{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T09:01:39Z","timestamp":1793091699955,"version":"4.5.0"},"reference-count":21,"publisher":"Walter de Gruyter GmbH","issue":"1","funder":[{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["K24"],"award-info":[{"award-number":["K24"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017759","name":"Childhood Arthritis and Rheumatology Research Alliance","doi-asserted-by":"publisher","award":["GRT-00004219"],"award-info":[{"award-number":["GRT-00004219"]}],"id":[{"id":"10.13039\/100017759","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005320","name":"AcademyHealth","doi-asserted-by":"publisher","award":["GRT-00004483"],"award-info":[{"award-number":["GRT-00004483"]}],"id":[{"id":"10.13039\/100005320","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000980","name":"Arthritis Foundation","doi-asserted-by":"publisher","award":["GRT-00004219"],"award-info":[{"award-number":["GRT-00004219"]}],"id":[{"id":"10.13039\/100000980","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000936","name":"Gordon and Betty Moore Foundation","doi-asserted-by":"publisher","award":["GRT-00004483"],"award-info":[{"award-number":["GRT-00004483"]}],"id":[{"id":"10.13039\/100000936","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["K08"],"award-info":[{"award-number":["K08"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_dx-2025-0031_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>During the SARS-CoV-2 pandemic, new patient evaluations in pediatric rheumatology were performed using telehealth. Given the pediatric rheumatology workforce shortage, telehealth may be a way to efficiently triage referrals. The objective was to assess the utility of telehealth visits as a diagnostic tool to accurately assess the need for in-person evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_dx-2025-0031_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective cohort study of patients evaluated by telehealth for a new patient visit from March 1 to June 30, 2020 at a tertiary center. Electronic health record documentation from subsequent rheumatology, specialty, and primary care encounters over the subsequent 4\u00a0years were reviewed. The primary outcome was diagnostic concordance, defined as consistency in the documented diagnostic reasoning, between the initial telehealth video visit and in-person follow-up visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_dx-2025-0031_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the study period, there were 111 telehealth visits, 80 (72\u202f%) of which had follow-up data. 55\/80 had in-person rheumatology evaluations. Only 9\u202f% patients had discordant diagnoses, all of whom had initial concern for inflammatory arthritis during the telehealth visit but a diagnosis of a non-inflammatory condition after in-person evaluation. Nine patients with a significant rheumatic disease were identified via telehealth. There were no unplanned ED visits or hospital admissions following telehealth visits. 33\u202f% of patients were found to not warrant rheumatologic follow-up after the telehealth\u00a0visit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_dx-2025-0031_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For pediatric rheumatology new patient evaluations, diagnostic accuracy via telehealth evaluation was high. Providers triaged patients with chronic rheumatologic conditions for in-person evaluations and were able to accurately identify benign conditions that did not require in-person follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/dx-2025-0031","type":"journal-article","created":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T02:34:43Z","timestamp":1747881283000},"page":"62-68","source":"Crossref","is-referenced-by-count":1,"title":["Telehealth triage in pediatric rheumatology: a diagnostically accurate tool to improve access to care"],"prefix":"10.1515","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2254-8053","authenticated-orcid":false,"given":"Laura","family":"Aisenberg","sequence":"first","affiliation":[{"name":"Division of General Pediatrics , Children\u2019s Hospital of Philadelphia , Philadelphia , PA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1368-534X","authenticated-orcid":false,"given":"Irit R.","family":"Rasooly","sequence":"additional","affiliation":[{"name":"Division of General Pediatrics , Children\u2019s Hospital of Philadelphia and the Perelman School of Medicine at the University of Pennsylvania , Philadelphia , PA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9724-0443","authenticated-orcid":false,"given":"Pamela F.","family":"Weiss","sequence":"additional","affiliation":[{"name":"Division of Rheumatology , Children\u2019s Hospital of Philadelphia and the Perelman School of Medicine at the University of Pennsylvania , Philadelphia , PA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9438-1072","authenticated-orcid":false,"given":"Jon","family":"Burnham","sequence":"additional","affiliation":[{"name":"Division of Rheumatology , Children\u2019s Hospital of Philadelphia and the Perelman School of Medicine at the University of Pennsylvania , Philadelphia , PA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4247-5226","authenticated-orcid":false,"given":"Anna","family":"Costello","sequence":"additional","affiliation":[{"name":"Division of Rheumatology , Children\u2019s Hospital of Philadelphia , Philadelphia , PA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2025,5,23]]},"reference":[{"key":"2026030615414919234_j_dx-2025-0031_ref_001","doi-asserted-by":"crossref","unstructured":"Correll, CK, Ditmyer, MM, Mehta, J, Imundo, LF, Klein-Gitelman, MS, Monrad, SU, et al.. 2015 American college of rheumatology workforce study and demand projections of pediatric rheumatology workforce, 2015\u20132030. 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