Clinical Effects of Home Telemonitoring in the Context of Diabetes, Asthma, Heart Failure and Hypertension: A Systematic Review
Identifieur interne : 000682 ( Ncbi/Merge ); précédent : 000681; suivant : 000683Clinical Effects of Home Telemonitoring in the Context of Diabetes, Asthma, Heart Failure and Hypertension: A Systematic Review
Auteurs :Source :
- Journal of Medical Internet Research [ 1438-8871 ] ; 2010.
Abstract
Home telemonitoring figures among the various solutions that could help attenuate some of the problems associated with aging populations, rates of chronic illness, and shortages of health professionals.
The primary aim of this study was to further our understanding of the clinical effects associated with home telemonitoring programs in the context of chronic diseases.
We conducted a systematic review which covered studies published between January 1966 and December 2008. MEDLINE, The Cochrane Library, and the INAHTA (International Network of Agencies for Health Technology Assessment) database were consulted. Our inclusion criteria consisted of: (1) English language publications in peer-reviewed journals or conference proceedings and (2) studies involving patients with diabetes, asthma, heart failure, or hypertension, and presenting results on the clinical effects of home telemonitoring.
In all, 62 empirical studies were analyzed. The results from studies involving patients with diabetes indicated a trend toward patients with home telemonitoring achieving better glycemic control. In most trials in which patients with asthma were enrolled, results showed significant improvements in patients’ peak expiratory flows, significant reductions in the symptoms associated with this illness, and improvements in perceived quality of life. Virtually all studies involving patients with hypertension demonstrated the ability of home telemonitoring to reduce systolic and/or diastolic blood pressure. Lastly, due to the equivocal nature of current findings of home telemonitoring involving patients with heart failure, larger trials are still needed to confirm the clinical effects of this technology for these patients.
Although home telemonitoring appears to be a promising approach to patient management, designers of future studies should consider ways to make this technology more effective as well as controlling possible mediating variables.
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DOI: 10.2196/jmir.1357
PubMed: 20554500
PubMed Central: 2956232
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Clinical Effects of Home Telemonitoring in the Context of Diabetes, Asthma, Heart Failure and Hypertension: A Systematic Review</title></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20554500</idno><idno type="pmc">2956232</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2956232</idno><idno type="RBID">PMC:2956232</idno><idno type="doi">10.2196/jmir.1357</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">000493</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000493</idno><idno type="wicri:Area/Pmc/Curation">000493</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000493</idno><idno type="wicri:Area/Pmc/Checkpoint">000421</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000421</idno><idno type="wicri:Area/Ncbi/Merge">000682</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Clinical Effects of Home Telemonitoring in the Context of Diabetes, Asthma, Heart Failure and Hypertension: A Systematic Review</title></analytic><series><title level="j">Journal of Medical Internet Research</title><idno type="eISSN">1438-8871</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec sec-type="background"><title>Background</title><p>Home telemonitoring figures among the various solutions that could help attenuate some of the problems associated with aging populations, rates of chronic illness, and shortages of health professionals.</p></sec><sec sec-type="objective"><title>Objective</title><p>The primary aim of this study was to further our understanding of the clinical effects associated with home telemonitoring programs in the context of chronic diseases.</p></sec><sec sec-type="methods"><title>Methods</title><p>We conducted a systematic review which covered studies published between January 1966 and December 2008. MEDLINE, The Cochrane Library, and the INAHTA (International Network of Agencies for Health Technology Assessment) database were consulted. Our inclusion criteria consisted of: (1) English language publications in peer-reviewed journals or conference proceedings and (2) studies involving patients with diabetes, asthma, heart failure, or hypertension, and presenting results on the clinical effects of home telemonitoring.</p></sec><sec sec-type="results"><title>Results</title><p>In all, 62 empirical studies were analyzed. The results from studies involving patients with diabetes indicated a trend toward patients with home telemonitoring achieving better glycemic control. In most trials in which patients with asthma were enrolled, results showed significant improvements in patients’ peak expiratory flows, significant reductions in the symptoms associated with this illness, and improvements in perceived quality of life. Virtually all studies involving patients with hypertension demonstrated the ability of home telemonitoring to reduce systolic and/or diastolic blood pressure. Lastly, due to the equivocal nature of current findings of home telemonitoring involving patients with heart failure, larger trials are still needed to confirm the clinical effects of this technology for these patients.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>Although home telemonitoring appears to be a promising approach to patient management, designers of future studies should consider ways to make this technology more effective as well as controlling possible mediating variables.