Evidence map›Paper›PMID 29246881›Full record

ArticleJournal of medical Internet research2017

Telemedicine in Primary Care for Patients With Chronic Conditions: The ValCrònic Quasi-Experimental Study.

Domingo Orozco-Beltran, Manuel Sánchez-Molla, Julio Jesus Sanchez, José Joaquin Mira, ValCrònic Research Group

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05893199 (Telemedicine in Atrial Fibrillation), which is not on this map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 6% 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.

NCT05893199 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Telemedicine in Atrial Fibrillation: Randomized Clinical Trial in Primary Care

TypeinterventionalSponsorUniversidad Miguel Hernandez de ElcheRan2023 to 2025Enrolled180ConditionsAtrial FibrillationArmsClinical monitoring using the Ti.Care app (https://ti.care/es), Usual care
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
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  4. Patient Engagement Using Telemedicine in Primary Care during COVID-19 Pandemic: A Trial Study.International journal of environmental research and public health · 2022
    Trial
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  20. Advancing multimorbidity management in primary care: a narrative review.Primary health care research & development · 2022
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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

5 authors at 3 institutions in 1 country.

Domingo Orozco-Beltran *Catedra de Medicina de Familia, Department of Clinical Medicine, Miguel Hernandez University, San Juan de Alicante, Spain.ORCID 0000-0002-8231-2635
Manuel Sánchez-Molla *Elche Health Department, Hospital General de Elche, Elche, Spain.ORCID 0000-0002-4617-7624
Julio Jesus Sanchez *Ingeniería y Proyectos e-Health, Telefónica Spain, Madrid, Spain.ORCID 0000-0002-1277-6717
José Joaquin Mira *Alicante Sant Joan Health District, Alicante, Spain.ORCID 0000-0001-6497-083X
ValCrònic Research Group *Ministry of Health of Valencia, Valencia, Spain.
Universitat de Miguel Hernández d'Elx · ESHospital General Universitario de Elche · ESTelefónica (Spain) · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increase of chronic diseases prevalence has created the need to adapt care models and to provide greater home supervision.

objectiveThe objective of our study was to evaluate the impact of telemonitoring on patients with long-term conditions at high risk for rehospitalization or an emergency department visit, in terms of target disease control (diabetes, hypertension, heart failure, and chronic obstructive pulmonary disease).

methodsWe conducted a quasi-experimental study with a before-and-after analysis to assess the effectiveness of the ValCrònic program after 1 year of primary care monitoring. The study included high-risk patients with 1 or more of the following conditions: diabetes, high blood pressure, heart failure, and chronic obstructive pulmonary disease. We assessed risk according to the Community Assessment Risk Screen. Participants used an electronic device (tablet) to self-report relevant health information, which was then automatically entered into their eHealth record for consultation.

resultsThe total sample size was 521 patients. Compared with the preintervention year, there were significant reductions in weight (82.3 kg before vs 80.1 kg after; P=.001) and in the proportion of people with high systolic (≥140 mmHg; 190, 36.5% vs 170, 32.6%; P=.001) and diastolic (≥90 mmHg; 72, 13.8% vs 40, 7.7%; P=.01) blood pressures, and hemoglobin A

conclusionsThe ValCrònic telemonitoring program in patients at high risk for rehospitalization or an emergency department visit appears to be useful to improve target disease control and to reduce the use of resources.

Indexed as

AgedChronic DiseaseFemaleHumansMalePrimary Health CareTelemedicinechronic diseaseprimary health caretelemedicine

Identifiers

PMID29246881
PMCPMC5747596
OpenAlexW2773445331

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.