Telemonitoring in Cystic Fibrosis: A 4-year Assessment and Simulation for the Next 6 Years
Identifieur interne : 000066 ( Pmc/Curation ); précédent : 000065; suivant : 000067Telemonitoring in Cystic Fibrosis: A 4-year Assessment and Simulation for the Next 6 Years
Auteurs :Source :
- Interactive Journal of Medical Research [ 1929-073X ] ; 2016.
Abstract
Innovative technologies and informatics offer a wide range of services to health districts, doctors, nurses, and patients, and is changing the traditional concept of health care. In the last few years, the availability of portable devices, their easiness to transport and use, and the capability to collect and transmit various clinical data have resulted in the fast development of telemedicine. However, despite its potential impact in improving patient conditions, and its cost effectiveness reported in literature, telemedicine is not in daily practice.
The aim of this study is to provide evidence of the positive impact of telemonitoring proving the sustainability of an application by sending spirometry outcomes from patients’ homes to the hospital doctors via the Internet, and from doctors to patients by an additional phone call solution.
We examined collected data related to clinical improvement of patients with cystic fibrosis (CF). The patients were followed-up at home using telemonitoring for a period of 10 years, with the aims to prove the sustainability of the methodology (transmissions of spirometry from the patients' home to the doctors and feedback from the doctors to the patients by phone call from the hospital). We stored and analyzed all spirometry transmissions received, and tested the possible presence to decrease the costs between the standard clinical trial (only ambulatory visits) and standard clinical trial with telemonitoring for the follow-up of patients with CF (telemedicine). This was done through an economic analysis of the costs for patients followed at home by telemonitoring. We assessed four years of observation and a simulation of total long-term costs between 2010 and 2020.
We discovered a potential saving of €40,397.00 per patient for 10 years, actualized at €36,802.97 for the follow-up of all patients enrolled.
The results from the study suggest that telemedicine can improve the health of patients with CF. It is a relatively cheap and potentially sustainable solution, compared to standard clinical trials. However, to establish and prove the long-term effectiveness and cost-effectiveness, more controlled psychological and behavioral studies are needed.
Url:
DOI: 10.2196/ijmr.5196
PubMed: 27142963
PubMed Central: 4870389
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000066
Links to Exploration step
PMC:4870389Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Telemonitoring in Cystic Fibrosis: A 4-year Assessment and Simulation for the Next 6 Years</title></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27142963</idno><idno type="pmc">4870389</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870389</idno><idno type="RBID">PMC:4870389</idno><idno type="doi">10.2196/ijmr.5196</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000066</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000066</idno><idno type="wicri:Area/Pmc/Curation">000066</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000066</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Telemonitoring in Cystic Fibrosis: A 4-year Assessment and Simulation for the Next 6 Years</title></analytic><series><title level="j">Interactive Journal of Medical Research</title><idno type="eISSN">1929-073X</idno><imprint><date when="2016">2016</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>Innovative technologies and informatics offer a wide range of services to health districts, doctors, nurses, and patients, and is changing the traditional concept of health care. In the last few years, the availability of portable devices, their easiness to transport and use, and the capability to collect and transmit various clinical data have resulted in the fast development of telemedicine. However, despite its potential impact in improving patient conditions, and its cost effectiveness reported in literature, telemedicine is not in daily practice.</p></sec><sec sec-type="objective"><title>Objective</title><p>The aim of this study is to provide evidence of the positive impact of telemonitoring proving the sustainability of an application by sending spirometry outcomes from patients’ homes to the hospital doctors via the Internet, and from doctors to patients by an additional phone call solution.