Evidence map›Paper›PMID 34027341›Full record

ArticleCJC open2021

Remote Monitoring of Cardiovascular Implantable Electronic Devices in Canada: Survey of Patients and Device Health Care Professionals.

Shannon E Kelly, Debra Campbell, Lenora J Duhn, Karen Giddens, Anne M Gillis, Amir AbdelWahab, Isabelle Nault, Satish R Raj, Evan Lockwood, Jessica Basta and 3 more

Open access · goldAbstract read
In one paragraph

Article in CJC open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.4field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Infections of cardiac implantable electrical devices.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  8. Article
  9. Article
  10. 2023 HRS/EHRA/APHRS/LAHRS Expert Consensus Statement on Practical Management of the Remote Device Clinic.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  11. Review
  12. Remote Monitoring of CIEDs-For Both Safety, Economy and Convenience?International journal of environmental research and public health · 2021
    Review
  13. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  14. Deactivation of implantable cardioverter-defibrillators.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  15. 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

13 authors at 8 institutions in 1 country.

Shannon E KellyUniversity of Ottawa, School of Epidemiology and Public Health, Ottawa, Ontario, Canada.
Debra CampbellKingston Health Sciences Centre, Kingston General Hospital, Kingston, Ontario, Canada.
Lenora J DuhnSchool of Nursing, Queen's University, Kingston, Ontario, Canada.
Karen GiddensQEII Health Sciences Center, Halifax, Nova Scotia, Canada.
Anne M GillisUniversity of Calgary, Libin Cardiovascular Institute of Alberta, Calgary, Alberta Canada.
Amir AbdelWahabQEII Health Sciences Center, Halifax, Nova Scotia, Canada.
Isabelle NaultInstitut Universitaire de Cardiologie and Pneumologie de Quebec, Quebec, Canada.
Satish R RajUniversity of Calgary, Libin Cardiovascular Institute of Alberta, Calgary, Alberta Canada.
Evan LockwoodCK Hui Heart Centre, Royal Alexandria Hospital, Edmonton, Alberta, Canada.
Jessica BastaQEII Health Sciences Center, Halifax, Nova Scotia, Canada.
Steve DoucetteResearch Methods Unit, Nova Scotia Health Authority, Halifax, Nova Scotia, Canada.
George A WellsUniversity of Ottawa, School of Epidemiology and Public Health, Ottawa, Ontario, Canada.
Ratika ParkashDepartment of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Queen Elizabeth II Health Sciences Centre · CAQueen's University · CAUniversity of Calgary · CAUniversity of Ottawa · CADalhousie University · CAInstitut universitaire de cardiologie et de pneumologie de Québec · CANova Scotia Health Authority · CARoyal Alexandra Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemote monitoring is used to supplement in-clinic follow-up for patients with cardiac implantable electronic devices (CIEDs) every 6-12 months. There is a need to optimize remote management for CIEDs because of the consistent increases in CIED implants over the past decade. The objective of this study was to investigate real and perceived barriers to the use of remote patient management strategies in Canada and to better understand how remote models of care can be optimized.

methodsWe surveyed 512 CIED patients and practitioners in 22 device clinics in Canada.

resultsDevice clinic surveys highlighted significant variation and inconsistency in follow-up care for in-clinic and remote visits across and within clinics. This survey showed that funding policies and management of additional workflow are barriers to optimal use and uptake. Despite this, device clinics perceive remote follow-up as a valuable resource and an efficient way to manage patient follow-up. Patients were broadly satisfied with their CIED follow-up care but identified barriers related to coordination of care, visit logistics, and information needs. Views varied as a function of clinical or sociodemographic characteristics. Most patients (n = 228; 91%) expressed a desire to receive a phone call from their device clinic after a remote transmission has been received.

conclusionsLack of a unified, guideline-supported approach to follow-up after CIED implant, and discrepant funding policies across jurisdictions, are significant barriers to the use of remote patient management strategies in Canada. Efforts to increase or expand use of remote follow-up must recognize these barriers and the needs of specific subgroups of patients.

Identifiers

PMID34027341
PMCPMC8129436
OpenAlexW3107122874

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.