Evidence map›Paper›PMID 36348965›Full record

ArticleZdravstveno varstvo2022

Telemonitoring of Elderly with Hypertension and Type 2 Diabetes at the Primary Care Level: Protocol for a Multicentric Randomized Controlled Pilot Study.

Matic Mihevc, Črt Zavrnik, Majda Mori Lukančič, Tina Virtič, Valentina Prevolnik Rupel, Marija Petek Šter, Zalika Klemenc Ketiš, Antonija Poplas Susič

Open access · diamondAbstract read
In one paragraph

Article in Zdravstveno varstvo, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.6field-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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  7. Observational
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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

8 authors at 4 institutions in 1 country.

Matic MihevcLjubljana Community Health Centre, Primary Healthcare Research and Development Institute, Metelkova 9, 1000 Ljubljana, Slovenia.
Črt ZavrnikLjubljana Community Health Centre, Primary Healthcare Research and Development Institute, Metelkova 9, 1000 Ljubljana, Slovenia.
Majda Mori LukančičLjubljana Community Health Centre, Primary Healthcare Research and Development Institute, Metelkova 9, 1000 Ljubljana, Slovenia.
Tina VirtičLjubljana Community Health Centre, Primary Healthcare Research and Development Institute, Metelkova 9, 1000 Ljubljana, Slovenia.
Valentina Prevolnik RupelInstitute for Economic Research, Kardeljeva ploščad 17, 1000 Ljubljana, Slovenia.
Marija Petek ŠterUniversity of Ljubljana, Faculty of Medicine, Department of Family Medicine, Poljanski nasip 58, 1000 Ljubljana, Slovenia.
Zalika Klemenc KetišLjubljana Community Health Centre, Primary Healthcare Research and Development Institute, Metelkova 9, 1000 Ljubljana, Slovenia.
Antonija Poplas SusičLjubljana Community Health Centre, Primary Healthcare Research and Development Institute, Metelkova 9, 1000 Ljubljana, Slovenia.
Community Health Centre Ljubljana · SIInstitute for Economic Research · SIUniversity of Ljubljana · SIUniversity of Maribor · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Arterial hypertension (AH) and type 2 diabetes (T2D) represent a significant burden for the public health system, with an exceptionally high prevalence in patients aged ≥65 years. This study aims to test the acceptability, clinical effectiveness, and cost-effectiveness of telemonitoring in elderly patients with AH and T2D at the primary care level. Methods: A m ulti-centre, prospective, randomized, controlled t rial w ill be conducted. Patients a ged ≥ 65 y ears with AH and T2D will be randomized in a 1:1 proportion to a mHealth intervention or standard care group. Patients in the intervention group will measure their blood pressure (BP) twice weekly and blood glucose (BG) once monthly. The readings will be synchronously transmitted via a mobile application to the telemonitoring platform, where they will be reviewed by a general practitioner who will indicate changes in measurement regimen or carry out a teleconsultation. The primary endpoint will be a change in systolic BP (SBP) and glycated haemoglobin (HbA1c) relative to standard care up to 12 months after inclusion. Secondary endpoints will be a change in other observed clinical variables, quality-of-life indexes, and costs. Expected results: Telemonitoring will be an acceptable method of care associated with significant reductions in SBP and HbA1c levels and an increase in quality-of-life indexes in the intervention group. However, the cost-effectiveness threshold (incremental cost-effectiveness ratio below €25,000/quality-adjusted life year) might not be reached. Conclusion: This study will provide new evidence for scaling up telemonitoring network at the primary care level and modifying telemonitoring protocols to achieve the best clinical and cost-effective outcomes.

Indexed as

agedblood glucoseblood pressurecostsHbA1cmobile healthprimary health caretelemonitoring

Identifiers

PMID36348965
PMCPMC9597900
OpenAlexW4301398894

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.