Evidence map›Paper›PMID 28490555›Full record

Trial reportBMJ open2017

Telehealthcare for patients suffering from chronic obstructive pulmonary disease: effects on health-related quality of life: results from the Danish 'TeleCare North' cluster-randomised trial.

Pernille Heyckendorff Lilholt, Flemming Witt Udsen, Lars Ehlers, Ole K Hejlesen

2 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2017. 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 30 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 5 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.

NCT01984840 nacompletednot on this map

Effectiveness and Cost-effectiveness of Telemedicine for Chronic Obstructive Pulmonary Disease: The Danish "TeleCare North" Pragmatic Cluster-randomized Trial.

TypeinterventionalSponsorAalborg UniversityRan2013 to 2015Enrolled1,225ConditionsPulmonary Disease, Chronic ObstructiveArmsTelemedicine
NCT05218525 nacompletednot on this mapstarted 2021, after this paper: background citation

Can a Predictive Algorithm Used to Flag Risk of Exacerbations in a Telehealth System Strengthen the Effectiveness and Cost-effectiveness Outcomes When Monitoring Patients With COPD?

TypeinterventionalSponsorAalborg UniversityRan2021 to 2022Enrolled138ConditionsChronic Obstructive Pulmonary Disease, COPD Exacerbation, COPD Exacerbation Acute, COPDArmsAlgorithm
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Chronic Obstructive Pulmonary Disease Patients' Acceptance in E-Health Clinical Trials.International journal of environmental research and public health · 2021
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  14. Effect of tele-health care on quality of life in patients with severe COPD: a randomized clinical trial.International journal of chronic obstructive pulmonary disease · 2018
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  17. Review
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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

4 authors.

Pernille Heyckendorff LilholtDepartment of Health Science and Technology, Aalborg University, Faculty of Medicine, Aalborg Øst, Denmark.
Flemming Witt UdsenDanish Center for Healthcare Improvements, Aalborg University, Aalborg, Denmark.
Lars EhlersDanish Centre for Healthcare Improvements, Faculty of Social Sciences and Faculty of Medicine, Aalborg University, Aalborg Øst, Denmark.
Ole K HejlesenFaculty of Medicine, Department of Health Science and Technology, Aalborg University, Aalborg Øst, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effect of telehealthcare compared with usual practice in patients with chronic obstructive pulmonary disease (COPD).

designA cluster-randomised trial with 26 municipal districts that were randomly assigned either to an intervention group whose members received telehealthcare in addition to usual practice or to a control group whose members received usual practice only (13 districts in each arm).

settingTwenty-six municipal districts in the North Denmark Region of Denmark.

participantsPatients who fulfilled the Global Initiative for COPD guidelines and one of the following criteria: COPD Assessment Test score ≥10; or Medical Research Dyspnoea Council Scale ≥3; or Modified Medical Research Dyspnoea Council Scale ≥2; or ≥2 exacerbations during the past 12 months.

main outcome measuresHealth-related quality of life (HRQoL) assessed by the physical component summary (PCS) and mental component summary (MCS) scores of the Short Form 36-Item Health Survey, Version 2. Data were collected at baseline and at 12 month follow-up and analysed according to the intention-to-treat principle with complete cases, n=574 (258 interventions; 316 controls) and imputed data, n=1225 (578 interventions, 647 controls) using multilevel modelling.

resultsIn the intention-to-treat analysis (n=1225), the raw mean difference in PCS from baseline to 12 month follow-up was -2.6 (SD 12.4) in the telehealthcare group and -2.8 (SD 11.9) in the usual practice group. The raw mean difference in MCS scores in the same period was -4.7 (SD 16.5) and -5.3 (SD 15.5) for telehealthcare and usual practice, respectively. The adjusted mean difference in PCS and MCS between groups at 12 months was 0.1 (95% CI -1.4 to 1.7) and 0.4 (95% CI -1.7 to 2.4), respectively.

conclusionsThe overall sample and all subgroups demonstrated no statistically significant differences in HRQoL between telehealthcare and usual practice. TRIAL REGISTRATION NUMBER: NCT01984840; Results.

Indexed as

Quality of LifeTelemedicineAgedAged, 80 and overDenmarkDisease ProgressionFemaleHealth StatusHospitalizationHumansLogistic ModelsMaleMiddle AgedPulmonary Disease, Chronic ObstructiveCOPDDenmarkeffectivenessoutcome Assessment (Health Care)quality of lifeRCTtelehealthtelemedicinetelemonitoring

Identifiers

PMID28490555
PMCPMC5623392

What OpenQuestion holds

Textmetadata
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.