Evidence map›Paper›PMID 35198931›Full record

ReviewCJC open2022

Virtual Care With Digital Technologies for Rural Canadians Living With Cardiovascular Disease.

Ryan Buyting, Sarah Melville, Hanif Chatur, Christopher W White, Jean-François Légaré, Sohrab Lutchmedial, Keith R Brunt

Abstract readReview
In one paragraph

Review in CJC open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Access to Specialized Care Across the Lifespan in Tetralogy of Fallot.CJC pediatric and congenital heart disease · 2023
    Review
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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.

Ryan BuytingDepartment of Pharmacology, Dalhousie Medicine New Brunswick, Saint John, New Brunswick, Canada.
Sarah MelvilleDivision of Cardiology, Saint John Regional Hospital, Saint John, New Brunswick, Canada.
Hanif ChaturFaculty of Medicine, Dalhousie University, Saint John, New Brunswick, Canada.
Christopher W WhiteDivision of Cardiac Surgery, Saint John Regional Hospital, Saint John, New Brunswick, Canada.
Jean-François LégaréDivision of Cardiac Surgery, Saint John Regional Hospital, Saint John, New Brunswick, Canada.
Sohrab LutchmedialDivision of Cardiology, Saint John Regional Hospital, Saint John, New Brunswick, Canada.
Keith R BruntDepartment of Pharmacology, Dalhousie Medicine New Brunswick, Saint John, New Brunswick, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Canada is a wealthy nation with a geographically diverse population, seeking health innovations to better serve patients in accordance with the Canada Health Act. In this country, population and geography converge with social determinants, policy, procurement regulations, and technological advances with the goal to achieve equity in the management and distribution of health care. Rural and remote patients are a vulnerable population; when managing chronic conditions like cardiovascular disease, there is currently inequity to accessing specialist physicians at the recommended frequency-increasing the likelihood of poor health outcomes. Ensuring equitable care for this population is an unrealized priority of several provincial and federal government mandates. Virtual care technology might provide practical, economical, and innovative solutions to remedy this discrepancy. We conducted a scoping review of the literature pertaining to the use of virtual care technologies to monitor patients living in rural areas of Canada with cardiovascular disease. A search strategy was developed to identify the literature specific to this context across 3 bibliographic databases. Two hundred thirty-two unique citations were ultimately assessed for eligibility, of which 37 met the inclusion criteria. In our assessment of these articles, we provide a summary of the interventions studied, their reported effectiveness in reducing adverse events and mortality, the challenges to implementation, and the receptivity of these technologies among patients, providers, and policy-makers. Furthermore, we glean insight into the barriers and opportunities to ensure equitable care for rural patients and conclude that there is an ongoing need for clinical trials on virtual care technologies in this context.

Identifiers

PMID35198931
PMCPMC8843960

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.