Evidence map›Paper›PMID 20554500›Full record

SynthesisJournal of medical Internet research2010

Clinical effects of home telemonitoring in the context of diabetes, asthma, heart failure and hypertension: a systematic review.

Guy Paré, Khalil Moqadem, Gilles Pineau, Carole St-Hilaire

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03511482 (An Open Feasibility Study to Investigate the Impact of A Digitally Delivered Asthma Service for Patients in Primary Care), which is not on this map. Cited by 90 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 13 pooled it
–field-weighted citation impact
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.

NCT03511482 nawithdrawnnot on this mapstarted 2019, after this paper: background citation

An Open Feasibility Study to Investigate the Impact of A Digitally Delivered Asthma Service for Patients in Primary Care (IDEAL-001: Integrated Digitally EnhAnced Care for Long-term Conditions-001

TypeinterventionalSponsormy mhealth LtdRan2019 to 2021Enrolled0ConditionsAsthmaArmsmyAsthma Application, Lloyds Pharmacy Online Doctor
3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 13 syntheses or guidelines pooled it.

  1. Pooled it
  2. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023
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  4. Delivery of supported self-management in remote asthma reviews: A systematic rapid realist review.Health expectations : an international journal of public participation in health care and health policy · 2022
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  12. Digital asthma self-management interventions: a systematic review.Journal of medical Internet research · 2014
    Pooled it
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30 more citing papers are in PubMed but not listed here.

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

4 authors.

Guy ParéHEC Montreal, Montreal, Canada. guy.pare@hec.ca
Khalil Moqadem
Gilles Pineau
Carole St-Hilaire

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHome telemonitoring figures among the various solutions that could help attenuate some of the problems associated with aging populations, rates of chronic illness, and shortages of health professionals.

objectiveThe primary aim of this study was to further our understanding of the clinical effects associated with home telemonitoring programs in the context of chronic diseases.

methodsWe conducted a systematic review which covered studies published between January 1966 and December 2008. MEDLINE, The Cochrane Library, and the INAHTA (International Network of Agencies for Health Technology Assessment) database were consulted. Our inclusion criteria consisted of: (1) English language publications in peer-reviewed journals or conference proceedings and (2) studies involving patients with diabetes, asthma, heart failure, or hypertension, and presenting results on the clinical effects of home telemonitoring.

resultsIn all, 62 empirical studies were analyzed. The results from studies involving patients with diabetes indicated a trend toward patients with home telemonitoring achieving better glycemic control. In most trials in which patients with asthma were enrolled, results showed significant improvements in patients' peak expiratory flows, significant reductions in the symptoms associated with this illness, and improvements in perceived quality of life. Virtually all studies involving patients with hypertension demonstrated the ability of home telemonitoring to reduce systolic and/or diastolic blood pressure. Lastly, due to the equivocal nature of current findings of home telemonitoring involving patients with heart failure, larger trials are still needed to confirm the clinical effects of this technology for these patients.

conclusionsAlthough home telemonitoring appears to be a promising approach to patient management, designers of future studies should consider ways to make this technology more effective as well as controlling possible mediating variables.

Indexed as

Home Care ServicesAgedAsthmaChronic DiseaseDiabetes MellitusForecastingHeart FailureHumansHypertensionMiddle AgedMonitoring, PhysiologicSelf CareTelemedicine

Identifiers

PMID20554500
PMCPMC2956232

What OpenQuestion holds

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LicenceCC BY
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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.