</p></sec><sec sec-type="methods"><title>Methods</title><p>We examined collected data related to clinical improvement of patients with cystic fibrosis (CF). The patients were followed-up at home using telemonitoring for a period of 10 years, with the aims to prove the sustainability of the methodology (transmissions of spirometry from the patients' home to the doctors and feedback from the doctors to the patients by phone call from the hospital). We stored and analyzed all spirometry transmissions received, and tested the possible presence to decrease the costs between the standard clinical trial (only ambulatory visits) and standard clinical trial with telemonitoring for the follow-up of patients with CF (telemedicine). This was done through an economic analysis of the costs for patients followed at home by telemonitoring. We assessed four years of observation and a simulation of total long-term costs between 2010 and 2020.</p></sec><sec sec-type="results"><title>Results</title><p>We discovered a potential saving of €40,397.00 per patient for 10 years, actualized at €36,802.97 for the follow-up of all patients enrolled.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>The results from the study suggest that telemedicine can improve the health of patients with CF. It is a relatively cheap and potentially sustainable solution, compared to standard clinical trials. However, to establish and prove the long-term effectiveness and cost-effectiveness, more controlled psychological and behavioral studies are needed.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Murgia, F" uniqKey="Murgia F">F Murgia</name></author><author><name sortKey="Cilli, M" uniqKey="Cilli M">M Cilli</name></author><author><name sortKey="Renzetti, E" uniqKey="Renzetti E">E Renzetti</name></author><author><name sortKey="Majo, F" uniqKey="Majo F">F Majo</name></author><author><name sortKey="Soldi, D" uniqKey="Soldi D">D Soldi</name></author><author><name sortKey="Lucidi, V" uniqKey="Lucidi V">V Lucidi</name></author><author><name sortKey="Bella, F" uniqKey="Bella F">F Bella</name></author><author><name sortKey="Bella, S" uniqKey="Bella S">S Bella</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Talaei Khoei, A" uniqKey="Talaei Khoei A">A Talaei-Khoei</name></author><author><name sortKey="Solvoll, T" uniqKey="Solvoll T">T Solvoll</name></author><author><name sortKey="Ray, P" uniqKey="Ray P">P Ray</name></author><author><name sortKey="Parameshwaran, N" uniqKey="Parameshwaran N">N Parameshwaran</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zuehlke, P" uniqKey="Zuehlke P">P Zuehlke</name></author><author><name sortKey="Pjunhua, L" uniqKey="Pjunhua L">L PJunhua</name></author><author><name sortKey="Talaei Khoei, A" uniqKey="Talaei Khoei A">A Talaei-Khoei</name></author><author><name sortKey="Ray, P" uniqKey="Ray P">P Ray</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Najaftorkaman, M" uniqKey="Najaftorkaman M">M Najaftorkaman</name></author><author><name sortKey="Ghapanchi, A" uniqKey="Ghapanchi A">A Ghapanchi</name></author><author><name sortKey="Talaei Khoei, A" uniqKey="Talaei Khoei A">A Talaei-Khoei</name></author><author><name sortKey="Ray, P" uniqKey="Ray P">P Ray</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Scalvini, S" uniqKey="Scalvini S">S Scalvini</name></author><author><name sortKey="Vitacca, M" uniqKey="Vitacca M">M Vitacca</name></author><author><name sortKey="Paletta, L" uniqKey="Paletta L">L Paletta</name></author><author><name sortKey="Giordano, A" uniqKey="Giordano A">A Giordano</name></author><author><name sortKey="Balbi, B" uniqKey="Balbi B">B Balbi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miller, Ea" uniqKey="Miller E">EA Miller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Saliba, V" uniqKey="Saliba V">V Saliba</name></author><author><name sortKey="Legido Quigley, H" uniqKey="Legido Quigley H">H Legido-Quigley</name></author><author><name sortKey="Hallik, R" uniqKey="Hallik R">R Hallik</name></author><author><name sortKey="Aaviksoo, A" uniqKey="Aaviksoo A">A Aaviksoo</name></author><author><name sortKey="Car, J" uniqKey="Car J">J Car</name></author><author><name sortKey="Mckee, M" uniqKey="Mckee M">M McKee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Flume, Ap" uniqKey="Flume