Evidence map›Paper›PMID 11737882›Full record

SynthesisBMC medical informatics and decision making2001

Clinical outcomes resulting from telemedicine interventions: a systematic review.

W R Hersh, M Helfand, J Wallace, D Kraemer, P Patterson, S Shapiro, M Greenlick

Registry-linked trialOpen access · goldAbstract readComparative StudySystematic Review
In one paragraph

Synthesis in BMC medical informatics and decision making, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00221455 (The Potential of Technology to Improve Chronic Disease Management and Quality of Care), which is not on this map. Cited by 49 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 5 pooled it
9.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00221455 phase1completednot on this mapstarted 2004, after this paper: background citation

The Potential of Technology to Improve Chronic Disease Management and Quality of Care

TypeinterventionalSponsorRobert Wood Johnson FoundationRan2004 to 2007Enrolled1,000ConditionsDiabetes MellitusArmsPatient diabetic self-management using the diabetic patient portal tools, A variety of educational interventions for non-adopters of the technology, and for non-compliant patients.
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 5 syntheses or guidelines pooled it, 237 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. The impact of mobile health interventions on chronic disease outcomes in developing countries: a systematic review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2014
    Pooled it
  5. Telemedicine for the support of parents of high-risk newborn infants.The Cochrane database of systematic reviews · 2012
    Pooled it
  6. Priorities for Rural Lymphoma Survivors: A Qualitative Study.Clinical lymphoma, myeloma & leukemia · 2020
    Trial
  7. Trial
  8. The Informatics for Diabetes and Education Telemedicine (IDEATel) project.Transactions of the American Clinical and Climatological Association · 2007
    Trial
  9. Trial
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Advances in Psychotherapy for Older Adults Using Video-to-Home Treatment.Advances in psychiatry and behavioral health · 2022
    Review
  16. Review
  17. Telemonitoring in Long-COVID Patients-Preliminary Findings.International journal of environmental research and public health · 2022
    Article
  18. Article
  19. Understanding Telemedicine's "New Normal": Variations in Telemedicine Use by Specialty Line and Patient Demographics.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022
    Article
  20. Perspectives on Telemedicine during the Era of COVID-19; What Can Saudi Arabia Do?International journal of environmental research and public health · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

W R HershDivision of Medical Informatics & Outcomes Research, Oregon Health & Science University, BICC, 3181 SW Sam Jackson Park Rd, Portland, OR 97201, USA. hersh@ohsu.edu
M Helfand
J Wallace
D Kraemer
P Patterson
S Shapiro
M Greenlick
Oregon Health & Science University · US

Funding

PHS HHS 290-97-0018
6 · The paper itself

Abstract

backgroundThe use of telemedicine is growing, but its efficacy for achieving comparable or improved clinical outcomes has not been established in many medical specialties. The objective of this systematic review was to evaluate the efficacy of telemedicine interventions for health outcomes in two classes of application: home-based and office/hospital-based.

methodsData sources for the study included deports of studies from the MEDLINE, EMBASE, CINAHL, and HealthSTAR databases; searching of bibliographies of review and other articles; and consultation of printed resources as well as investigators in the field. We included studies that were relevant to at least one of the two classes of telemedicine and addressed the assessment of efficacy for clinical outcomes with data of reported results. We excluded studies where the service did not historically require face-to-face encounters (e.g., radiology or pathology diagnosis). All included articles were abstracted and graded for quality and direction of the evidence.

resultsA total of 25 articles met inclusion criteria and were assessed. The strongest evidence for the efficacy of telemedicine in clinical outcomes comes from home-based telemedicine in the areas of chronic disease management, hypertension, and AIDS. The value of home glucose monitoring in diabetes mellitus is conflicting. There is also reasonable evidence that telemedicine is comparable to face-to-face care in emergency medicine and is beneficial in surgical and neonatal intensive care units as well as patient transfer in neurosurgery.

conclusionsDespite the widespread use of telemedicine in virtually all major areas of health care, evidence concerning the benefits of its use exists in only a small number of them. Further randomized controlled trials must be done to determine where its use is most effective.

Indexed as

HumansTelemedicineTreatment Outcome

Identifiers

PMID11737882
PMCPMC60664
OpenAlexW2140540008

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.