{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:54:23Z","timestamp":1792101263270,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T00:00:00Z","timestamp":1756252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T00:00:00Z","timestamp":1756252800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disord Clin Pract"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Overcoming existing access barriers is crucial for better\u2010specialized health care of patients with Parkinson's disease (PD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of the study was to compare the access and visit quality\/acceptability between in\u2010office and virtual telemedicine visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was an international, randomized, case\u2010control, prospective, observational study. Patients were randomly assigned either to the control group (in\u2010person\/in\u2010office visits at baseline, 3, 6, 9, and 12\u2009months) or to the study group (in\u2010office visits at baseline, 6, and 12 months, and telemedicine visits at 3 and 9 months). Telemedicine visits were conducted using videoconferencing apps that were readily accessible to the patient\/caregivers. Outcomes were feasibility, usability, and the noninferiority of telemedicine compared to in\u2010office visits in PD patients regarding clinical progression and initiation of pharmacological\/nonpharmacological treatments over 1\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included 209 PD patients from 6 countries (Nigeria, Spain, Saudi Arabia, South Korea, Egypt, and Uruguay), mean age 64.9\u2009\u00b1\u200912.2\u2009years, 59% males, median Hoehn &amp; Yahr stage 2 (1\u20134). Overall, disease progression (MDS\u2010Unified PD rating scale), quality of life (PD\u2010Quality of life 39\u2010items) scores, and therapeutic changes were similar in both groups. After 1 year, 124 patients 48.3%, (control group) and 52.1% (study group) completed the visits (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.52), with a similar high rate of patient's satisfaction with the visits (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.57).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study represents real\u2010world telemedicine practice in different world regions using a telemedicine approach complementary to in\u2010person visits. Based on these results, feasibility, clinical management, PD disease progression, and patient's quality of life are similar when using telemedicine versus in\u2010office visits. Future research should explore ways to integrate different healthcare technologies for long\u2010term PD management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mdc3.70314","type":"journal-article","created":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:59:23Z","timestamp":1756295963000},"page":"419-429","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The Feasibility and Practical Utility of Virtual Visits for Patients with Parkinson's Disease in Different World Regions"],"prefix":"10.1002","volume":"13","author":[{"given":"\u00c1lvaro","family":"Garc\u00eda\u2010Bustillo","sequence":"first","affiliation":[{"name":"Research Unit Hospital Universitario Burgos  Burgos Spain"},{"name":"University of Burgos  Burgos Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3350-5032","authenticated-orcid":false,"given":"Jinyoung","family":"Youn","sequence":"additional","affiliation":[{"name":"Neurology Department Samsung Medical Center  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6415-2316","authenticated-orcid":false,"given":"Jong Hyeon","family":"Ahn","sequence":"additional","affiliation":[{"name":"Neurology Department Samsung Medical Center  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6461-2653","authenticated-orcid":false,"given":"Oluwadamilola","family":"Ojo","sequence":"additional","affiliation":[{"name":"Department of Medicine College of Medicine, University of Lagos  Lagos Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Njideka","family":"Okubadejo","sequence":"additional","affiliation":[{"name":"Department of Medicine College of Medicine, University of Lagos  Lagos Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zakiyah","family":"Aldaajani","sequence":"additional","affiliation":[{"name":"Neurology Department King Fahad Medical Military Complex  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Essam","sequence":"additional","affiliation":[{"name":"Neurology Department Ain Shams University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7012-5907","authenticated-orcid":false,"given":"Ali","family":"Shalash","sequence":"additional","affiliation":[{"name":"Neurology Department Ain Shams University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana","family":"Cardozo","sequence":"additional","affiliation":[{"name":"Neurology Department Hospital de Clinicas  Montevideo Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith","family":"Spindler","sequence":"additional","affiliation":[{"name":"Neurology Department Perelman School of Medicine at the University of Pennsylvania  Mariland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoltan","family":"Mari","sequence":"additional","affiliation":[{"name":"Neurology Department Cleveland Clinic Lou Ruvo Center for Brain Health  Las Vegas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0018-1182","authenticated-orcid":false,"given":"Esther","family":"Cubo","sequence":"additional","affiliation":[{"name":"Research Unit Hospital Universitario Burgos  Burgos Spain"},{"name":"University of Burgos  Burgos Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3233\/JPD-181474"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.21153"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3233\/JPD-202126"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/cts.2022.459"},{"key":"e_1_2_9_6_1","unstructured":"https:\/\/www.https:\/\/worldpopulationreview.com\/country-rankings\/internet-users-by-country\/. 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