A">AP Flume</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meystre, S" uniqKey="Meystre S">S Meystre</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Que, C" uniqKey="Que C">C Que</name></author><author><name sortKey="Cullinan, P" uniqKey="Cullinan P">P Cullinan</name></author><author><name sortKey="Geddes, D" uniqKey="Geddes D">D Geddes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fusco, F" uniqKey="Fusco F">F Fusco</name></author><author><name sortKey="Trieste, T" uniqKey="Trieste T">T Trieste</name></author><author><name sortKey="Turchetti, G" uniqKey="Turchetti G">G Turchetti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pare, G" uniqKey="Pare G">G Paré</name></author><author><name sortKey="Jaana, M" uniqKey="Jaana M">M Jaana</name></author><author><name sortKey="Sicotte, C" uniqKey="Sicotte C">C Sicotte</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Schiaffini, R" uniqKey="Schiaffini R">R Schiaffini</name></author><author><name sortKey="Tagliente, I" uniqKey="Tagliente I">I Tagliente</name></author><author><name sortKey="Carducci, C" uniqKey="Carducci C">C Carducci</name></author><author><name sortKey="Ullmann, N" uniqKey="Ullmann N">N Ullmann</name></author><author><name sortKey="Ciampalini, P" uniqKey="Ciampalini P">P Ciampalini</name></author><author><name sortKey="Lorubbio, A" uniqKey="Lorubbio A">A Lorubbio</name></author><author><name sortKey="Cappa, M" uniqKey="Cappa M">M Cappa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murgia, F" uniqKey="Murgia F">F Murgia</name></author><author><name sortKey="Corona, B" uniqKey="Corona B">B Corona</name></author><author><name sortKey="Bianciardi, F" uniqKey="Bianciardi F">F Bianciardi</name></author><author><name sortKey="Romano, P" uniqKey="Romano P">P Romano</name></author><author><name sortKey="Tagliente, I" uniqKey="Tagliente I">I Tagliente</name></author><author><name sortKey="Bella, S" uniqKey="Bella S">S Bella</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murgia, F" uniqKey="Murgia F">F Murgia</name></author><author><name sortKey="Cilli, M" uniqKey="Cilli M">M Cilli</name></author><author><name sortKey="Renzetti, E" uniqKey="Renzetti E">E Renzetti</name></author><author><name sortKey="Popa, N" uniqKey="Popa N">N Popa</name></author><author><name sortKey="Romano, T" uniqKey="Romano T">T Romano</name></author><author><name sortKey="Alghisi, F" uniqKey="Alghisi F">F Alghisi</name></author><author><name sortKey="Bella, S" uniqKey="Bella S">S Bella</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rajan, S" uniqKey="Rajan S">S Rajan</name></author><author><name sortKey="Saiman, L" uniqKey="Saiman L">L Saiman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Briggs, A" uniqKey="Briggs A">A Briggs</name></author><author><name sortKey="Claxton, K" uniqKey="Claxton K">K Claxton</name></author><author><name sortKey="Sculpher, M" uniqKey="Sculpher M">M Sculpher</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Salamon, T" uniqKey="Salamon T">T Šalamon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tagliente, I" uniqKey="Tagliente I">I Tagliente</name></author><author><name sortKey="Ullmann, N" uniqKey="Ullmann N">N Ullmann</name></author><author><name sortKey="Ritrovato, M" uniqKey="Ritrovato M">M Ritrovato</name></author><author><name sortKey="Trujillo, Fjl" uniqKey="Trujillo F">FJL Trujillo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davis, S" uniqKey="Davis S">S Davis</name></author><author><name sortKey="Jones, M" uniqKey="Jones M">M Jones</name></author><author><name sortKey="Kisling, J" uniqKey="Kisling J">J Kisling</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bella, S" uniqKey="Bella S">S Bella</name></author><author><name sortKey="Murgia, F" uniqKey="Murgia F">F Murgia</name></author><author><name sortKey="Tozzi, Ae" uniqKey="Tozzi A">AE Tozzi</name></author><author><name sortKey="Cotognini, C" uniqKey="Cotognini C">C Cotognini</name></author><author><name sortKey="Lucidi, V" uniqKey="Lucidi V">V Lucidi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abbott, J" uniqKey="Abbott J">J Abbott</name></author><author><name sortKey="Dodd, M" uniqKey="Dodd M">M Dodd</name></author><author><name sortKey="Gee, L" uniqKey="Gee L">L Gee</name></author><author><name sortKey="Webb, K" uniqKey="Webb K">K Webb</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murgia, F" uniqKey="Murgia F">F Murgia</name></author><author><name