Evidence map›Paper›PMID 27920519›Full record

Observational studyInternational journal of chronic obstructive pulmonary disease2016

Outcomes of a telemonitoring-based program (telEPOC) in frequently hospitalized COPD patients.

Cristóbal Esteban, Javier Moraza, Milagros Iriberri, Urko Aguirre, Begoña Goiria, José M Quintana, Myriam Aburto, Alberto Capelastegui

2 registry-linked trialsAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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.

NCT02528370 nacompletednot on this map

Evaluation the Effectiveness of a Telemonitoring Program in a Cohort of COPD Patient With Frequent Readmissions

TypeinterventionalSponsorDr. Cristobal EstebanRan2010 to 2013Enrolled197ConditionsCOPDArmstelEPOC
NCT04978922 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Impact of the Artificial Intelligence (Machine Learning) in a Telemonitoring Programme of COPD Patients With Multiple Hospitalizations (telEPOC)

TypeinterventionalSponsorDr. Cristobal EstebanRan2018 to 2022Enrolled345ConditionsCOPDArmsMachine Learning: ML (Artificial Intelligence System)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Predictors of short-term COPD readmission.Internal and emergency medicine · 2022
    Observational
  13. Article
  14. Article
  15. Article
  16. The Role of the Pharmacist in Inhaler Selection and Education in Chronic Obstructive Pulmonary Disease.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2021
    Review
  17. Observational
  18. Article
  19. When is dual bronchodilation indicated in COPD?International journal of chronic obstructive pulmonary disease · 2017
    Review
  20. 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

8 authors.

Cristóbal EstebanPneumology Department, Galdakao-Usansolo Hospital, Galdakao; Red de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Bilbao.
Javier MorazaPneumology Department, Galdakao-Usansolo Hospital, Galdakao.
Milagros IriberriPneumology Department, Cruces Hospital, Barakaldo.
Urko AguirreRed de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Bilbao; Research Unit, Galdakao-Usansolo Hospital, Galdakao.
Begoña GoiriaPrimary Care Unit, Barrualde Integrated Healthcare Organisation (OSI-Barrualde), Spain.
José M QuintanaRed de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Bilbao; Research Unit, Galdakao-Usansolo Hospital, Galdakao.
Myriam AburtoPneumology Department, Galdakao-Usansolo Hospital, Galdakao.
Alberto CapelasteguiPneumology Department, Galdakao-Usansolo Hospital, Galdakao.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increasing prevalence of chronic diseases requires changes in health care delivery. In COPD, telemedicine appears to be a useful tool. Our objective was to evaluate the efficacy (in improving health care-resource use and clinical outcomes) of a telemonitoring-based program (telEPOC) in COPD patients with frequent hospitalizations. MATERIALS AND

methodsWe conducted a nonrandomized observational study in an intervention cohort of 119 patients (Galdakao-Usansolo Hospital) and a control cohort of 78 patients (Cruces Hospital), followed up for 2 years (ClinicalTrials.gov identifier: NCT02528370). The inclusion criteria were two or more hospital admissions in the previous year or three or more admissions in the previous 2 years. The intervention group received telemonitoring plus education and controls usual care.

resultsMost participants were men (13% women), and the sample had a mean age of 70 years, forced expiratory volume in 1 second of 45%, Charlson comorbidity index score of 3.5, and BODE (body mass index, airflow obstruction, dyspnea, and exercise capacity) index score of 4.1. In multivariate analysis, the intervention was independently related to lower rates of hospital admission (odds ratio [OR] 0.38, 95% confidence interval [CI] 0.27-0.54;

conclusionAn intervention including telemonitoring and education was able to reduce the health care-resource use and stabilize the clinical condition of frequently admitted COPD patients.

Indexed as

Delivery of Health Care, IntegratedMobile ApplicationsPatient Education as TopicPatient ReadmissionSmartphoneAgedCase-Control StudiesChi-Square DistributionExercise ToleranceFemaleForced Expiratory VolumeHealth Knowledge, Attitudes, PracticeHealth ResourcesHealth StatusHumansLinear ModelsCOPDhospitalizationstelemonitoring program

Identifiers

PMID27920519
PMCPMC5125987

What OpenQuestion holds

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LicenceCC BY-NC
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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.