Evidence map›Paper›PMID 29940936›Full record

SynthesisBMC health services research2018

The impact of telehealth remote patient monitoring on glycemic control in type 2 diabetes: a systematic review and meta-analysis of systematic reviews of randomised controlled trials.

Puikwan A Lee, Geva Greenfield, Yannis Pappas

2 registry-linked trialsOpen access · goldAbstract readSystematic ReviewNetwork Meta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC health services research, 2018. 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 87 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 13 pooled it
10.7field-weighted citation impact, top 1% 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.

NCT04313803 unknown statusnot on this mapstarted 2020, after this paper: background citation

Expanding Continuous CGM Usage to Improve Outcomes in a Shorter Duration in Utah Valley Clinics

TypeobservationalSponsorIntermountain Health Care, Inc.Ran2020 to 2021Enrolled1,500ConditionsDiabetes Mellitus, Diabetes Mellitus, Type 2, DiabetesArmsCGM
NCT04413578 phase4completednot on this map

Assessing the Feasibility of Continuous Glucose Monitoring in Reimagine Primary Care Clinics

TypeinterventionalSponsorIntermountain Health Care, Inc.Ran2018 to 2019Enrolled101ConditionsDiabetes Mellitus, Type 2ArmsDexcom G6, Contour NextOne
3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 13 syntheses or guidelines pooled it, 174 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Pooled it
  13. Pooled it
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

27 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

3 authors at 3 institutions in 1 country.

Puikwan A LeeDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK. p.lee10@imperial.ac.uk.ORCID 0000-0003-0666-154X
Geva GreenfieldDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK.
Yannis PappasInstitute for Health Research, University of Bedfordshire, Luton, UK.
Imperial College London · GBPublic Health England · GBUniversity of Bedfordshire · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a growing body of evidence to support the use of telehealth in monitoring HbA1c levels in people living with type 2 diabetes. However, the overall magnitude of effect is yet unclear due to variable results reported in existing systematic reviews. The objective of this study is to conduct a systematic review and meta-analysis of systematic reviews of randomised controlled trials to create an evidence-base for the effectiveness of telehealth interventions on glycemic control in adults with type 2 diabetes.

methodsElectronic databases including The Cochrane Library, MEDLINE, EMBASE, HMIC, and PsychINFO were searched to identify relevant systematic reviews published between 1990 and April 2016, supplemented by references search from the relevant reviews. Two independent reviewers selected and reviewed the eligible studies. Of the 3279 references retrieved, 4 systematic reviews reporting in total 29 unique studies relevant to our review were included. Both conventional pairwise meta-analyses and network meta-analyses were performed.

resultsEvidence from pooling four systematic reviews found that telehealth interventions produced a small but significant improvement in HbA1c levels compared with usual care (MD: -0.55, 95% CI: -0.73 to - 0.36). The greatest effect was seen in telephone-delivered interventions, followed by Internet blood glucose monitoring system interventions and lastly interventions involving automatic transmission of SMBG using a mobile phone or a telehealth unit.

conclusionCurrent evidence suggests that telehealth is effective in controlling HbA1c levels in people living with type 2 diabetes. However there is need for better quality primary studies as well as systematic reviews of RCTs in order to confidently conclude on the impact of telehealth on glycemic control in type 2 diabetes.

Indexed as

TelemedicineBlood Glucose Self-MonitoringCell PhoneDiabetes Mellitus, Type 2Evidence-Based MedicineGlycated HemoglobinHumansInternetQualitative ResearchRandomized Controlled Trials as TopicSystematic Reviews as TopicGlycated Hemoglobinhemoglobin A1c protein, humanBlood glucoseRemoteTelehealthType 2 diabetes mellitus

Identifiers

PMID29940936
PMCPMC6019730
OpenAlexW2810382483

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.