Evidence map›Paper›PMID 21283736›Full record

Trial reportPloS one2011

A new multidisciplinary home care telemedicine system to monitor stable chronic human immunodeficiency virus-infected patients: a randomized study.

Agathe León, César Cáceres, Emma Fernández, Paloma Chausa, Maite Martin, Carles Codina, Araceli Rousaud, Jordi Blanch, Josep Mallolas, Esteban Martinez and 10 more

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01117675 (A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care), which is not on this map. Cited by 37 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 6 pooled it
2.0field-weighted citation impact, top 14% 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.

NCT01117675 nacompletednot on this map

A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2005 to 2007Enrolled83ConditionsHIV InfectionArmsVirtual Hospital, Standard of Care
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 6 syntheses or guidelines pooled it, 88 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Telerheumatology: A Systematic Review.Arthritis care & research · 2017
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Decentralising HIV treatment in lower- and middle-income countries.The Cochrane database of systematic reviews · 2013
    Pooled it
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Healthcare outcomes in patients with HIV infection at a tertiary hospital during the COVID-19 pandemic.Enfermedades infecciosas y microbiologia clinica (English ed.) · 2023
    Observational
  13. Observational
  14. Article
  15. Article
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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

20 authors at 3 institutions in 1 country.

Agathe LeónInfectious Diseases Unit, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi I Sunyer, University of Barcelona, Barcelona, Spain. aleon@clinic.ub.es
César Cáceres
Emma Fernández
Paloma Chausa
Maite Martin
Carles Codina
Araceli Rousaud
Jordi Blanch
Josep Mallolas
Esteban Martinez
Jose L Blanco
Montserrat Laguno
Maria Larrousse
Ana Milinkovic
Laura Zamora
Neus Canal
Josep M Miró
Josep M Gatell
Enrique J Gómez
Felipe García
Universitat de Barcelona · ESUniversidad Politécnica de Madrid · ESHospital Clínic de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntiretroviral therapy has changed the natural history of human immunodeficiency virus (HIV) infection in developed countries, where it has become a chronic disease. This clinical scenario requires a new approach to simplify follow-up appointments and facilitate access to healthcare professionals. METHODOLOGY: We developed a new internet-based home care model covering the entire management of chronic HIV-infected patients. This was called Virtual Hospital. We report the results of a prospective randomised study performed over two years, comparing standard care received by HIV-infected patients with Virtual Hospital care. HIV-infected patients with access to a computer and broadband were randomised to be monitored either through Virtual Hospital (Arm I) or through standard care at the day hospital (Arm II). After one year of follow up, patients switched their care to the other arm. Virtual Hospital offered four main services: Virtual Consultations, Telepharmacy, Virtual Library and Virtual Community. A technical and clinical evaluation of Virtual Hospital was carried out.

findingsOf the 83 randomised patients, 42 were monitored during the first year through Virtual Hospital (Arm I) and 41 through standard care (Arm II). Baseline characteristics of patients were similar in the two arms. The level of technical satisfaction with the virtual system was high: 85% of patients considered that Virtual Hospital improved their access to clinical data and they felt comfortable with the videoconference system. Neither clinical parameters [level of CD4+ T lymphocytes, proportion of patients with an undetectable level of viral load (p = 0.21) and compliance levels >90% (p = 0.58)] nor the evaluation of quality of life or psychological questionnaires changed significantly between the two types of care.

conclusionsVirtual Hospital is a feasible and safe tool for the multidisciplinary home care of chronic HIV patients. Telemedicine should be considered as an appropriate support service for the management of chronic HIV infection.

trial registrationClinical-Trials.gov: NCT01117675.

Indexed as

Standard of CareAdultAntiretroviral Therapy, Highly ActiveCD4 Lymphocyte CountChronic DiseaseFemaleHIV-1HIV InfectionsHome Care ServicesHumansMaleTelemedicineViral Load

Identifiers

PMID21283736
PMCPMC3024968
OpenAlexW2168975047

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.