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Video-telemedicine in a memory disorders clinic: evaluation and management of rural elders with cognitive impairment
Barton C, Morris R, Rothlind J, Yaffe K.. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2011-10-24
Topic: Risk, prevention and care in population studies
Objective Telemedicine is increasingly being used to provide consultation for healthcare in rural areas. Little work has been done with dementia although preliminary research suggests that clinical diagnosis performed via telemedicine consultation is valid. We implemented a program to provide multidisciplinary, state-of-the-art diagnosis of cognitive impairment by video-telemedicine (VTM) integrated into a clinical setting. Methods Patients at a rural veteran's community clinic were referred by their local provider for evaluation of memory complaints by the multidisciplinary team of the San Francisco Veterans Administration (SFVA) Memory Disorders Clinic (MDC). The evaluation was integrated into the usual clinic structure and included a neurological evaluation and neuropsychological testing by the MDC team via video assisted by a remote clinician at the community clinic. Results We evaluated 15 new patients referred to our multidisciplinary clinic. In each case, the VTM format permitted the MDC team to arrive at a working diagnosis; 12 patients with dementia, two with mild cognitive impairment, and one cognitively normal. Relevant treatment recommendations were made to the patients and caregivers. The evaluation results were discussed with providers who joined the MDC postclinic conference via VTM. In the majority of cases, recommendations were followed and there was satisfaction with VTM by providers and patients. Conclusions VTM is emerging as an effective way to provide consultation and care to rural residents who may not have access to specialty services and can be integrated into current clinical settings.
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APA 7th
Barton, C., Morris, R., Rothlind, J., & Yaffe, K. (2011). Video-telemedicine in a memory disorders clinic: evaluation and management of rural elders with cognitive impairment. Telemedicine journal and e-health : the official journal of the American Telemedicine Association. https://doi.org/10.1089/tmj.2011.0083
Vancouver
Barton C, Morris R, Rothlind J, Yaffe K. Video-telemedicine in a memory disorders clinic: evaluation and management of rural elders with cognitive impairment. Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 2011. doi:10.1089/tmj.2011.0083. PMID: 22023458.
BibTeX
@article{barton2011-22023458,
author = {Barton, C. and Morris, R. and Rothlind, J. and Yaffe, K.},
title = {{Video-telemedicine in a memory disorders clinic: evaluation and management of rural elders with cognitive impairment}},
journal = {Telemedicine journal and e-health : the official journal of the American Telemedicine Association},
year = {2011},
doi = {10.1089/tmj.2011.0083},
pmid = {22023458},
url = {https://doi.org/10.1089/tmj.2011.0083}
}
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Key findings
- Little work has been done with dementia although preliminary research suggests that clinical diagnosis performed via telemedicine consultation is valid.
- Results We evaluated 15 new patients referred to our multidisciplinary clinic.
- The evaluation results were discussed with providers who joined the MDC postclinic conference via VTM.
Why it matters
This small program evaluated 15 rural patients with memory complaints using video-telemedicine and found that the format allowed the team to arrive at a working diagnosis and make treatment recommendations. It is about remote diagnosis and management, not about treating, curing, or preventing Alzheimer's disease itself.
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Study details
- Participants12
- Evidence strengthLow
How this study scored 45/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Telemedicine journal and e-health : the official journal of the American Telemedicine Association) |
| Journal's citation record | 1 / 4 | Telemedicine Journal and e-Health: journal h-index 123 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2011 — within 20 year(s) of the newest study here |
| Sample size | 1 / 4 | 12 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 4 / 7 | Cited 91 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 5.4 citations a year over 17 year(s) since 2011 |
| Impact for its field and year | 3 / 6 | Cited 3.5× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 2 / 6 | Cited by 8 other studies in this library |
| Still being cited | 1 / 4 | Cited 11 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 4 / 4 | Last-listed author Kristine S. Yaffe: h-index 155 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of California, San Francisco: institution h-index 1,915 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 22023458) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 45 / 100 | — |
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