Evidence map›Paper›PMID 40764466›Full record

SynthesisEuropean journal of pediatrics2025

Telemonitoring in adolescents with inflammatory bowel disease: a systematic review.

Mike P T Kusters, Marleen Bouhuys, Robin W M Vernooij, Linde F Huis In 't Veld, Johan E van Limbergen, Bada Yang, Patrick F van Rheenen

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Mike P T KustersCochrane Netherlands, Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, the Netherlands.
Marleen BouhuysDepartment of Pediatric Gastroenterology, Hepatology and Nutrition, University of Groningen, University Medical Centre Groningen, Beatrix Children's Hospital, PO Box 30001, 9700 RB, Groningen, the Netherlands.
Robin W M VernooijCochrane Netherlands, Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, the Netherlands.
Linde F Huis In 't VeldCochrane Netherlands, Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, the Netherlands.
Johan E van LimbergenDepartment of Pediatric Gastroenterology and Nutrition, Emma Children's Hospital, Amsterdam University Medical Centers, Amsterdam, the Netherlands.
Bada YangCochrane Netherlands, Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, the Netherlands.
Patrick F van RheenenDepartment of Pediatric Gastroenterology, Hepatology and Nutrition, University of Groningen, University Medical Centre Groningen, Beatrix Children's Hospital, PO Box 30001, 9700 RB, Groningen, the Netherlands. p.f.van.rheenen@umcg.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Telemonitoring could be an alternative for standard face-to-face consultations. In adults with inflammatory bowel disease (IBD), telemonitoring has been associated with improved quality of life (QoL) and reduced costs. We aimed to assess whether telemonitoring of adolescents with IBD is non-inferior to standard care in controlling disease activity. We searched Medline and Embase up to June 15, 2025, for randomized trials comparing the effect of telemonitoring and standard care on disease activity in adolescents with IBD. Secondary outcomes were QoL, costs, patient satisfaction, patient adherence, face-to-face contacts, and emergency room attendances or hospitalizations. Risk of bias and certainty of evidence were assessed using the Risk of Bias 2 tool and GRADE, respectively. Data was synthesized and reported in accordance with the Synthesis Without Meta-analysis (SWiM) reporting guideline and the Cochrane Handbook. Three studies (309 patients) were identified. Risk of bias was judged "high" for one study and as "some concerns" for the remaining two studies. We found that telemonitoring may not worsen disease activity (low-certainty evidence) and may result in little to no improvement in QoL (low-certainty evidence) compared to standard care. Telemonitoring likely results in a slight cost reduction (moderate- certainty evidence).

conclusionTelemonitoring may be non-inferior to standard care in controlling disease activity for adolescents with IBD. WHAT IS KNOWN: • Studies comparing telemonitoring with standard follow-up in adults with inflammatory bowel disease (IBD) did not find a difference in disease activity or the occurrence of flares between these strategies. • Telemonitoring could improve quality of life and reduce costs and health care utilization in adults. WHAT IS NEW: • This systematic review exclusively reviews the effect of telemonitoring on adolescents with IBD. • Based on limited evidence, following adolescents with IBD with telemonitoring appears to be safe and may reduce the number of outpatient visits and societal costs.

Indexed as

Inflammatory Bowel DiseasesTelemedicineAdolescentHumansPatient SatisfactionQuality of LifeRandomized Controlled Trials as TopicAdolescenceColitis, ulcerativeCrohn diseasePediatrics

Identifiers

PMID40764466
PMCPMC12325510

What OpenQuestion holds

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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.