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Analysis of the effectiveness of remote intervention of patients affected by chronic diseases: A systematic review and meta-analysis

OBJECTIVES: The aim of the study was to verify the effectiveness of telemedicine in randomized controlled trials (RCTs) in terms of its influence on physical conditioning, quality of life, and health conditions in adults/elderly people affected by chronic diseases. DESIGN: This was a systematic revi...

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Autores principales: de Rezende, Demetrius Ruben Borges, Neto, Isadora Andrade, Iunes, Denise Hollanda, Carvalho, Leonardo César
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540568/
https://www.ncbi.nlm.nih.gov/pubmed/37781504
http://dx.doi.org/10.1177/27550834231197316
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author de Rezende, Demetrius Ruben Borges
Neto, Isadora Andrade
Iunes, Denise Hollanda
Carvalho, Leonardo César
author_facet de Rezende, Demetrius Ruben Borges
Neto, Isadora Andrade
Iunes, Denise Hollanda
Carvalho, Leonardo César
author_sort de Rezende, Demetrius Ruben Borges
collection PubMed
description OBJECTIVES: The aim of the study was to verify the effectiveness of telemedicine in randomized controlled trials (RCTs) in terms of its influence on physical conditioning, quality of life, and health conditions in adults/elderly people affected by chronic diseases. DESIGN: This was a systematic review and meta-analysis. METHODS: The search covered RCTs published from 2011 to 2021 and was conducted using the PubMed, Embase, PEDro, Lilacs, and Cochrane Library databases, on volunteers of both sexes, that were rehabilitated, and/or monitored, and/or evaluated, specifically, via remote care. The extraction, quality of studies, and risk of bias were assessed using the RoB2 (risk of bias) tool, for analysis of the strength of evidence, the GRADE (Grading of Recommendations Assessment, Developing, and Evaluation) method was used, and for the preparation of meta-analysis was used at RevMan 5.4 (Review Manager) was used. RESULTS: The database search identified 3949 potential articles for screening, 13 of which were eligible for the present systematic review, involving 1469 participants with chronic diseases (chronic obstructive pulmonary disease (COPD), asthma, heart failure, diabetes mellitus, and fibromyalgia). Through the meta-analysis, an advantage was identified for the remote intervention on physical conditioning (p = 0.001), with an estimated effect of 0.29 (0.11, 0.46) and on health conditions (p = 0.0004), –0.30 (–0.47, –0.14), while for quality of life, no significant difference was identified (p = 0.90), 0.01 (–0.13, 0.14). CONCLUSION: Telemedicine has clinical effectiveness for the outcome of physical conditioning and general health conditions in adults with chronic diseases when compared to usual care without face-to-face intervention.
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spelling pubmed-105405682023-09-30 Analysis of the effectiveness of remote intervention of patients affected by chronic diseases: A systematic review and meta-analysis de Rezende, Demetrius Ruben Borges Neto, Isadora Andrade Iunes, Denise Hollanda Carvalho, Leonardo César J Med Access Systematic Review OBJECTIVES: The aim of the study was to verify the effectiveness of telemedicine in randomized controlled trials (RCTs) in terms of its influence on physical conditioning, quality of life, and health conditions in adults/elderly people affected by chronic diseases. DESIGN: This was a systematic review and meta-analysis. METHODS: The search covered RCTs published from 2011 to 2021 and was conducted using the PubMed, Embase, PEDro, Lilacs, and Cochrane Library databases, on volunteers of both sexes, that were rehabilitated, and/or monitored, and/or evaluated, specifically, via remote care. The extraction, quality of studies, and risk of bias were assessed using the RoB2 (risk of bias) tool, for analysis of the strength of evidence, the GRADE (Grading of Recommendations Assessment, Developing, and Evaluation) method was used, and for the preparation of meta-analysis was used at RevMan 5.4 (Review Manager) was used. RESULTS: The database search identified 3949 potential articles for screening, 13 of which were eligible for the present systematic review, involving 1469 participants with chronic diseases (chronic obstructive pulmonary disease (COPD), asthma, heart failure, diabetes mellitus, and fibromyalgia). Through the meta-analysis, an advantage was identified for the remote intervention on physical conditioning (p = 0.001), with an estimated effect of 0.29 (0.11, 0.46) and on health conditions (p = 0.0004), –0.30 (–0.47, –0.14), while for quality of life, no significant difference was identified (p = 0.90), 0.01 (–0.13, 0.14). CONCLUSION: Telemedicine has clinical effectiveness for the outcome of physical conditioning and general health conditions in adults with chronic diseases when compared to usual care without face-to-face intervention. SAGE Publications 2023-09-28 /pmc/articles/PMC10540568/ /pubmed/37781504 http://dx.doi.org/10.1177/27550834231197316 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Systematic Review
de Rezende, Demetrius Ruben Borges
Neto, Isadora Andrade
Iunes, Denise Hollanda
Carvalho, Leonardo César
Analysis of the effectiveness of remote intervention of patients affected by chronic diseases: A systematic review and meta-analysis
title Analysis of the effectiveness of remote intervention of patients affected by chronic diseases: A systematic review and meta-analysis
title_full Analysis of the effectiveness of remote intervention of patients affected by chronic diseases: A systematic review and meta-analysis
title_fullStr Analysis of the effectiveness of remote intervention of patients affected by chronic diseases: A systematic review and meta-analysis
title_full_unstemmed Analysis of the effectiveness of remote intervention of patients affected by chronic diseases: A systematic review and meta-analysis
title_short Analysis of the effectiveness of remote intervention of patients affected by chronic diseases: A systematic review and meta-analysis
title_sort analysis of the effectiveness of remote intervention of patients affected by chronic diseases: a systematic review and meta-analysis
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540568/
https://www.ncbi.nlm.nih.gov/pubmed/37781504
http://dx.doi.org/10.1177/27550834231197316
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