Evidence map›Paper›PMID 30956795›Full record

ArticleBMJ open respiratory research2019

Use, utility and methods of telehealth for patients with COPD in England and Wales: a healthcare provider survey.

Ahmed Al Rajeh, Michael C Steiner, Yousef Aldabayan, Abdulelah Aldhahir, Elisha Pickett, Shumonta Quaderi, John R Hurst

Abstract readEvaluation Study
In one paragraph

Article in BMJ open respiratory research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. A Systematic Review and Meta-Analysis of Telemonitoring Interventions on Severe COPD Exacerbations.International journal of environmental research and public health · 2021
    Pooled it
  2. Chronic Obstructive Pulmonary Disease Patients' Acceptance in E-Health Clinical Trials.International journal of environmental research and public health · 2021
    Pooled it
  3. Trial
  4. Review
  5. Article
  6. Telehealth and telemedicine in the management of adult patients after hospitalization for COPD exacerbation: a scoping review.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2023
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Global use, utility, and methods of tele-health in COPD: a health care provider survey.International journal of chronic obstructive pulmonary disease · 2019
    Article
  13. Review
  14. 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

7 authors.

Ahmed Al RajehRespiratory Medicine, University College London Medical School, London, UK.
Michael C SteinerRespiratory, Institute for Lung Health, Leicester, UK.
Yousef AldabayanRespiratory Medicine, University College London Medical School, London, UK.
Abdulelah AldhahirRespiratory Medicine, University College London Medical School, London, UK.
Elisha PickettRespiratory Medicine, University College London Medical School, London, UK.
Shumonta QuaderiRespiratory Medicine, University College London Medical School, London, UK.
John R HurstRespiratory Medicine, University College London Medical School, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Although the effectiveness of domiciliary monitoring (telehealth) to improve outcomes in chronic obstructive pulmonary disease (COPD) is controversial, it is being used in the National Health Service (NHS). Aim: To explore the use of teleheath for COPD across England and Wales, to assess the perceptions of clinicians employing telehealth in COPD and to summarise the techniques that have been used by healthcare providers to personalise alarm limits for patients with COPD enrolled in telehealth programmes. Methods: A cross-sectional survey consisting of 14 questions was sent to 230 COPD community services in England and Wales. Questions were designed to cover five aspects of telehealth in COPD: purpose of use, equipment type, clinician perceptions, variables monitored and personalisation of alarm limits. Results: 65 participants completed the survey from 52 different NHS Trusts. 46% of Trusts had used telehealth for COPD, and currently, 31% still provided telehealth services to patients with COPD. Telehealth is most commonly used for baseline monitoring and to allow early detection of exacerbations, with 54% believing it to be effective. The three most commonly monitored variables were oxygen saturation, heart rate and breathlessness. A variety of methods were used to set alarm limits with the majority of respondents believing that at least 40% of alarms were false. Conclusion: Around one-third of responded community COPD services are using telehealth, believing it to be effective without robust evidence, with a variety of variables monitored, a variety of hardware and varying techniques to set alarm limits with high false alarm frequencies.

Indexed as

Clinical AlarmsCross-Sectional StudiesEnglandHealth Care SurveysHealth PersonnelHeart RateHumansMonitoring, AmbulatoryOximetryOxygenPulmonary Disease, Chronic ObstructiveState MedicineTelemedicineWalesOxygenalarm limitschronic obstructive pulmonary diseaseCOPDhome monitoringperceptiontelehealth

Identifiers

PMID30956795
PMCPMC6424290

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.