The Role of Telemedicine in the Management of the Pregnancy Complicated by Diabetes

Mastrogiannis, Dimitrios; Igwe, Elena; Homko, Carol J.

doi:10.1007/s11892-012-0352-x

Cited by 49 publications

(28 citation statements)

References 23 publications

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“…The strengths of our review were the robust and rigorous search strategy used, identifying 3 additional trials those that had been considered in previous reviews of this topic [22,32]. We included pregnant women with all forms of diabetes, as the benefits of these technologies may not be limited to women with only GDM.…”

Section: Discussionmentioning

confidence: 99%

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Telemedicine Technologies for Diabetes in Pregnancy: A Systematic Review and Meta-Analysis

et al. 2016

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BackgroundDiabetes in pregnancy is a global problem. Technological innovations present exciting opportunities for novel approaches to improve clinical care delivery for gestational and other forms of diabetes in pregnancy.ObjectiveTo perform an updated and comprehensive systematic review and meta-analysis of the literature to determine whether telemedicine solutions offer any advantages compared with the standard care for women with diabetes in pregnancy.MethodsThe review was developed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. Randomized controlled trials (RCT) in women with diabetes in pregnancy that compared telemedicine blood glucose monitoring with the standard care were identified. Searches were performed in SCOPUS and PubMed, limited to English language publications between January 2000 and January 2016. Trials that met the eligibility criteria were scored for risk of bias using the Cochrane Collaborations Risk of Bias Tool. A meta-analysis was performed using Review Manager software version 5.3 (Nordic Cochrane Centre, Cochrane Collaboration).ResultsA total of 7 trials were identified. Meta-analysis demonstrated a modest but statistically significant improvement in HbA1c associated with the use of a telemedicine technology. The mean HbA1c of women using telemedicine was 5.33% (SD 0.70) compared with 5.45% (SD 0.58) in the standard care group, representing a mean difference of −0.12% (95% CI −0.23% to −0.02%). When this comparison was limited to women with gestational diabetes mellitus (GDM) only, the mean HbA1c of women using telemedicine was 5.22% (SD 0.70) compared with 5.37% (SD 0.61) in the standard care group, mean difference −0.14% (95% CI −0.25% to −0.04%). There were no differences in other maternal and neonatal outcomes reported.ConclusionsThere is currently insufficient evidence that telemedicine technology is superior to standard care for women with diabetes in pregnancy; however, there was no evidence of harm. No trials were identified that assessed patient satisfaction or cost of care delivery, and it may be in these areas where these technologies may be found most valuable.

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Section: Discussionmentioning

confidence: 99%

“…Two earlier reviews on telemedicine in the management of the pregnancy with GDM have previously been published [22,32]. Mastrogiannis et al presented a narrative synthesis of trials published on telemedicine for diabetic pregnancies published before 2012.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine Technologies for Diabetes in Pregnancy: A Systematic Review and Meta-Analysis

et al. 2016

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“…Monitoring chronically ill patients by means of PHS technology has been the subject of numerous studies [13], [14], with encouraging results. Thanks to the advancements of telecommunication technology, many telemedicine systems aimed at monitoring chronic diseases have been defined in recent years, as also reported in [15].…”

Section: Related Workmentioning

confidence: 99%

COMPASS: an Interoperable Personal Health System to Monitor and Compress Signals in Chronic Obstructive Pulmonary Disease

Hofer

Schumacher

Bromuri

2015

EAI Endorsed Trans Perv Health Tech

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Abstract-In the past years the progress on the mobile market has made possible an advancement in terms of telemedicine systems and definition of systems for monitoring chronic illnesses. The distribution of mobile devices in developed countries is increasing. Many of these devices are equipped with wireless standards including Bluetooth and the amount of sold Smartphones is constantly increasing. Our approach is oriented towards this market, using existing devices to enable in-home patient monitoring and even further to ubiquitious monitoring. The idea is to increase the quality of care, reduce costs and gather medical grade data, especially vital signs, with a resolution of minutes or even less, which is nowadays only possible in an ICU (Intensive Care Units). In this paper we will present the COMPASS personal health system (PHS) platform, and how it enables Android devices to collect, analyze and send sensor data to an observation storage by means of interoperability standards. We also present how this data is compressed using compressed sensing techniques and how to optimize these techniques with genetic algorithms. We also produce a preliminary evaluation of the algorithm against the state of the art algorithms for compressed sensing.

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“…Using telemedicine to support pregnant women with diabetes could have an impact not only on the classical maternal-fetal outcomes, but also on other aspects not always taken into due account in the management of these patients, that is, their quality of life, their perception of the effectiveness of care “diabetes self-efficacy”, and their glycemic variability [17]. …”

Section: Contribution Of Telemedicine In Pregnancy Complicated By mentioning

confidence: 99%

The Emerging Role of Telemedicine in Managing Glycemic Control and Psychobehavioral Aspects of Pregnancy Complicated by Diabetes

Chilelli

Dalfrà

Lapolla

2014

International Journal of Telemedicine and Applications

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There is a gradual decline in concern of specialists who follow up the care of pregnant women with diabetes. In addition, due to the dwindling economic resources allocated to health services, access to specialized healthcare facilities is becoming more difficult. Telemedicine, or medicine practiced at a distance, is inserted in this context with applications differing for type of interaction (real-time or deferred, i.e., videoconferencing versus store-and-forward data transmission), type of monitoring (automatic versus requesting cooperation from the patient), and type of devices used (web connections and use of mobile phones or smartphones). Telemedicine can cope with the current lack of ability to ensure these patients frequent direct contact with their caregivers. This approach may have an impact not only on the classical maternal-fetal outcome, but also on some underestimated aspects of patients with diabetes in pregnancy, in this case their quality of life, the perception of “diabetes self-efficacy,” and the glycemic variability. In this paper, we will analyze the current evidence regarding the use of telemedicine in pregnancies complicated by diabetes, trying to highlight the main limitations of these studies and possible strategies to overcome them in order to improve the effectiveness of future clinical interventions with these medical applications.

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The Role of Telemedicine in the Management of the Pregnancy Complicated by Diabetes

Cited by 49 publications

References 23 publications

Telemedicine Technologies for Diabetes in Pregnancy: A Systematic Review and Meta-Analysis

Telemedicine Technologies for Diabetes in Pregnancy: A Systematic Review and Meta-Analysis

COMPASS: an Interoperable Personal Health System to Monitor and Compress Signals in Chronic Obstructive Pulmonary Disease

The Emerging Role of Telemedicine in Managing Glycemic Control and Psychobehavioral Aspects of Pregnancy Complicated by Diabetes

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