{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T13:16:16Z","timestamp":1776258976107,"version":"3.50.1"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Currently, there is no standardized care for neuropalliative outpatients in Germany. Those who require specialized palliative care often receive it from a Specialized Outpatient Palliative Care (SOPC) team or hospice, but without regularly access to neurological expertise. The TANNE project elaborated hints for a cost-effective telemedical link between neuropalliative expertise (a Neuropalliative Telemedicine Center) and existing comprehensive palliative care structures such as SOPC team and hospice. Video consultations enable a joint assessment of symptoms and targeted therapy. The TANNE project aims to ensure that patients with neurological diseases or neurological symptoms in the palliative phase receive professional neurological\/neuropalliative care at home or in hospices in a resource-efficient manner.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective, partly-cluster-randomized, two-arm intervention study with a delayed-start design was conducted between May 2021 and June 2023. The intervention group received video consultations whenever neurological problems occurred (event). The control group continued to receive treatment as usual. Primary endpoint was the change in symptom burden (iPOS \u2013 Integrated Palliative Outcome Scale) measured intra-individually before and after an event. Various secondary endpoints were assessed, namely patient\u2019s general well-being and patient\u2019s and professional\u2019s satisfaction with treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 32 teams participated, recruiting 114 patients and registering 77 events. The primary endpoint showed a reduction in symptom burden of 2.6 (\u00b14.15) points after teleconsultation, compared to 1.3 (\u00b18.36) points in the control group (not statistically significant on a 5 percent level). This reduction was more pronounced in the \u2018Psychological and Practical Problems\u2019 subscale. High satisfaction scores with treatment and care were found in the intervention groups among patients and professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion\/Conclusion<\/jats:title>\n                    <jats:p>The teleconsultation evaluated in the TANNE project represents a form of interaction between neuropalliative expertise and specialized palliative care (SOPC team, hospice) that has not existed in this form and scope before. Due to insufficient number of cases in combination with teams\u2019 rejection to participate and additional withdrawals the projected primary endpoint could not be satisfied on a statistically relevant level. Nevertheless, results provide reliable points of reference for further research on the support of decision-making processes within SOPC and hospice teams in neurological cases through targeted teleconsultation services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fneur.2026.1730210","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T12:18:34Z","timestamp":1776255514000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Investigating video consultations as a new form of care for neuropalliative patients in specialized outpatient care: results from the project TANNE (telemedical answers to neurological inquires in real time)"],"prefix":"10.3389","volume":"17","author":[{"given":"Christiane","family":"Weck","sequence":"first","affiliation":[{"name":"Hospital Agatharied GmbH","place":["Hausham, Germany"]},{"name":"Institute for Palliative Care, Paracelsus Medical Private University","place":["Salzburg, Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Lorenzl","sequence":"additional","affiliation":[{"name":"Hospital Agatharied GmbH","place":["Hausham, Germany"]},{"name":"Institute for Palliative Care, Paracelsus Medical Private University","place":["Salzburg, Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten","family":"Brukamp","sequence":"additional","affiliation":[{"name":"Research Group on Health, Technology and Ethics, Protestant University of Applied Science Ludwigsburg","place":["Ludwigsburg, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viacheslav","family":"Galchenko","sequence":"additional","affiliation":[{"name":"MEYTEC GmbH Medizinsysteme","place":["Werneuchen, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tizian","family":"Juschkat","sequence":"additional","affiliation":[{"name":"University of Bayreuth","place":["Bayreuth, Germany"]},{"name":"ZEQ AG","place":["Mannheim, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Maier","sequence":"additional","affiliation":[{"name":"University of Bayreuth","place":["Bayreuth, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Catholic University of Eichst\u00e4tt-Ingolstadt","place":["Eichst\u00e4tt, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Reichmann","sequence":"additional","affiliation":[{"name":"StatConsult GmbH","place":["Magdeburg, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Tirschmann","sequence":"additional","affiliation":[{"name":"Research Group on Health, Technology and Ethics, Protestant University of Applied Science Ludwigsburg","place":["Ludwigsburg, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrgen","family":"Zerth","sequence":"additional","affiliation":[{"name":"Catholic University of Eichst\u00e4tt-Ingolstadt","place":["Eichst\u00e4tt, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Adolf","sequence":"additional","affiliation":[{"name":"StatConsult GmbH","place":["Magdeburg, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1136\/bmjspcare-2014-000788","article-title":"Specialist palliative care improves the quality of life in advanced neurodegenerative disorders: NE-PAL, a pilot randomised controlled study","volume":"7","author":"Veronese","year":"2017","journal-title":"BMJ Support Palliat 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