SynthesisJournal of the American Geriatrics Society2019
Effectiveness of Ambulatory Telemedicine Care in Older Adults: A Systematic Review.
Synthesis in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers, 10 of them syntheses that pooled 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.
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.
Who cites it
105 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- A conceptual framework and umbrella review of digital health technology interventions and health equity.BMC health services research · 2025Pooled it
- Effectiveness of guided telerehabilitation on functional performance in community-dwelling older adults: A systematic review.Clinical rehabilitation · 2024Pooled it
- Exercise Interventions Delivered Through Telehealth to Improve Physical Functioning for Older Adults with Frailty, Cognitive, or Mobility Disability: A Systematic Review and Meta-Analysis.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Pooled it
- The Impact of Virtual Consultations on the Quality of Primary Care: Systematic Review.Journal of medical Internet research · 2023Pooled it
- Telemedicine in the primary care of older adults: a systematic mixed studies review.BMC primary care · 2023Pooled it
- Evidence-Based Dietary Practices to Improve Osteoarthritis Symptoms: An Umbrella Review.Nutrients · 2023Pooled it
- Individualized interventions and precision health: Lessons learned from a systematic review and implications for analytics-driven geriatric research.Journal of the American Geriatrics Society · 2023Pooled it
- Effectiveness and feasibility of home-based telerehabilitation for community-dwelling elderly people in Southeast Asian countries and regions: a systematic review.Aging clinical and experimental research · 2021Pooled it
- Community health worker interventions for older adults with complex health needs: A systematic review.Journal of the American Geriatrics Society · 2021Pooled it
- Application and implementation of telehealth services designed for the elderly population during the COVID-19 pandemic: A systematic review.Health informatics journalPooled it
- Experiences of Older Adults, Physiotherapists, and Aged Care Staff in the TOP UP Telephysiotherapy Program: Interview Study of the TOP UP Interventions.JMIR aging · 2024Trial
- The effects of a mobile app-delivered intervention in people with symptomatic hand osteoarthritis: a pragmatic randomized controlled trial.European journal of physical and rehabilitation medicine · 2023Trial
- Patient Engagement Using Telemedicine in Primary Care during COVID-19 Pandemic: A Trial Study.International journal of environmental research and public health · 2022Trial
- Addressing COVID-19 challenges in a randomised controlled trial on exercise interventions in a high-risk population.BMC geriatrics · 2021Trial
- Blended home-based exercise and dietary protein in community-dwelling older adults: a cluster randomized controlled trial.Journal of cachexia, sarcopenia and muscle · 2020Trial
- Leveraging Digital Health Technologies to Assess Older Adults' Frailty and Nutritional Status: Two Cross-Sectional Studies.JMIR aging · 2026Observational
- The Role of Telemedicine Centers and Digital Health Applications in Home Care: Challenges and Opportunities for Family Caregivers.Healthcare (Basel, Switzerland) · 2026Article
- Digital health equity among older adult(s): a conceptual analysis.Frontiers in public health · 2026Review
- Perceptions About Dyadic Physical Activity Intervention for Rural-Dwelling People With Cognitive Impairment.Journal of aging and physical activity · 2025Article
- A Rapid Review of Ethical and Equity Dimensions in Telerehabilitation for Physiotherapy and Occupational Therapy.International journal of environmental research and public health · 2025Review
45 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
Abstract
backgroundDisparities in healthcare access and delivery, caused by transportation and health workforce difficulties, negatively impact individuals living in rural areas. These challenges are especially prominent in older adults.
designWe systematically evaluated the feasibility, acceptability, and effectiveness in providing telemedicine (TMed), searching the English-language literature for studies (January 2012 to July 2018) in the following databases: Medline (PubMed); Cochrane Library (Wiley); Web of Science; CINAHL; EMBASE (Ovid); and PsycINFO (EBSCO).
participantsOlder adults (mean age = 65 years or older, and none were younger than 60 years).
interventionsInterventions consisted of live, synchronous, two-way videoconferencing communication in nonhospital settings. All medical interventions were included. MEASUREMENTS: Quality assessment, using the Cochrane Collaboration's Risk-of-Bias Tool, was applied on all included articles, including a qualitative summary of all articles.
resultsOf 6616 citations, we reviewed the full text of 1173 articles, excluding 1047 that did not meet criteria. Of the 17 randomized controlled trials, the United States was the country with the most trials (6 [35%]), with cohort sizes ranging from 3 to 844 (median = 35) participants. Risk of bias among included studies varied from low to high. Our qualitative analysis suggests that TMed can improve health outcomes in older adults and that it could be used in this population.
conclusionsTMed is feasible and acceptable in delivering care to older adults. Research should focus on well-designed randomized trials to overcome the high degree of bias observed in our synthesis. Clinicians should consider using TMed in routine practice to overcome barriers of distance and access to care. J Am Geriatr Soc 67:1737-1749, 2019.
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What OpenQuestion holds
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.