Evidence map›Paper›PMID 36442906›Full record

SynthesisOpen heart2022

Remote monitoring in patients with heart failure with cardiac implantable electronic devices: a systematic review and meta-analysis.

Michael J McGee, Max Ray, Stepehn C Brienesse, Shanathan Sritharan, Andrew J Boyle, Nicholas Jackson, James W Leitch, Aaron L Sverdlov

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Open heart, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  11. Connected to the cloud at time of death: a case report.Journal of medical case reports · 2024
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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.

Michael J McGeeDepartment of Cardiology, Tamworth Rural Referral Hospital, Tamworth, New South Wales, Australia.ORCID 0000-0002-9713-0826
Max RayDepartment of Cardiology, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.
Stepehn C BrienesseDepartment of Cardiology, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.
Shanathan SritharanDepartment of Cardiology, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.
Andrew J BoyleDepartment of Cardiology, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.
Nicholas JacksonDepartment of Cardiology, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.
James W LeitchDepartment of Cardiology, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.
Aaron L SverdlovDepartment of Cardiology, John Hunter Hospital, New Lambton Heights, New South Wales, Australia aaron.sverdlov@health.nsw.gov.au.ORCID 0000-0003-2539-8038

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemote monitoring (RM) of cardiac implantable electronic devices (CIEDs) is now the standard of care, but whether the demonstrated benefits of RM translate into improvements in heart failure (HF) management is controversial. This systematic review addresses the role of RM in patients with HF with a CIED. METHODS AND

resultsA systematic search of the literature for randomised clinical trials in patients with HF and a CIED assessing efficacy/effectiveness of RM was performed using MEDLINE, PubMed and Embase. Meta-analysis was performed on the effects of RM of CIEDs in patients with HF on mortality and readmissions. Effects on implantable cardiac defibrillator (ICD) therapy, healthcare costs and clinic presentations were also assessed.607 articles were identified and refined to 10 studies with a total of 6579 patients. Implementation of RM was not uniform with substantial variation in methodology across the studies. There was no reduction in mortality or hospital readmission rates, while ICD therapy findings were inconsistent. There was a reduction in patient-associated healthcare costs and reduction in healthcare presentations.

conclusionRM for patients with CIEDs and HF was not uniformly performed. As currently implemented, RM does not provide a benefit on overall mortality or the key metric of HF readmission. It does provide a reduction in healthcare costs and healthcare presentations. PROSPERO REGISTRATION NUMBER: CRD42019129270.

Indexed as

Defibrillators, ImplantableHeart FailureAnti-Arrhythmia AgentsElectronicsHeartHumansPatient ReadmissionAnti-Arrhythmia Agentsarrhythmias, cardiaccardiomyopathiesheart failurepacemaker, artificial

Identifiers

PMID36442906
PMCPMC9710367

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Registered trials

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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.