Evidence map›Paper›PMID 42831131›Full record

ReviewPreventive medicine reports2026

Telemedicine for cardiometabolic disease control in Latin America and the Caribbean: A systematic review and meta-analysis.

Kevin Saldarriaga-Bedoya, Sergio César Ruiz-Jiménez, Santiago José Sánchez-Rodríguez, Gladys Rocío Ariza-Sosa, Sjoukje van der Werf, Erik Buskens, Maarten Lahr

Abstract readReview
In one paragraph

Review in Preventive medicine reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Kevin Saldarriaga-BedoyaDepartment of Epidemiology, University Medical Center Groningen, University of Groningen, the Netherlands.
Sergio César Ruiz-JiménezHospital Alma Máter de Antioquia, Medellín, Colombia.
Santiago José Sánchez-RodríguezHospital Alma Máter de Antioquia, Medellín, Colombia.
Gladys Rocío Ariza-SosaFacultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
Sjoukje van der WerfMedical Library, University Medical Center Groningen, University of Groningen, the Netherlands.
Erik BuskensDepartment of Epidemiology, University Medical Center Groningen, University of Groningen, the Netherlands.
Maarten LahrDepartment of Epidemiology, University Medical Center Groningen, University of Groningen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the effectiveness of telemedicine for cardiometabolic disease control in Latin America and the Caribbean (LAC). Methods: We systematically searched international and regional databases from inception to 17 December 2025 for telemedicine interventions in adults with type 2 diabetes, hypertension, or dyslipidaemia in LAC. Risk of bias and certainty of evidence were assessed using validated tools and GRADE, respectively. Random-effects meta-analyses included clinically comparable randomised trials. Results: Twenty-two studies from 10 countries were included (11 randomised). Meta-analyses included seven trials (935 participants) for HbA1c, four (451) for systolic blood pressure, and three (280) for diastolic blood pressure. Pooled estimates favoured telemedicine for HbA1c (MD -0.62%, 95% CI -1.02, -0.22; low certainty), systolic blood pressure (MD -6.60 mmHg, 95% CI -9.49, -3.71; high certainty), and diastolic blood pressure (MD -4.25 mmHg, 95% CI -6.53, -1.98; moderate certainty). HbA1c heterogeneity was substantial (I Conclusions: Selected telemedicine interventions may improve intermediate cardiometabolic outcomes in specific LAC settings. However, limited and heterogeneous evidence, variable certainty, and insufficient evidence on long-term effectiveness, scalability, cost-effectiveness, and equity preclude broad implementation recommendations. PROSPERO: CRD420251234521.

Indexed as

Cardiometabolic diseaseHypertensionLatin America and the CaribbeanPrimary careTelemedicineType 2 diabetes mellitus

Identifiers

PMID42831131
PMCPMC13634337

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.