Evidence map›Paper›PMID 31314879›Full record

ArticleSao Paulo medical journal = Revista paulista de medicina2019

What do Cochrane systematic reviews say about telemedicine for healthcare?

Carolina Dutra Queiroz Flumignan, Aline Pereira da Rocha, Ana Carolina Pereira Nunes Pinto, Keilla Machado Martins Milby, Mayara Rodrigues Batista, Álvaro Nagib Atallah, Humberto Saconato

Open access · diamondAbstract read
In one paragraph

Article in Sao Paulo medical journal = Revista paulista de medicina, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 5% 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.

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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pragmatic randomized controlled trial comparing a complex telemedicine-based intervention with usual care in patients with chronic conditions.The European journal of health economics : HEPAC : health economics in prevention and care · 2024
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  19. Pilot trial of telemedicine in urology: Video vs. telephone consultations.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 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

7 authors at 2 institutions in 1 country.

Carolina Dutra Queiroz FlumignanMD, PhD. Postdoctoral Student, Evidence-Based Health Program, Universidade Federal de São Paulo (UNIFESP), and Volunteer Researcher, Cochrane Brazil, São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0001-9943-3583
Aline Pereira da RochaMSc. Pharmacist and Doctoral Student, Evidence-Based Health Program, Universidade Federal de São Paulo (UNIFESP), and Volunteer Researcher, Cochrane Brazil, São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-0863-6500
Ana Carolina Pereira Nunes PintoMSc. Physiotherapist and Doctoral Student, Evidence-Based Health Program, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP); Professor, Department of Biological and Health Sciences, Universidade Federal do Amapá, Macapá (AP); and Volunteer Researcher, Cochrane Brazil, São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-1505-877X
Keilla Machado Martins MilbyBSc. Nurse and Doctoral Student, Evidence-Based Health Program, Universidade Federal de São Paulo (UNIFESP), and Volunteer Researcher, Cochrane Brazil, São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0003-0601-457X
Mayara Rodrigues BatistaBSc. Librarian and Doctoral Student, Evidence-Based Health Program, Universidade Federal de São Paulo (UNIFESP), and Volunteer Researcher, Cochrane Brazil, São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0003-1007-7135
Álvaro Nagib AtallahMD, MSc, PhD. Nephrologist and Full Professor, Discipline of Emergency and Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), and Director, Cochrane Brazil, São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0003-0890-594X
Humberto SaconatoMD, PhD. Adjunct Professor, Discipline of Emergency and Evidence-Based Medicine, Universidade Federal de São Paulo (UNIFESP), and Researcher, Cochrane Brazil, São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-0979-0286
Universidade Federal de São Paulo · BRCochrane · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemedicine has emerged as a tool for overcoming the challenges of healthcare systems and is likely to become increasingly viable, since information and communication technologies have become more sophisticated and user-friendly.

objectiveWe aimed to identify all Cochrane systematic reviews (CSRs) on telemedicine within healthcare and to summarize the current evidence regarding its use. DESIGN AND

settingReview of CSRs, developed at the Discipline of Emergency and Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo.

methodsWe searched for studies that compared use of telemedicine with conventional treatment or management of diseases within healthcare. Diagnostic telemedicine studies or studies using automatic text, voice-text or even self-managed care were excluded. The main characteristics and the certainty of evidence were synthetized and critically discussed by all authors.

resultsWe included 10 CSRs that investigated a broad range of diseases. There is still insufficient evidence to determine what types of telemedicine interventions are effective, for which patients and in which settings, and whether such interventions can be used as a replacement for the standard treatment. Harm relating to telemedicine technologies needs to be better investigated and addressed.

conclusionTelemedicine might be an excellent way to facilitate access to treatment, monitoring and dissemination of important clinical knowledge. However, given the recognition of systematic reviews as the best evidence resource available for decision-making, further randomized controlled trials with stricter methods are necessary to reduce the uncertainties in evidence-based use of telemedicine.

Indexed as

Evidence-Based MedicineSystematic Reviews as TopicTelemedicineHumans

Identifiers

PMID31314879
PMCPMC9721232
OpenAlexW2957841207

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.