Feasibility and validation of telespirometry in general practice: The Italian “Alliance” study

Bonavia, Marco; Averame, Gabriella; Canonica, Giorgio Walter; Cricelli, Claudio; Fogliani, V.; Grassi, C; Moretti, Anna; Ferri, Paolo; Rossi, Andrea; Paggiaro, Pierluigi

doi:10.1016/j.rmed.2009.05.006

Cited by 34 publications

(28 citation statements)

References 24 publications

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“…We acknowledge that previous reports [11][12][13][14] have indicated the potential of telemedicine to enhance quality of both testing and diagnosis of FS carried out by nonexpert healthcare professionals, but none of the studies show potential for generalisation across the healthcare system due to technological and/or logistical factors precluding their scalability.…”

Section: Discussionmentioning

confidence: 99%

“…The American Thoracic Society (ATS)/European Respiratory Society (ERS) documents establish well-defined quality control criteria for both equipment and tests, but they do not include indications on strategies to ensure sustained quality assurance in clinical settings wherein nonexpert professionals are likely to perform the tests. Previous experiences in remote support of FS [11][12][13][14] seem to indicate both feasibility and positive outcomes, but none of them shows scalability or potential for generalisation.…”

mentioning

confidence: 99%

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Telemedicine enhances quality of forced spirometry in primary care

Burgos¹,

Disdier²,

Santamaria³

et al. 2011

Eur Respir J

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Forced spirometry is pivotal for diagnosis and management of respiratory diseases, but its use in primary care is suboptimal. The aim of the present study was to assess a web-based application aiming at fostering high-quality spirometry in primary care.This was a randomised controlled trial with 12 intervention primary care units (PCi) and six control units (PCc) studied over 12 months. All 34 naïve nurses (PCi and PCc) received identical training. The PCi units had access to educational material and remote expert support. Quality of spirometry and usability of the web application were assessed.We included 4,581 patients (3,383 PCi and 1,198 PCc). At baseline, quality was similar (PCi 71% and PCc 67% high-quality tests). During the study, PCi showed higher percentage (71.5%) of highquality tests than PCc (59.5%) (p,0.0001). PCi had 73% more chance of high-quality performance than PCc. The web application was better for assessing quality of testing than the automatic feedback provided by the spirometer. Healthcare professionals' satisfaction and usability were high.The web-based remote support for primary care by specialists generated a sustained positive impact on quality of testing. The study expands the potential of primary care for diagnosis and management of patients with pulmonary diseases.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Telemedicine enhances quality of forced spirometry in primary care

Burgos¹,

Disdier²,

Santamaria³

et al. 2011

Eur Respir J

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“…In 2009, an Italian study of 937 GPs who, over a 2-year period, received the results of telespirometry performed on over 20,000 patients (conducted by patients with tracings sent by telephone). 116 Data indicated that 70% of the tests met the criteria for good or partial compliance in performing the procedure, allowing abnormalities to be detected in 40% of the tracings. Only 9.2% could not be evaluated.…”

Section: Feasibility and Acceptancementioning

confidence: 99%

The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management

Bashshur

Shannon

Smith

et al. 2014

Telemedicine and e-Health

274

210

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The telemedicine intervention in chronic disease management promises to involve patients in their own care, provides continuous monitoring by their healthcare providers, identifies early symptoms, and responds promptly to exacerbations in their illnesses. This review set out to establish the evidence from the available literature on the impact of telemedicine for the management of three chronic diseases: congestive heart failure, stroke, and chronic obstructive pulmonary disease. By design, the review focuses on a limited set of representative chronic diseases because of their current and increasing importance relative to their prevalence, associated morbidity, mortality, and cost. Furthermore, these three diseases are amenable to timely interventions and secondary prevention through telemonitoring. The preponderance of evidence from studies using rigorous research methods points to beneficial results from telemonitoring in its various manifestations, albeit with a few exceptions. Generally, the benefits include reductions in use of service: hospital admissions/readmissions, length of hospital stay, and emergency department visits typically declined. It is important that there often were reductions in mortality. Few studies reported neutral or mixed findings.

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“…Telemedicine have applications in different scenarios: teleconsultation [7], tele-rehabilitation [8], tele-spirometry [9] and home-telemonitoring programs (HT) [10].…”

Section: Introductionmentioning

confidence: 99%