Evidence map›Paper›PMID 40695531›Full record

ArticleBMJ open respiratory research2025

Determining what patients admitted with a chronic obstructive pulmonary disease (COPD) exacerbation will use for remote clinical monitoring: a patient engagement survey.

Robert Wu, Jansen Zhou, Alex Mariakakis, Eyal de Lara, Jeyani Jeyaparan, Andrea Gershon

Abstract read
In one paragraph

Article in BMJ open respiratory research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Robert WuMedicine, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada robert.wu@uhn.ca.ORCID http://orcid.org/0000-0002-6895-1107
Jansen ZhouMedicine, University Health Network, Toronto, Ontario, Canada.
Alex MariakakisDepartment of Computer Science, University of Toronto, Toronto, Ontario, Canada.
Eyal de LaraDepartment of Computer Science, University of Toronto, Toronto, Ontario, Canada.
Jeyani JeyaparanDepartment of Medicine, University Health Network, Toronto, Ontario, Canada.
Andrea GershonMedicine, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemote monitoring may improve the health of people with chronic obstructive pulmonary disease (COPD) through earlier detection and intervention before conditions worsen, but there are major challenges in recruitment and retention in these research studies. There are also increasing technologies and the uptake of specific technologies in people with COPD is not well known.

objectiveThe objective of this study was to identify remote monitoring interventions that people admitted to hospital with an exacerbation of COPD would be willing to use upon discharge and to identify factors that influenced their preferences.

methodsWe surveyed consecutive patients admitted to hospital with acute exacerbations of COPD. We asked participants how likely they would be willing to use 15 remote monitoring interventions and to explain the reasoning behind their preferences. We correlated demographic factors with willingness to use interventions.

resultsOut of the 88 people with COPD approached, we recruited 50 (57%). The average age was 72.5 years, and 48% were women. Patients were most willing to use in-home visits by nurses, remote monitoring of vital signs and reporting oximeter values through an app or a website. Least popular interventions were in-home cough, speech and activity monitoring. Perceived usefulness and previous positive experiences were reasons why participants would accept various interventions. Increased willingness to use remote monitoring was seen in women (p=0.02), people who spoke English as a primary language (p=0.005), people who did not rely on others for support (p=0.04) and those followed by a respirologist (p=0.02).

conclusionsOur survey of patients admitted with COPD exacerbations provides insight into the types of remote monitoring interventions patients will accept and who are more interested in participating. We also provide insight into equity concerns of remote monitoring technology by identifying demographic factors that may influence intervention use that could widen the digital divide.

Indexed as

Patient ParticipationPatient PreferencePulmonary Disease, Chronic ObstructiveAgedAged, 80 and overDisease ProgressionFemaleHospitalizationHumansMaleMiddle AgedMonitoring, PhysiologicSurveys and QuestionnairesTelemedicineCOPD ExacerbationsTelemedicine

Identifiers

PMID40695531
PMCPMC12281319

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.