sortKey="Cotognini, C" uniqKey="Cotognini C">C Cotognini</name></author><author><name sortKey="Montemitro, E" uniqKey="Montemitro E">E Montemitro</name></author><author><name sortKey="Cilli, M" uniqKey="Cilli M">M Cilli</name></author><author><name sortKey="Renzetti, E" uniqKey="Renzetti E">E Renzetti</name></author><author><name sortKey="Lucidi, V" uniqKey="Lucidi V">V Lucidi</name></author><author><name sortKey="Bella, S" uniqKey="Bella S">S Bella</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ramsey, Bw" uniqKey="Ramsey B">BW Ramsey</name></author><author><name sortKey="Farrell, Pm" uniqKey="Farrell P">PM Farrell</name></author><author><name sortKey="Pencharz, P" uniqKey="Pencharz P">P Pencharz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mohon, Rt" uniqKey="Mohon R">RT Mohon</name></author><author><name sortKey="Wagener, Js" uniqKey="Wagener J">JS Wagener</name></author><author><name sortKey="Abman, Sh" uniqKey="Abman S">SH Abman</name></author><author><name sortKey="Seltzer, Wk" uniqKey="Seltzer W">WK Seltzer</name></author><author><name sortKey="Accurso, Fj" uniqKey="Accurso F">FJ Accurso</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bella, S" uniqKey="Bella S">S Bella</name></author><author><name sortKey="Murgia, F" uniqKey="Murgia F">F Murgia</name></author><author><name sortKey="Tozzi, Ae" uniqKey="Tozzi A">AE Tozzi</name></author><author><name sortKey="Cotognini, C" uniqKey="Cotognini C">C Cotognini</name></author><author><name sortKey="Lucidi, V" uniqKey="Lucidi V">V Lucidi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murgia, F" uniqKey="Murgia F">F Murgia</name></author><author><name sortKey="Bianciardi, F" uniqKey="Bianciardi F">F Bianciardi</name></author><author><name sortKey="Solvoll, T" uniqKey="Solvoll T">T Solvoll</name></author><author><name sortKey="Tagliente, I" uniqKey="Tagliente I">I Tagliente</name></author><author><name sortKey="Bella, F" uniqKey="Bella F">F Bella</name></author><author><name sortKey="Carestia, A" uniqKey="Carestia A">A Carestia</name></author><author><name sortKey="Bella, S" uniqKey="Bella S">S Bella</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bella, S" uniqKey="Bella S">S Bella</name></author><author><name sortKey="Murgia, F" uniqKey="Murgia F">F Murgia</name></author><author><name sortKey="Cotognini, C" uniqKey="Cotognini C">C Cotognini</name></author><author><name sortKey="Alghisi, F" uniqKey="Alghisi F">F Alghisi</name></author><author><name sortKey="Montemitro, E" uniqKey="Montemitro E">E Montemitro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Flume, Ap" uniqKey="Flume A">AP Flume</name></author><author><name sortKey="O Sullivan, Bp" uniqKey="O Sullivan B">BP O'Sullivan</name></author><author><name sortKey="Robinson, Ka" uniqKey="Robinson K">KA Robinson</name></author><author><name sortKey="Goss, Ch" uniqKey="Goss C">CH Goss</name></author><author><name sortKey="Mogayzel, Pj" uniqKey="Mogayzel P">PJ Mogayzel</name></author><author><name sortKey="Willey Courand, Db" uniqKey="Willey Courand D">DB Willey-Courand</name></author><author><name sortKey="Bujan, J" uniqKey="Bujan J">J Bujan</name></author><author><name sortKey="Finder, J" uniqKey="Finder J">J Finder</name></author><author><name sortKey="Lester, M" uniqKey="Lester M">M Lester</name></author><author><name sortKey="Quittell, L" uniqKey="Quittell L">L Quittell</name></author><author><name sortKey="Rosenblatt, R" uniqKey="Rosenblatt R">R Rosenblatt</name></author><author><name sortKey="Vender, Rl" uniqKey="Vender R">RL Vender</name></author><author><name sortKey="Hazle, L" uniqKey="Hazle L">L Hazle</name></author><author><name sortKey="Sabadosa, K" uniqKey="Sabadosa K">K Sabadosa</name></author><author><name sortKey="Marshall, B" uniqKey="Marshall B">B Marshall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davis, P" uniqKey="Davis P">P Davis</name></author><author><name sortKey="Byard, P" uniqKey="Byard P">P Byard</name></author><author><name sortKey="Konstan, Mw" uniqKey="Konstan M">MW Konstan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wootton, R" uniqKey="Wootton R">R Wootton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miron Shatz, T" uniqKey="Miron Shatz T">T Miron-Shatz</name></author><author><name sortKey="Shatz, I" uniqKey="Shatz I">I Shatz</name></author><author><name sortKey="Becker, S" uniqKey="Becker S">S Becker</name></author><author><name sortKey="Patel, J" uniqKey="Patel J">J Patel</name></author><author><name sortKey="Eysenbach, G" uniqKey="Eysenbach G">G Eysenbach</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Interact J Med Res</journal-id><journal-id journal-id-type="iso-abbrev">Interact J Med Res</journal-id><journal-id journal-id-type="publisher-id">IJMR</journal-id><journal-title-group><journal-title>Interactive Journal of Medical Research</journal-title></journal-title-group><issn pub-type="epub">1929-073X</issn><publisher><publisher-name>JMIR Publications Inc.