Evidence map›Paper›PMID 42332823›Full record

ArticleSystematic reviews2026

The impact of remote care on the quality of care of pregnant women with diabetes: a systematic review protocol.

Sara Sousi, Geva Greenfield, Benedict W J Hayhoe, Natasha Singh, Azeem Majeed, Ara Darzi, Ana Luísa Neves

Abstract read
In one paragraph

Article in Systematic reviews, 2026. 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. 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

7 authors.

Sara SousiInstitute of Global Health Innovation, Imperial College London, London, UK. s.sousi19@imperial.ac.uk.ORCID 0000-0002-0494-5138
Geva GreenfieldDepartment of Primary Care and Public Health, Imperial College London, London, UK.
Benedict W J HayhoeDepartment of Primary Care and Public Health, Imperial College London, London, UK.
Natasha SinghDepartment of Obstetrics & Gynaecology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Azeem MajeedDepartment of Primary Care and Public Health, Imperial College London, London, UK.
Ara DarziInstitute of Global Health Innovation, Imperial College London, London, UK.
Ana Luísa NevesDepartment of Primary Care and Public Health, Imperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes during pregnancy, whether gestational diabetes mellitus (GDM) or pre-existing diabetes mellitus (DM), is associated with increased maternal and neonatal risks. Remote care has shown promise in managing diabetes in the general population, however, its impact on the quality of antenatal care for pregnant women with diabetes remains unclear. Considering the growing adoption of remote care globally, it is vital to understand its impact on the quality of care. This review aims to evaluate the impact of remote care on the quality of care for pregnant women with diabetes. This manuscript describes the protocol for the review.

methodsMEDLINE, EMBASE, CINAHL, MIDIRS, Scopus, Cochrane, and Global Health databases will be searched to identify studies published from 2005 to 2025. Eligible studies will include original empirical research, encompassing both interventional (e.g. randomised controlled trials) and observational designs (e.g. cohort and cross-sectional studies), assessing remote care, including both virtual consultations and remote monitoring, for pregnant women with GDM, Type 1 or 2 DM. Quality of care will be assessed using the Institute of Medicine healthcare quality framework: patient-centredness, effectiveness, safety, efficiency, timeliness, and equity. Screening and data extraction will be conducted by two independent reviewers. The quality of the studies will be assessed using the Cochrane Risk of Bias tools. Subgroup analyses will be undertaken to explore variation by diabetes and intervention type. This protocol follows the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocol (PRISMA-P) guideline. DISCUSSION: The findings of this review will provide evidence on the impact of remote care on the quality of care for pregnant women with pre-existing DM and GDM. Strengthening the evidence will support the development of evidence-based implementation strategies and inform policy decisions to ensure safe, effective, and patient-centred use of remote care interventions. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD420251024685.

Indexed as

Diabetes, GestationalDiabetes Mellitus, Type 2Pregnancy in DiabeticsPrenatal CareQuality of Health CareFemaleHumansPregnancyRemote Patient MonitoringResearch DesignSystematic Reviews as TopicTelemedicineDiabetes in pregnancyGestational diabetes mellitusMHealthRemote careRemote monitoringVirtual care

Identifiers

PMID42332823
PMCPMC13543511

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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.