel accounts for around 10% of healthcare\u2010related greenhouse gas emissions. Telemedicine (TM) may contribute to reducing emissions. This study aimed to compare CO\n                      <jats:sub>2<\/jats:sub>\n                      emissions, costs, and satisfaction associated with TM versus face\u2010to\u2010face (FTF) visits for follow\u2010up of pediatric patients with celiac disease (CeD).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>CeD patients (2\u201316 years), attending follow\u2010up visits, were invited to choose between FTF or TM visits via Google Meet. Data on carbon footprint, cost, usability, and satisfaction (telehealth usability questionnaire [TUQ]), and dietary adherence (celiac dietary adherence test [CDAT]) were collected using Google Forms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Between March 2023 and November 2024, 300 patients were invited and 131 included (58 TM, 73 FTF). Baseline characteristics were similar (gender, age, and respondent). CDAT scores were comparable (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.9). Compared to FTF, TM visits were shorter (30 vs. 75\u2009min), with lower CO\u2082 emissions (0.08 vs. 24.00\u2009kg), fewer lost workdays (18.9% vs. 81.1%), and reduced costs (\u20ac0.55 vs. \u20ac15.7; all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001); satisfaction was high except for \u201creliability\u201d (median score: 16).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>TM is a sustainable alternative for CeD follow\u2010up, reducing CO\u2082 emissions, costs, and time. High satisfaction supports broader TM implementation in line with environmental goals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jpn3.70302","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T07:14:18Z","timestamp":1766128458000},"page":"727-733","source":"Crossref","is-referenced-by-count":0,"title":["CO\u2082 emissions, costs, and satisfaction in telemedicine versus face\u2010to\u2010face follow\u2010up of pediatric celiac disease"],"prefix":"10.1002","volume":"82","author":[{"given":"Denise","family":"Damiani","sequence":"first","affiliation":[{"name":"DISCO Department, Division of Pediatrics Polytechnic University of Marche Ancona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3117-2652","authenticated-orcid":false,"given":"Chiara","family":"Monachesi","sequence":"additional","affiliation":[{"name":"DISCO Department, Division of Pediatrics Polytechnic University of Marche Ancona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessio","family":"Correani","sequence":"additional","affiliation":[{"name":"Department of Odontostomatologic and Specialized Clinical Sciences Polytechnic University of Marche Ancona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milena","family":"Ascani","sequence":"additional","affiliation":[{"name":"DISCO Department, Division of Pediatrics Polytechnic University of Marche Ancona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorina","family":"Pjetraj","sequence":"additional","affiliation":[{"name":"DISCO Department, Division of Pediatrics Polytechnic University of Marche Ancona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Quattrini","sequence":"additional","affiliation":[{"name":"DISCO Department, Division of Pediatrics Polytechnic University of Marche Ancona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Franceschini","sequence":"additional","affiliation":[{"name":"DISCO Department, Division of Pediatrics Polytechnic University of Marche Ancona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simona","family":"Gatti","sequence":"additional","affiliation":[{"name":"DISCO Department, Division of Pediatrics Polytechnic University of Marche Ancona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Catassi","sequence":"additional","affiliation":[{"name":"DISCO Department, Division of Pediatrics Polytechnic University of Marche Ancona Italy"},{"name":"Mucosal Immunology and Biology Research Center, Massachusetts General Hospital\u2010Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Lionetti","sequence":"additional","affiliation":[{"name":"DISCO Department, Division of Pediatrics Polytechnic University of Marche Ancona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)32596-6"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.7861\/fhj.2020-0080"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resconrec.2020.105389"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2017.10.027"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)00794-2"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002497"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.multra.2022.100068"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclepro.2005.05.002"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.5195\/ijt.2016.6196"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2008.12.032"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpr3.70048"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0237585"}],"container-title":["Journal 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