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Tremblay, M" uniqKey="Tremblay M">M Tremblay</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Roine, R" uniqKey="Roine R">R Roine</name></author><author><name sortKey="Ohinmaa, A" uniqKey="Ohinmaa A">A 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Med Internet Res</journal-id><journal-id journal-id-type="publisher-id">JMIR</journal-id><journal-title-group><journal-title>Journal of Medical Internet Research</journal-title></journal-title-group><issn pub-type="epub">1438-8871</issn><publisher><publisher-name>Gunther Eysenbach</publisher-name><publisher-loc>Centre for Global eHealth Innovation, Toronto, Canada</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20554500</article-id><article-id pub-id-type="pmc">2956232</article-id><article-id pub-id-type="publisher-id">v12i2e21</article-id><article-id pub-id-type="doi">10.2196/jmir.1357</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review</subject></subj-group></article-categories><title-group><article-title>Clinical Effects of Home Telemonitoring in the Context of Diabetes, Asthma, Heart Failure and Hypertension: A Systematic Review</article-title></title-group><contrib-group><contrib contrib-type="editor"><name><surname>Eysenbach</surname><given-names>Gunther</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="reviewer"><name><surname>Cafazzo</surname><given-names>Joseph</given-names></name></contrib><contrib contrib-type="reviewer"><name><surname>Kastner</surname><given-names>Peter</given-names></name></contrib><contrib contrib-type="reviewer"><name><surname>Seto</surname><given-names>Emily</given-names></name></contrib></contrib-group><contrib-group><contrib id="contrib1" contrib-type="author" corresp="yes"><name><surname>Paré</surname><given-names>Guy</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><address><institution>HEC Montreal</institution><addr-line>3000 Cote-Ste-Catherine Road</addr-line><addr-line>Montreal, H3T 2A7 </addr-line><country>Canada</country><phone>1 514 340 6812 </phone><fax>1 514 340 6132</fax><email>guy.pare@hec.ca</email></address></contrib><contrib id="contrib2" contrib-type="author"><name><surname>Moqadem</surname><given-names>Khalil</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib id="contrib3" contrib-type="author"><name><surname>Pineau</surname><given-names>Gilles</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib id="contrib4" contrib-type="author"><name><surname>St-Hilaire</surname><given-names>Carole</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff2">2</xref></contrib></contrib-group><aff id="aff2" rid="aff2"><sup>2</sup><institution>Agence d’évaluation des technologies et des modes d’intervention en santé</institution><institution>Quebec Department of Health</institution><addr-line>Montreal</addr-line><country>Canada</country></aff><aff id="aff1" rid="aff1"><sup>1</sup><institution>HEC Montreal</institution><addr-line>Montreal</addr-line><country>Canada</country></aff><pub-date pub-type="collection"><season>Apr-Jun</season><year>2010</year></pub-date><pub-date pub-type="epub"><day>16</day><month>6</month><year>2010</year></pub-date><volume>12</volume><issue>2</issue><elocation-id>e21</elocation-id><history><date date-type="received"><day>17</day><month>9</month><year>2009</year></date><date date-type="rev-request"><day>27</day><month>10</month><year>2009</year></date><date date-type="rev-recd"><day>23</day><month>12</month><year>2009</year></date><date date-type="accepted"><day>25</day><month>5</month><year>2010</year></date></history><permissions><copyright-statement>©Guy Paré, Khalil Moqadem, Gilles Pineau, Carole St-Hilaire. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 16.06.2010 </copyright-statement><copyright-year>2010</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/"><license-p><pmc-comment>CREATIVE COMMONS</pmc-comment>This is an open-access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0/">http://creativecommons.org/licenses/by/2.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on <ext-link ext-link-type="uri" xlink:href="http://www.jmir.org/,">http://www.jmir.org/,</ext-link> as well as this copyright and license information must be included.</license-p></license></permissions><self-uri xlink:type="simple" xlink:href="http://www.jmir.org/2010/2/e21/"></self-uri><abstract><sec sec-type="background"><title>Background</title><p>Home telemonitoring figures among the various solutions that could help attenuate some of the problems associated with aging populations, rates of chronic illness, and shortages of health professionals.</p></sec><sec sec-type="objective"><title>Objective</title><p>The primary aim of this study was to further our understanding of the clinical effects associated with home telemonitoring programs in the context of chronic diseases.</p></sec><sec sec-type="methods"><title>Methods</title><p>We conducted a systematic review which covered studies published between January 1966 and December 2008. MEDLINE, The Cochrane Library, and the INAHTA (International Network of Agencies for Health Technology Assessment) database were consulted. Our inclusion criteria consisted of: (1) English language publications in peer-reviewed journals or conference proceedings and (2) studies involving patients with diabetes, asthma, heart failure, or hypertension, and presenting results on the clinical effects of home telemonitoring.</p></sec><sec sec-type="results"><title>Results</title><p>In all, 62 empirical studies were analyzed. The results from studies involving patients with diabetes indicated a trend toward patients with home telemonitoring achieving better glycemic control. In most trials in which patients with asthma were enrolled, results showed significant improvements in patients’ peak expiratory flows, significant reductions in the symptoms associated with this illness, and improvements in perceived quality of life. Virtually all studies involving patients with hypertension demonstrated the ability of home telemonitoring to reduce systolic and/or diastolic blood pressure. Lastly, due to the equivocal nature of current findings of home telemonitoring involving patients with heart failure, larger trials are still needed to confirm the clinical effects of this technology for these patients.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>Although home telemonitoring appears to be a promising approach to patient management, designers of future studies should consider ways to make this technology more effective as well as controlling possible mediating variables.</p></sec></abstract><kwd-group><kwd>Home telemonitoring</kwd><kwd>information technology</kwd><kwd>chronic illnesses</kwd><kwd>clinical effects</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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