Effectiveness of synchronous teleconsultation for patients with type 2 diabetes mellitus: a systematic review and meta-analysis

Zhang, Jianxin; Ji, Xinxin; Xie, Jieying; Lin, Kai; Yao, Meicun; Chi, Cheng

doi:10.1136/bmjdrc-2022-003180

Cited by 2 publications

(1 citation statement)

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“…Platform architecture can also involve different types of teleconsultation, such as asynchronous and synchronous teleconsultation (J. Zhang et al, 2023). Asynchronous teleconsultation involves monitoring and delivering feedback through text messaging, email, or web-based platforms.…”

Section: Platform Architecture (Pa)mentioning

confidence: 99%

Understanding the acceptance of multisided teleconsultation platforms: a critical analysis and proposal of a theorical model

Galegale

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I cannot thank enough Luis Hernan Contreras Pinochet, my co-advisor turned friend. When I could not find strength to continue, he did. After all the late nights collecting and analyzing data, discussing different theories, and going thru a whole crash course on new analytical methods. I can only hope to achieve such commitment and ethics. He is the real researcher super-star and I can only hope to continue this partnership for a very long time.I also thank the Business School of the University of São Paulo and its Post Graduate Department faculty for their support. I am grateful to all colleagues from the NETS USP research group for all their feedback and support, sharing their knowledge and challenges and always making sure to contribute. A special thanks to my close friend Fabiano Castello, who helped me with finding creative solutions to new problems. I thank my loving wife Anaira who supported me unconditionally and cheered each small milestone. Thank you for your love and strength to make sure I could focus and that our wonderful kids Napoleão and Vicente were always under the best care ever. Thanks to my brother Bernardo, who also shared the PhD journey and always kept me motivated.Finally, I thank my mother Yara and my father Napoleão who instilled in me the will to never stop asking questions and to work hard and smart. They are my constant inspiration to do better.

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Section: Platform Architecture (Pa)mentioning

confidence: 99%

Understanding the acceptance of multisided teleconsultation platforms: a critical analysis and proposal of a theorical model

Galegale

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Clinical and cost‐effectiveness of telemedicine among patients with type 2 diabetes in primary care: A systematic review and meta‐analysis

Alfarwan,

Hodkinson,

Panagioti

et al. 2024

Diabet Med

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AimsTelemedicine has been promoted as an effective way of managing type‐2 diabetes (T2DM) in primary care. However, the effectiveness of telemedicine is unclear. We investigated the clinical and cost‐effectiveness of different telemedicine interventions for people with T2DM, compared to usual care.MethodsWe searched Medline, Embase, Cochrane, CINHAL, ProQuest and EconLit for randomized controlled trials (RCTs) that examined the effectiveness of telemedicine interventions on clinical outcomes (HbA1c, body mass index [BMI], weight, diastolic blood pressure [DBP], systolic blood pressure [SBP], fasting blood glucose, high‐density lipoprotein [HDL] cholesterol, low‐density lipoprotein [LDL] cholesterol, total cholesterol and triglyceride) in adults with T2DM, published in English from inception until 31 December 2022. Meta‐analyses were conducted using random‐effects models pooling mean differences, heterogeneity was quantified using the I2 statistic. Publication bias was assessed using funnel plots, Egger tests and trim and fill. Subgroup analyses included type of telemedicine intervention, telemedicine mode of delivery and type of healthcare professionals. This study was registered with PROSPERO, CRD 42022375128.ResultsOf the 4093 records identified, 21 RCTs, 10,732 participants from seven regions, were included. Reported interventions included telephone (k = 16 studies), internet‐based (k = 2), videoconference (k = 2) and telephone and emails (k = 1). We observed no statistically significant differences between synchronous or asynchronous telemedicine interventions compared to usual care for HbA1c (−0.08% (−0.88 mmol/mol); 95% CI: −0.18, 0.02), BMI (0.51 kg/m2; 95% CI: −0.21, 1.22), SBP (−1.48 mmHg; 95% CI: −3.22, 0.26), DBP (3.23 mmHg; 95% CI: −0.89, 7.34), HDL‐cholesterol (0.01 mmol/L; 95% CI: −0.03, 0.05), LDL‐cholesterol (0.08 mmol/L; 95% CI: −0.22, 0.37), triglycerides (−0.08 mmol/L, 95% CI: −0.31, −0.15), total cholesterol (−0.10 mmol/L; 95% CI: −0.25, 0.04) and weight (−0.50 kg; 95% CI: −1.21, 0.21).ConclusionsTelemedicine was as effective as usual care in improving health outcomes of people with T2DM. They can provide a safe solution in times of rising demands for primary healthcare services, or in extreme events, like a global pandemic. More high‐quality RCTs are needed on the cost evaluation of telemedicine.

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Effectiveness of synchronous teleconsultation for patients with type 2 diabetes mellitus: a systematic review and meta-analysis

Cited by 2 publications

References 45 publications

Understanding the acceptance of multisided teleconsultation platforms: a critical analysis and proposal of a theorical model

Understanding the acceptance of multisided teleconsultation platforms: a critical analysis and proposal of a theorical model

Clinical and cost‐effectiveness of telemedicine among patients with type 2 diabetes in primary care: A systematic review and meta‐analysis

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