ReviewNPJ digital medicine2018
Impact of remote patient monitoring on clinical outcomes: an updated meta-analysis of randomized controlled trials.
Review in NPJ digital medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 140 papers, 7 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
140 citing papers in PubMed, 7 syntheses or guidelines pooled it, 276 citations in OpenAlex.
- Clinical Outcomes of Passive Sensors in Remote Monitoring: A Systematic Review.Sensors (Basel, Switzerland) · 2025Pooled it
- Patient and Staff Experience of Remote Patient Monitoring-What to Measure and How: Systematic Review.Journal of medical Internet research · 2024Pooled it
- Effectiveness of remote home monitoring for patients with Chronic Obstructive Pulmonary Disease (COPD): systematic review.BMC health services research · 2022Pooled it
- Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review.The Lancet. Digital health · 2022Pooled it
- Factors influencing the effectiveness of remote patient monitoring interventions: a realist review.BMJ open · 2021Pooled it
- Remote symptom monitoring integrated into electronic health records: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- The Cost-Effectiveness of Digital Health Interventions on the Management of Cardiovascular Diseases: Systematic Review.Journal of medical Internet research · 2019Pooled it
- Behavioral Economic Framing for Enrollment and Retention of Patients in Remote Blood Pressure Monitoring: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Impact of Personal Health Records and Wearables on Health Outcomes and Patient Response: Three-Arm Randomized Controlled Trial.JMIR mHealth and uHealth · 2019Trial
- Embracing Digital as a Paradigm Shift in Medical Affairs.Pharmaceutical medicine · 2026Review
- Remote Patient Monitoring Across European Health Systems: Policy Insights from a Cross-Country Stakeholder Study.Healthcare (Basel, Switzerland) · 2026Article
- Program cost and return on investment analysis of remote patient monitoring for hypertension management in the cardiology department of a large healthcare system.Journal of telemedicine and telecare · 2026Article
- Mental health monitoring in the workplace using artificial intelligence: A scoping review.PLOS digital health · 2026Article
- Technology and Obesity: A Year in Review.Advances in therapy · 2026Review
- Remote Patient Monitoring Adoption for Hypertension Management Among Medicare Beneficiaries.JAMA network open · 2026Observational
- Implementation of a pragmatic pathway to ensure high-quality processing of heterogeneous remote health sensing data.Smart health (Amsterdam, Netherlands) · 2026Article
- A framework for longitudinal health AI agents.Nature health · 2026Article
- Limited validity of an AI-powered app for dietary assessment in females with obesity.NPJ digital medicine · 2026Article
- Remote Patient Monitoring in Louisiana Medicare Beneficiaries With Diabetes or Hypertension: Retrospective Cohort Study of 2016-2020 Claims Data.Journal of medical Internet research · 2026Article
- Self-care strategies and interventions to address antimicrobial resistance: evidence review and recommendations for national programs, service providers, caregivers, and self-carers.Frontiers in public health · 2026Review
80 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issued
Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite growing interest in remote patient monitoring, limited evidence exists to substantiate claims of its ability to improve outcomes. Our aim was to evaluate randomized controlled trials (RCTs) that assess the effects of using wearable biosensors (e.g. activity trackers) for remote patient monitoring on clinical outcomes. We expanded upon prior reviews by assessing effectiveness across indications and presenting quantitative summary data. We searched for articles from January 2000 to October 2016 in PubMed, reviewed 4,348 titles, selected 777 for abstract review, and 64 for full text review. A total of 27 RCTs from 13 different countries focused on a range of clinical outcomes and were retained for final analysis; of these, we identified 16 high-quality studies. We estimated a difference-in-differences random effects meta-analysis on select outcomes. We weighted the studies by sample size and used 95% confidence intervals (CI) around point estimates. Difference-in-difference point estimation revealed no statistically significant impact of remote patient monitoring on any of six reported clinical outcomes, including body mass index (-0.73; 95% CI: -1.84, 0.38), weight (-1.29; -3.06, 0.48), waist circumference (-2.41; -5.16, 0.34), body fat percentage (0.11; -1.56, 1.34), systolic blood pressure (-2.62; -5.31, 0.06), and diastolic blood pressure (-0.99; -2.73, 0.74). Studies were highly heterogeneous in their design, device type, and outcomes. Interventions based on health behavior models and personalized coaching were most successful. We found substantial gaps in the evidence base that should be considered before implementation of remote patient monitoring in the clinical setting.
Indexed as
Identifiers
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.