Comparative effectiveness of telemonitoring versus usual care for type 2 diabetes: A systematic review and meta-analysis

Journal of Telemedicine and Telecare
Yunjung KimDong-Ah Park

Abstract

This study evaluated clinical effectiveness of telemonitoring on the management of patients with type 2 diabetes. We searched Ovid-Medline, Ovid-EMBASE, and the Cochrane Library to identify randomized controlled trials that compared telemonitoring and usual care in patients with type 2 diabetes. Thirty-eight studies (6855 patients) were included. Telemonitoring was associated with a significant decrease in glycated haemoglobin levels compared to usual care (weighted mean difference -0.42%, 95% confidence interval -0.56 to -0.27) but there was evidence of heterogeneity (I2 = 96.9%). Telemonitoring was associated with a significant glycated haemoglobin reduction when biological data were transmitted through a web-based device weekly, when voice feedback was performed daily or immediately and when patients were provided with counselling. Telemonitoring also reduced glycated haemoglobin level in studies that monitored patients' medication adherence, provided counselling, education and alarm message. The rate of achieving glycated haemoglobin levels of < 7% was 1.8 times higher in the telemonitoring group compared to the usual care group (risk ratio 1.83, 95% confidence interval 1.35 to 2.47, I2 = 0%). There was also significant red...Continue Reading

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Citations

Feb 18, 2021·Journal of Medical Internet Research·Claudia Eberle, Stefanie Stichling
Jun 30, 2021·Journal of Telemedicine and Telecare·Centaine L SnoswellAnthony C Smith

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Methods Mentioned

BETA
RISS

Software Mentioned

Stata
Cochrane risk
Cochrane RoB
Ovid
PCP

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