</publisher-name><publisher-loc>Toronto, Canada</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27142963</article-id><article-id pub-id-type="pmc">4870389</article-id><article-id pub-id-type="publisher-id">v5i2e11</article-id><article-id pub-id-type="doi">10.2196/ijmr.5196</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Paper</subject></subj-group><subj-group subj-group-type="article-type"><subject>Original Paper</subject></subj-group></article-categories><title-group><article-title>Telemonitoring in Cystic Fibrosis: A 4-year Assessment and Simulation for the Next 6 Years</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>Talaei-Khoei</surname><given-names>Amir</given-names></name></contrib><contrib contrib-type="reviewer"><name><surname>Magrini</surname><given-names>Maria</given-names></name></contrib></contrib-group><contrib-group><contrib id="contrib1" contrib-type="author" corresp="yes" equal-contrib="yes"><name><surname>Tagliente</surname><given-names>Irene</given-names></name><degrees>BEng</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><address><institution>Department of Human Social and Health Sciences,</institution><institution>University of Cassino and Southern Lazio</institution><addr-line>Folcare</addr-line><addr-line>Cassino,</addr-line><country>Italy</country><phone>39 3492310849</phone><fax>39 3492310849</fax><email>irenetagliente@hotmail.com</email></address><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-7516-1453</contrib-id></contrib><contrib id="contrib2" contrib-type="author" equal-contrib="yes"><name><surname>Trieste</surname><given-names>Leopoldo</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff3">3</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0003-2236-2419</contrib-id></contrib><contrib id="contrib3" contrib-type="author" equal-contrib="yes"><name><surname>Solvoll</surname><given-names>Terje</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff4">4</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-8874-7106</contrib-id></contrib><contrib id="contrib4" contrib-type="author" equal-contrib="yes"><name><surname>Murgia</surname><given-names>Fabrizio</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1">1</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-8874-2417</contrib-id></contrib><contrib id="contrib5" contrib-type="author" equal-contrib="yes"><name><surname>Bella</surname><given-names>Sergio</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff5">5</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-4302-2600</contrib-id></contrib></contrib-group><aff id="aff1"><sup>1</sup><institution>Pediatric Hospital</institution><institution>Scientific Direction, Research Area of Clinical-Healthcare and Management Innovations</institution><institution>Pediatric Hospital Bambino Gesù</institution><addr-line>Roma</addr-line><country>Italy</country></aff><aff id="aff2"><sup>2</sup><institution>Department of Human Social and Health Sciences,</institution><institution>University of Cassino and Southern Lazio</institution><addr-line>Cassino</addr-line><country>Italy</country></aff><aff id="aff3"><sup>3</sup><institution>Management</institution><institution>Institute of Management,</institution><institution>Scuola Superiore Sant’Anna</institution><addr-line>Pisa</addr-line><country>Italy</country></aff><aff id="aff4"><sup>4</sup><institution>Centre for Integrated Care and Telemedicine</institution><institution>Norwegian Centre for Integrated Care and Telemedicine</institution><institution>University Hospital of North Norway</institution><addr-line>Tromsø</addr-line><country>Norway</country></aff><aff id="aff5"><sup>5</sup><institution>Pediatric Medicine</institution><institution>Department of Pediatric Medicine</institution><institution>Pediatric Hospital Bambino Gesù</institution><addr-line>Roma</addr-line><country>Italy</country></aff><author-notes><corresp>Corresponding Author: Irene Tagliente
