Evidence map›Paper›PMID 33428219›Full record

Trial reportJournal of internal medicine2021

Telehealth mitigates COPD disease progression compared to standard of care: a randomized controlled crossover trial.

F Rassouli, A Germann, F Baty, M Kohler, D Stolz, R Thurnheer, T Brack, C Kähler, S Widmer, U Tschirren and 3 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Comparison of Treatment Modality Crossovers in Telehealth and In-Person Behavioral Health Treatment in Rural Communities.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
  8. Observational
  9. Review
  10. Article
  11. Article
  12. Review
  13. 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

13 authors at 5 institutions in 2 countries.

F RassouliFrom the, Lung Center, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0003-2426-3545
A GermannFrom the, Lung Center, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
F BatyFrom the, Lung Center, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
M KohlerClinic for Pulmonology, University Hospital Zurich, Zurich, Switzerland.
D StolzClinic for Pulmonology, University Hospital Basel, Basel, Switzerland.
R ThurnheerClinic for Internal Medicine, Cantonal Hospital Münsterlingen, Münsterlingen, Switzerland.
T BrackClinic for Internal Medicine, Cantonal Hospital Glarus, Glarus, Switzerland.
C KählerClinic for Pulmonology, Waldburg-Zeil-Kliniken, Wangen, Germany.
S WidmerFrom the, Lung Center, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
U TschirrenFrom the, Lung Center, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
N A SieviClinic for Pulmonology, University Hospital Zurich, Zurich, Switzerland.
M TammClinic for Pulmonology, University Hospital Basel, Basel, Switzerland.
M H BrutscheFrom the, Lung Center, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
University of St.Gallen · CHUniversity Hospital of Basel · CHUniversity Hospital of Zurich · CHKantonsspital Münsterlingen · CHWaldburg-Zeil Kliniken · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe showed excellent adherence and satisfaction with our telehealth care (TC) approach for COPD. Here, the results of a consecutive randomized controlled trial are presented.

methodsPatients were randomly assigned to TC or standard care (SC). During TC, patients answered six daily questions online, and focused on the early recognition of exacerbations, in addition to SC.

resultsThe mean increase in COPD assessment test (CAT) was 1.8 vs. 3.6 points/year in the TC and SC groups, respectively (P = 0.0015). Satisfaction with care (VAS) at baseline was 8.2; at the end of SC, 8.5 (P = 0.062); and after TC, 8.8 (P < 0.001). We detected significantly more moderate exacerbations during TC.

conclusionWhilst receiving TC, the slope of the CAT increase - an indicator of the naturally progressive course of COPD - was reduced by 50%. Satisfaction with care increased with TC. The higher number of detected moderate exacerbations probably indicates a higher diagnostic sensitivity than without TC.

Indexed as

TelemedicineAdultAgedCross-Over StudiesDisease ProgressionFemaleGermanyHumansMaleMiddle AgedPatient SatisfactionPulmonary Disease, Chronic ObstructiveStandard of CareSurveys and QuestionnairesSwitzerlandSymptom Flare UpCOPDCOPD assessment testCOPD exacerbationtelehealth

Identifiers

PMID33428219
PMCPMC7986739
OpenAlexW3120710923

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.