ReviewIndian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
Effectiveness of Telemedicine on Diabetes Management at Primary Care Settings in the Asian Population: A Systematic Review and Meta-Analysis.
Review in Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
Who cites it
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The number of diabetic patients has tripled over the past 20 years. To address diabetes, multicomponent intervention may prove to make a significant difference. This study was conducted to assess the effectiveness of telemedicine in diabetes management at Primary Care Centres in the Asian population and to compare the effectiveness of different strategies of telemedicine interventions. Randomized controlled trials conducted in primary health care settings examining the effectiveness of telemedicine interventions in the management of diabetics were included in this review. The search strategy included MeSH terms related to Diabetes, Telemedicine, Diabetic management, Effectiveness, and Asia to find relevant studies. The published literatures were searched on the electronic database search engines, namely, Pubmed, Embase, Scopus, and Cochrane Library. The outcomes assessed for this study were HbA1c, FBG, Psychological Distress, and Quality of Life. For metaanalysis, Cochrane's Q statistic and inconsistency index (I2) were used to compute the statistical heterogeneity. The different types of telemedicine strategies were compared and ranked by the surface under the cumulative ranking curve. Nine articles were selected based on the inclusion and exclusion criteria. Our meta analysis of eight trials indicated a significant reduction of HbA1c of 0.19% (95% CI: 0.37, 0.01; P = 0.04) compared with the control groups. The effect of telemedicine intervention favored toward the intervention group compared with the usual care group. Telemedicine can be seen as a favorable approach to manage diabetes in primary care settings.
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