<email>irenetagliente@hotmail.com</email></corresp></author-notes><pub-date pub-type="collection"><season>Apr-Jun</season><year>2016</year></pub-date><pub-date pub-type="epub"><day>03</day><month>5</month><year>2016</year></pub-date><volume>5</volume><issue>2</issue><elocation-id>e11</elocation-id><history><date date-type="received"><day>12</day><month>10</month><year>2015</year></date><date date-type="rev-request"><day>5</day><month>11</month><year>2015</year></date><date date-type="rev-recd"><day>7</day><month>12</month><year>2015</year></date><date date-type="accepted"><day>3</day><month>1</month><year>2016</year></date></history><permissions><copyright-statement>©Irene Tagliente, Leopoldo Trieste, Terje Solvoll, Fabrizio Murgia, Sergio Bella. Originally published in the Interactive Journal of Medical Research (http://www.i-jmr.org/), 03.05.2016.</copyright-statement><copyright-year>2016</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 Interactive Journal of Medical 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.i-jmr.org/,">http://www.i-jmr.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.i-jmr.org/2016/2/e11/"></self-uri><abstract><sec sec-type="background"><title>Background</title><p>Innovative technologies and informatics offer a wide range of services to health districts, doctors, nurses, and patients, and is changing the traditional concept of health care. In the last few years, the availability of portable devices, their easiness to transport and use, and the capability to collect and transmit various clinical data have resulted in the fast development of telemedicine. However, despite its potential impact in improving patient conditions, and its cost effectiveness reported in literature, telemedicine is not in daily practice.</p></sec><sec sec-type="objective"><title>Objective</title><p>The aim of this study is to provide evidence of the positive impact of telemonitoring proving the sustainability of an application by sending spirometry outcomes from patients’ homes to the hospital doctors via the Internet, and from doctors to patients by an additional phone call solution.</p></sec><sec sec-type="methods"><title>Methods</title><p>We examined collected data related to clinical improvement of patients with cystic fibrosis (CF). The patients were followed-up at home using telemonitoring for a period of 10 years, with the aims to prove the sustainability of the methodology (transmissions of spirometry from the patients' home to the doctors and feedback from the doctors to the patients by phone call from the hospital). We stored and analyzed all spirometry transmissions received, and tested the possible presence to decrease the costs between the standard clinical trial (only ambulatory visits) and standard clinical trial with telemonitoring for the follow-up of patients with CF (telemedicine). This was done through an economic analysis of the costs for patients followed at home by telemonitoring. We assessed four years of observation and a simulation of total long-term costs between 2010 and 2020.</p></sec><sec sec-type="results"><title>Results</title><p>We discovered a potential saving of €40,397.00 per patient for 10 years, actualized at €36,802.97 for the follow-up of all patients enrolled.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>The results from the study suggest that telemedicine can improve the health of patients with CF. It is a relatively cheap and potentially sustainable solution, compared to standard clinical trials. However, to establish and prove the long-term effectiveness and cost-effectiveness, more controlled psychological and behavioral studies are needed.</p></sec></abstract><kwd-group><kwd>cystic fibrosis</kwd><kwd>telemonitoring</kwd><kwd>cost effectiveness</kwd><kwd>follow-up</kwd><kwd>eHealth</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/TelematiV1/Data/Pmc/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000066 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd -nk 000066 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Ticri/CIDE
|area= TelematiV1
|flux= Pmc
|étape= Curation
|type= RBID
|clé= PMC:4870389
|texte= Telemonitoring in Cystic Fibrosis: A 4-year Assessment and Simulation for the Next 6 Years
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Curation/RBID.i -Sk "pubmed:27142963" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd \
| NlmPubMed2Wicri -a TelematiV1
| This area was generated with Dilib version V0.6.31. |  |