{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T05:50:35Z","timestamp":1781934635238,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction\/Aims<\/jats:title>\n                    <jats:p>Costs associated with in\u2010person outpatient services in childhood neuromuscular disorders represent a major economic burden, and it is often difficult to bring children with these progressive disorders to health care facilities owing to their impaired ambulation. Follow\u2010up of specialists by telephonic consultations after the initial assessment and treatment plan may reduce the costs related to outpatient in\u2010person visits in children with Duchenne muscular dystrophy (DMD). The present study was conducted to evaluate the diagnostic accuracy of telephone consultation to identify critical clinical events related to disease progression, development of new comorbidities, non\u2010compliance with treatment, and medication\u2010related adverse events in children with DMD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Children aged \u2265\u20095\u2009years with DMD visiting a tertiary care pediatric center were enrolled in the study. Parents of these children were contacted telephonically by a physician 48\u201372\u2009h prior to the child's scheduled outpatient appointment at the hospital. Subsequently, all children were assessed during the scheduled visit at the out\u2010patient facility by another specialist who was blinded to the telephone consultation. The diagnostic accuracy of telephone consultation was determined by comparison with face\u2010to\u2010face consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 58 consecutive eligible children were enrolled and 30 were included for final analysis. Telephone consultation demonstrated a sensitivity of 95.2%, specificity of 81.1%, and positive and negative predictive values of 91.9% and 88.2%, respectively, for identifying critical clinical events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The physician\u2010initiated telephone consultation has acceptable diagnostic accuracy to identify critical events that need face\u2010to\u2010face consultation among children with DMD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mus.70248","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T10:06:52Z","timestamp":1776247612000},"page":"77-82","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Accuracy of Telephone\u2010Based Follow\u2010Up in Identifying Critical Events in Children With Duchenne Muscular Dystrophy Receiving Standard of Care"],"prefix":"10.1002","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3153-0736","authenticated-orcid":false,"given":"Lokesh","family":"Saini","sequence":"first","affiliation":[{"name":"Centre of Excellence &amp; Advanced Research for Childhood Neurodevelopmental Disorders, Child Neurology Division, Department of Pediatrics All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1439-9959","authenticated-orcid":false,"given":"Sheffali","family":"Gulati","sequence":"additional","affiliation":[{"name":"Centre of Excellence &amp; Advanced Research for Childhood Neurodevelopmental Disorders, Child Neurology Division, Department of Pediatrics All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishal","family":"Sondhi","sequence":"additional","affiliation":[{"name":"Centre of Excellence &amp; Advanced Research for Childhood Neurodevelopmental Disorders, Child Neurology Division, Department of Pediatrics All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4354-7386","authenticated-orcid":false,"given":"Biswaroop","family":"Chakrabarty","sequence":"additional","affiliation":[{"name":"Centre of Excellence &amp; Advanced Research for Childhood Neurodevelopmental Disorders, Child Neurology Division, Department of Pediatrics All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakshi","family":"Ojha","sequence":"additional","affiliation":[{"name":"Centre of Excellence &amp; Advanced Research for Childhood Neurodevelopmental Disorders, Child Neurology Division, Department of Pediatrics All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravindra Mohan","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Biostatistics All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinod Kumar","family":"Paul","sequence":"additional","affiliation":[{"name":"Department of Pediatrics All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70271-6"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002337"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ncn3.12691"},{"key":"e_1_2_12_5_1","article-title":"Telemedicine Versus Face\u2010To\u2010Face Patient Care: Effects on Professional Practice and Health Care Outcomes","volume":"2","author":"Currell R.","year":"2000","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2010.9956"},{"issue":"5","key":"e_1_2_12_7_1","first-page":"191","article-title":"Telemedicine in pediatric neurology","volume":"71","author":"Garcia\u2010Perez A.","year":"2020","journal-title":"Revista de Neurologia"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2008.01.0001"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/01942638.2024.2376055"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s44247-024-00078-9"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/22696"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2016.12.003"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eplepsyres.2018.06.005"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2014.05.011"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7234.550"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1167.2005.44804.x"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3182823361"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2015.11.006"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.2196\/42892"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.5.1083"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.26902"}],"container-title":["Muscle &amp; 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