Table 2.

Advantages and Limitations of Telemedicine for Non-Acute Headaches

Advantages	Limitations
Evidence of non-inferiority when compared to in-person consultations14–16 Convenient (eg, avoided travel time, less disruption of daily routine, more comfortable setting)8,26 Increased access to specialized care in remote areas26,27 Cost-effective26,27 Timesaving for healthcare providers8,27 High levels of patient satisfaction8,12,14,26,27	Could increase disparity in healthcare delivery to rural and minority groups12,29,30 Limited power of physician observation Lack of face-to-face interaction between patient and physician8 Medicolegal liability is the same as with in-person visits31 Certain level of technological knowledge necessary8

Abbreviations: IHS, International Headache Society; PICO, population, intervention, comparison, outcome; RCT, randomized control trial; VAS, visual analog scale; HIT-6, headache impact test 6; MIDAS, migraine disability assessment; IMMPACT, initiative on methods, measurement, and pain assessment in clinical trials; RAPD, relative afferent pupillary defect; MOH, medication overuse headache.