How to create a telemedicine service: telemedicine heptagon

Objective. The objective of this study is to evaluate the effectiveness of telenutrition versus traditional nutritional consultations for female obese patients in need of nutritional treatment.Methods. A comparative clinical study was conducted among 233 obese or overweight women (including 20 who dropped out and 60 who failed) who consulted a nutrition clinic in Barranquilla (Colombia) for nutritional assessment and chose either telenutrition or a traditional consultation that included a weekly follow-up consultation over 16 weeks, food consumption patterns, Body Mass Index (BMI, kg/m2) registeration and waist and hip circumference registeration. Treatment responses and differences between telenutrition and the traditional consultations were made according to BMI, waist, hip and initial-waist/height ratio (iWaist), calculating for the relative risk.Results. In 68 (29.2%) women who chose traditional attention, 9 (37.5%) dropped out, 24 (40%) failed and 35 (23.5%) were successful, showing 1.4% (1.0 SD) BMI loss, 5.8% (3.4 SD) in waist circumference, 4.5% (2.8 SD) in hip circumference and 0.04% (0.02 SD) in iWaist/height ratio. In 165 (70.8%) women who chose telenutrition, 15 (62.5%) dropped out, 36 (60%) failed and 114 (76.5%) were successful, showing 1.1% (1.0 SD) BMI loss, 5.0% (3.2 SD) in waist circumference, 3.5% (3.1 SD) in hip circumference and 0.03% (0.02 SD) in iWaist/height ratio. A significance level of p < 0.05 is considered.Conclusion. Telenutrition has a failure or dropout risk factor of about half of the value of traditional consultation, and showed slight, statistically significant differences. This study concludes that telenutrition can support or sometimes replace traditional consultations when developing weight loss programs for obese women.

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“…There is a need to create successful programs to provide clinical services that remain profitable (Kuzmar, Rizo & Cortés, 2014a). …”

Section: Introductionmentioning

confidence: 99%

“…A telehealth network can serve as a model for integrating health services (Dimmick et al, 2003) including telenutrition (Kuzmar, Rizo & Cortés, 2014a). Commercial industries have outpaced traditional healthcare consultation in terms of traditional approaches to weight control for electronic online delivery.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of telenutrition in a women’s weight loss program

Kuzmar

Cortés‐Castell

Rizo

2015

PeerJ

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“…Besides the change in the form of providing medical care, telemedicine is becoming an industry that can generate multiple billions of dollars, so there is a need to create successful programs that provide clinical services remain profitable 2 .…”

Section: Introductionmentioning

confidence: 99%

Peer Review #1 of "Effectiveness of telenutrition in a women’s weight loss program (v0.1)"

2015

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The objective of this study is to evaluate the effectiveness of telenutrition versus traditional nutritional consultation for female obese patients that needs nutritional treatment. Methods: A comparative clinical study was conducted among 233 (including 20 dropouts and 60 failures) obese or overweight women who consulted a nutrition clinic in Barranquilla (Colombia) for nutritional assessment choosing telenutrition or traditional attention that includes a weekly follow-up consultation over 16 weeks, food consumption patterns, Body Mass Index (BMI, kg/m 2) register, waist and hip circumference register. Treatment response and difference between telenutrition and traditional consultation were made according to BMI, waist, hip and initial-waist/height ratio, calculating the relative risk. Results: In 68 (29.2%) women who chose traditional attention, 9 (37.5%) dropped out, 24 (40%) failed and 35 (23.5%) were successful, showing 1.4%(1.0 SD) BMI loss, 5.8% (3.4 SD) in waist circumference, 4.5% (2.8 SD) in hip circumference and 0.04% (0.02 SD) in iwaist/height ratio. In 165 (70.8%) women who chose telenutrition, 15 (62.5%) dropped out, 36 (60%) failed and 114 (76.5%) were successful, showing 1.1% (1.0 SD) BMI loss, 5.0% (3.2 SD) in waist circumference, 3.5% (3.1 SD) in hip circumference and 0.03% (0.02 SD) in iwaist/height ratio. A significance level of p<0.05 is considered. Conclusion: Telenutrition has a failure or dropout risk factor about half values of traditional consultation with slightly statistically significant differences. This study concludes that telenutrition can support or sometimes replace the traditional consultation when developing weight loss programs in obese women.

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Systematic Review of Telemedicine and eHealth Systems Applied to Vascular Surgery

et al. 2022

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Objective: The objective of this paper is to review and analyze the current state of telemedicine and ehealth in the field of vascular surgery. Methods: This paper collects the relevant information obtained after reviewing the articles related to telemedicine in vascular surgery, published from 2012 to 2022 contained in scientific databases. In addition, the results obtained are statistically studied based on various factors, such as the year of publication or the search engine. In this way, we obtain a complete vision of the current state of telemedicine in the field of vascular surgery. Results: After performing this search and applying selection criteria, 29 articles were obtained for subsequent study and discussion, of which 20 were published in the second half of the decade, representing 70% of the results. In the analysis carried out according to the search criteria used, it can be seen that using the word telemedicine we obtained 69% of the articles while with the criteria mHealth and eHealth we only obtained 22% and 9% of the results, respectively. It can be seen that the filter with the most potential content articles was “vascular surgery AND telemedicine”. In the analysis performed according to the search engine, it was observed that the Google Scholar database contains 93% of the articles found in the massive search and the relevant articles contained therein represent 52% of the total. Conclusion: An upward trend has been observed in recent years, with a clear increase in the number of publications and much lower figures in the first years. One aspect to highlight is that 47.8% of the articles analyzed focus only on postoperative treatment, which may be due to the help provided by telemedicine in detecting surgical site infections by sending images and videos, this being one of the most common postoperative complications. The analyzed works show the importance of telemedicine in vascular surgery and identify possible future lines of research. In the analysis carried out on the origin of the selected relevant papers, an important interest of the US in this topic is demonstrated since more than 50% of the research contains authors from this country, it is also observed that there is no research from Spain, so this research would be an initial step to determine the weaknesses of telemedicine in this field of medicine and a good opportunity to open a research gap in this branch.

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How to create a telemedicine service: telemedicine heptagon

Cited by 3 publications

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Effectiveness of telenutrition in a women’s weight loss program

Effectiveness of telenutrition in a women’s weight loss program

Peer Review #1 of "Effectiveness of telenutrition in a women’s weight loss program (v0.1)"

Systematic Review of Telemedicine and eHealth Systems Applied to Vascular Surgery

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