The Role of Telemedicine in Wound Care: A Review and Analysis of a Database of 5,795 Patients from a Mobile Wound-Healing Center in Languedoc-Roussillon, France

Sood, Aditya; Granick, Mark S.; Trial, Chloé; Lano, Julie; Palmier, Sylvie; Ribal, E.; Téot, Luc

doi:10.1097/prs.0000000000002702

Cited by 48 publications

(26 citation statements)

References 24 publications

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“…The authors found that patients in the TM and control groups had similar healing time (43 vs 45 days; P =.83) as well as similar ulcer healing rate (odds ratio 0.86, 95% CI 0.57-1.33; P =.53). A 10-year study of 5795 patients in France also provided an example of how TM might be of benefit in wound care [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Telemedicine in Chronic Wound Management: Systematic Review And Meta-Analysis

Cao¹,

Gao²,

Chen³

et al. 2020

JMIR Mhealth Uhealth

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Background Chronic wounds have been a great burden to patients and the health care system. The popularity of the internet and smart devices, such as mobile phones and tablets, has made it possible to adopt telemedicine (TM) to improve the management of chronic wounds. However, studies conducted by different researchers have reported contradictory results on the effect of TM on chronic wound management. Objective The aim of this work was to evaluate the efficacy and safety of TM in chronic wound management. Methods We systematically searched multiple electronic databases (MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials [CENTRAL]) to identify eligible studies published from inception to June 12, 2019. Inclusion criteria were randomized controlled trials (RCTs) and interventional cohort studies that investigated the use of TM in chronic wound management. RCT and observational data were analyzed separately. A meta-analysis and qualitative analysis were conducted to estimate endpoints. Results A total of 6 RCTs and 6 cohort studies including 3913 patients were included. Of these, 4 studies used tablets or mobile phones programmed with apps, such as Skype and specialized interactive systems, whereas the remaining 8 studies used email, telephone, and videoconferencing to facilitate the implementation of TM using a specialized system. Efficacy outcomes in RCTs showed no significant differences in wound healing (hazard ratio [HR] 1.16, 95% CI 0.96-1.39; P=.13), and wound healing around 1 year (risk ratio [RR] 1.05, 95% CI 0.89-1.23; P=.15). Noninferiority criteria of TM were met. A decreased risk of amputation in patients receiving TM was revealed (RR 0.45, 95% CI 0.29-0.71; P=.001). The result of cohort studies showed that TM was more effective than standard care (HR 1.74, 95% CI 1.43-2.12; P<.001), whereas the outcome efficacy RR of wound healing around 1 year (RR 1.21, 95% CI 0.96-1.53; P=.56) and 3 months (RR 1.24, 95% CI 0.47-3.3; P=.67) was not significantly different between TM and standard care. Noninferiority criteria of TM were met for wound healing around 1 year in cohort studies. Conclusions Currently available evidence suggests that TM seems to have similar efficacy and safety, and met noninferiority criteria with conventional standard care of chronic wounds. Large-scale, well-designed RCTs are warranted.

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Section: Discussionmentioning

confidence: 99%

Telemedicine in Chronic Wound Management: Systematic Review And Meta-Analysis

Cao¹,

Gao²,

Chen³

et al. 2020

JMIR Mhealth Uhealth

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“…Telemedicine has also been shown to be a useful communication tool in a home care setting. 16 27 The modern technique of video communication through iPad or smartphone is easy to use, and is now widely available in both rural and urban societies.…”

Section: Discussionmentioning

confidence: 99%

“… 15 Another example is a telemedicine wound care model, which has produced reductions in both hospital admissions and patient transportations. 16 The use of three-dimensional images has shown high concordance with inperson consultation for assessment and measurement of wounds. 17 …”

Section: Introductionmentioning

confidence: 99%

Comparing video consultation with inperson assessment for Swedish patients with hard-to-heal ulcers: registry-based studies of healing time and of waiting time

et al. 2018

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ObjectivesTo investigate differences in ulcer healing time and waiting time between video consultation and inperson assessment for patients with hard-to-heal ulcers.SettingPatients treated at Blekinge Wound Healing Centre, a primary care centre covering the whole of Blekinge county (150 000 inhabitants), were compared with patients registered and treated according to the Registry of Ulcer Treatment, a Swedish national web-based quality registry.ParticipantsIn the study for analysing ulcer healing time, the study group consisted of 100 patients diagnosed through video consultation between October 2014 and September 2016. The control group for analysing healing time consisted of 1888 patients diagnosed through inperson assessment during the same period. In the study for analysing waiting time, the same study group (n=100) was compared with 100 patients diagnosed through inperson assessment.Primary and secondary outcome measuresDifferences in ulcer healing time were analysed using the log-rank test. Differences in waiting time were analysed using the Mann-Whitney U test.ResultsMedian healing time was 59 days (95% CI 40 to 78) in the study group and 82 days (95% CI 75 to 89) in the control group (P<0.001). Median waiting time was 25 days (range: 1–83 days) in the study group and 32 days (range: 3–294 days) for patients diagnosed through inperson assessment (P=0.017). There were no significant differences between the study group and the control group regarding age, gender or ulcer size.ConclusionsHealing time and waiting time were significantly shorter for patients diagnosed through video consultation compared with those diagnosed through inperson assessment.

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“…Other experiments in telemedicine in the field of chronic wounds exist in France such as CICAT in Languedoc-Roussillon (now Occitanie) and TELAP in Normandy. Thus, the service of telemedicine Domoplaies has allowed a rate of healing of complex wounds and/or chronic conditions at half the cost if compared to typical treatment according to a medico-economic analysis by the CICAT-Occitanie network [27]. …”

Section: Methodsmentioning

confidence: 99%

Telemedicine and Geriatrics in France: Inventory of Experiments

Zulfiqar

Hassani

Talha

et al. 2018

Current Gerontology and Geriatrics Research

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Telemedicine is now in vogue, being deployed through computer and communication tools in various health fields, such as diabetology, nephrology, dermatology, neurology, and cardiology. With population ageing, geriatrics is coming into sharp focus. Telemedicine practices differ for home-based or institutionalized patients in long-term care homes. We take a look at telemedicine projects in France concerning the elderly.

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The Role of Telemedicine in Wound Care: A Review and Analysis of a Database of 5,795 Patients from a Mobile Wound-Healing Center in Languedoc-Roussillon, France

Cited by 48 publications

References 24 publications

Telemedicine in Chronic Wound Management: Systematic Review And Meta-Analysis

Telemedicine in Chronic Wound Management: Systematic Review And Meta-Analysis

Comparing video consultation with inperson assessment for Swedish patients with hard-to-heal ulcers: registry-based studies of healing time and of waiting time

Telemedicine and Geriatrics in France: Inventory of Experiments

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