Evidence map›Paper›PMID 31813545›Full record

SynthesisAtencion primaria2020

[Effectiveness of interventions based on telemedicine on health outcomes in patients with multimorbidity in Primary Care: A systematic review].

Beatriz Pascual-de la Pisa, Marta Palou-Lobato, Cristina Márquez Calzada, María José García-Lozano

Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Atencion primaria, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05593835 (Protocol for a Cluster Randomised Trial of a Goal-Oriented Care Approach for Multimorbidity Patients Supported by a Digital Platform), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 23% 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.

NCT05593835 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Protocol for a Cluster Randomised Trial of a Goal-Oriented Care Approach for Multimorbidity Patients Supported by a Digital Platform

TypeinterventionalSponsorUniversidade Nova de LisboaRan2025 to 2027Enrolled1,380ConditionsChronic DiseaseArmsMETHIS Platform, Goal-Oriented Care Training Program
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
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

4 authors at 1 institution in 1 country.

Beatriz Pascual-de la PisaUnidad de Gestión Clínica de Camas, Distrito Sanitario Aljarafe-Sevilla Norte, Servicio Andaluz de Salud, Camas, Sevilla, España; Departamento de Medicina, Facultad de Medicina de Sevilla, Sevilla, España. Electronic address: beatriz.pascual.pisa@gmail.com.
Marta Palou-LobatoHospital Universitario de Donostia, Donostia-San Sebastián, España.
Cristina Márquez CalzadaDistrito Sanitario de Atención Primaria Sevilla, Servicio Andaluz de Salud, Sevilla, España.
María José García-LozanoUnidad de Gestión Clínica de Camas, Distrito Sanitario Aljarafe-Sevilla Norte, Servicio Andaluz de Salud, Camas, Sevilla, España.
Andalusian Health Service · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of telemedicine interventions to improve health outcomes in patients with multiple morbidities in Primary Health Care.

designA systematic review. DATA SOURCES: INAHTA, Health Guidelines, NICE, Cochrane Library, Medline/PubMed and EMBASE up to April 2018. STUDY SELECTION: Inclusion criteria: patients (adults with 2 or more chronic diseases or a Charlson index greater than three); intervention (telemedicine intervention developed entirely in Primary Health Care); comparator (usual care); health outcomes (mortality, hospital admissions, emergency department visits, health-related quality of life, and satisfaction); study design(clinical practice guideline, systematic review, meta-analysis, randomised controlled clinical trial),and quasi-experimental design). English and Spanish language publication. A total of236 references were located. DATA EXTRACTION: Duplicated articles were removed. Titles, abstracts, and full text of references identified were assessed using the selection criteria; methodological quality assessment; data extraction, and qualitative analysis.

resultsFive articles, corresponding to 3 studies, were included, with 2 randomised controlled clinical trials and one quasi-experimental design. No significant results were observed in reducing mortality or improving health-related quality of life. The effectiveness of telemedicine on the number of hospital admissions or emergency visits showed contradictory results. Satisfaction was not measured in the studies included.

conclusionsThe relatively small number of studies, heterogeneity characteristics, and methodological limitations did not confirm the effectiveness of telemedicine intervention on the improvement of mortality, number of hospital admissions, emergency department visits, and health-related quality of life, compared to usual care.

Indexed as

Quality of LifeTelemedicineAdultHumansMultimorbidityOutcome Assessment, Health CarePrimary Health CareRandomized Controlled Trials as TopicAtención primaria de saludHospital admissionHospitalizaciónMortalidadMortalityMultimorbilidadMultiple morbiditiesOutcome assessmentPrimary CareResultados en saludTelemedicinaTelemedicine

Identifiers

PMID31813545
PMCPMC8054282
OpenAlexW2991825470

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.