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Telemedicine in Pediatric Headache in a Post-COVID-19 World: A Narrative Review and Practical Implementation
Tess Schultz1, Scott Rosenthal2
1Children's Hospital Colorado, University of Colorado School of Medicine, 13123 E 16th Ave, Aurora, CO, 80045, USA. tess.schultz@childrenscolorado.org.
Insights
Telemedicine offers effective pediatric headache care, improving access and multidisciplinary support. This approach provides outcomes comparable to in-person visits, enhancing patient satisfaction and reducing burdens.
Area of Science:
- Neurology
- Pediatrics
- Health Services Research
Background:
- Pediatric migraine is a significant global cause of disability.
- Limited access to pediatric headache specialists exists due to workforce shortages and geographic barriers.
Purpose of the Study:
- To review the development of telemedicine in pediatric headache care.
- To evaluate the safety and efficacy of telemedicine for headache management.
- To explore telemedicine's role in enhancing access and multidisciplinary care.
Main Methods:
- Review of randomized trials and observational studies on telemedicine in headache care.
- Analysis of evidence regarding safety, efficacy, patient satisfaction, and logistical impact.
- Examination of professional society endorsements and implementation strategies.
Main Results:
- Telemedicine yields clinical outcomes comparable to in-person visits with high patient satisfaction.
- Evidence supports telemedicine's safety for non-acute headache evaluations and its role in multidisciplinary care.
- Professional societies endorse telemedicine for headache management, highlighting its sustainability and evidence base.
Conclusions:
- Telemedicine is a mature, evidence-based approach for pediatric headache care.
- Thoughtful implementation of telemedicine expands access, supports multidisciplinary treatment, and ensures safety.
- Telemedicine is poised to become an essential component of future pediatric headache care delivery models.
Purpose Of Review:
Pediatric migraine is a leading cause of disability worldwide, yet access to pediatric headache specialists remains limited due to workforce scarcities and geographic disparities. This review examines the evolution of telemedicine in headache care, evaluates current evidence for safety and efficacy, and explores its role in improving access and multidisciplinary management.
Recent Findings:
Randomized trials and observational studies demonstrate that telemedicine provides clinical outcomes comparable to in-person visits with high patient satisfaction and reduced logistical burden. Emerging data support its safety in non-acute headache evaluation as well as benefit of supporting multidisciplinary care. Professional societies, including the American Headache Society and the American Academy of Pediatrics, endorse telemedicine as an appropriate modality for headache management. Telemedicine has matured into a sustainable, evidence-based approach for pediatric headache care. When implemented thoughtfully, it expands access, supports multidisciplinary treatment, and maintains safety, positioning it as an essential component of future headache care delivery models.
