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The efficacy of telemedicine for pain management in patients with cancer: a systematic review and meta-analysis

BACKGROUND: Pain is the most common cancer-related symptom, but it is often undertreated. Telemedicine is widely used in cancer treatment, but its effectiveness is uncertain. OBJECTIVE: We aimed to evaluate the impact of telemedicine intervention on pain in patients with cancer. DESIGN: Methodologic...

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Autores principales: Chen, Wenyu, Huang, Jie, Cui, Zhifang, Wang, Lei, Dong, Liang, Ying, Weifeng, Zhang, Ye
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9940183/
https://www.ncbi.nlm.nih.gov/pubmed/36815091
http://dx.doi.org/10.1177/20406223231153097
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author Chen, Wenyu
Huang, Jie
Cui, Zhifang
Wang, Lei
Dong, Liang
Ying, Weifeng
Zhang, Ye
author_facet Chen, Wenyu
Huang, Jie
Cui, Zhifang
Wang, Lei
Dong, Liang
Ying, Weifeng
Zhang, Ye
author_sort Chen, Wenyu
collection PubMed
description BACKGROUND: Pain is the most common cancer-related symptom, but it is often undertreated. Telemedicine is widely used in cancer treatment, but its effectiveness is uncertain. OBJECTIVE: We aimed to evaluate the impact of telemedicine intervention on pain in patients with cancer. DESIGN: Methodological quality and risk-of-bias evaluation were conducted, and the sources of heterogeneity were explored through subgroup analysis and sensitivity analysis. DATA SOURCES AND METHODS: PubMed, Embase, Web of Science, Cochrane Library, and clinical trial databases were searched up to 16 August 2022. Randomized controlled trials of the impact of telemedicine intervention regarding pain in patients with cancer were included, and the results related to pain were extracted. RESULTS: Twenty-one randomized controlled trials were selected from 1810 articles. A total of 1454 patients received telemedicine interventions, and 2213 received conventional medical services. Telemedical intervention had a positive effect on improving pain intensity [standard mean deviation (SMD) = −0.28, 95% confidence interval (CI): −0.49 to −0.06, p = 0.01] and pain interference (SMD = −0.41, 95% CI: −0.54 to −0.28, p < 0.00001), with statistical difference between the two groups. The subgroup analysis results showed that the telemedicine subgroup based on an application (SMD = −0.54, 95% CI: −0.91 to −0.18, p = 0.004) and the subgroup with intervention time ⩾ 6 months (SMD = −0.33, 95% CI: −0.52 to −0.13, p = 0.001), both demonstrated significant improvement regarding pain intensity, with significant statistical difference between the two groups. When the follow-up time was ⩾ 6 months, there was no significant difference (SMD = −0.24, 95% CI: −0.55 to 0.07, p = 0.13). CONCLUSION: Compared with conventional medical services, telemedicine intervention can improve the pain of patients with cancer and is effective and acceptable regarding symptom monitoring. Integrating telemedicine interventions into cancer pain management may be a feasible option. But its long-term effects still need to be confirmed with more high-quality randomized controlled trials in the future. REGISTRATION: https://www.crd.york.ac.uk/PROSPERO/; CRD42022361990
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spelling pubmed-99401832023-02-21 The efficacy of telemedicine for pain management in patients with cancer: a systematic review and meta-analysis Chen, Wenyu Huang, Jie Cui, Zhifang Wang, Lei Dong, Liang Ying, Weifeng Zhang, Ye Ther Adv Chronic Dis Meta-Analysis BACKGROUND: Pain is the most common cancer-related symptom, but it is often undertreated. Telemedicine is widely used in cancer treatment, but its effectiveness is uncertain. OBJECTIVE: We aimed to evaluate the impact of telemedicine intervention on pain in patients with cancer. DESIGN: Methodological quality and risk-of-bias evaluation were conducted, and the sources of heterogeneity were explored through subgroup analysis and sensitivity analysis. DATA SOURCES AND METHODS: PubMed, Embase, Web of Science, Cochrane Library, and clinical trial databases were searched up to 16 August 2022. Randomized controlled trials of the impact of telemedicine intervention regarding pain in patients with cancer were included, and the results related to pain were extracted. RESULTS: Twenty-one randomized controlled trials were selected from 1810 articles. A total of 1454 patients received telemedicine interventions, and 2213 received conventional medical services. Telemedical intervention had a positive effect on improving pain intensity [standard mean deviation (SMD) = −0.28, 95% confidence interval (CI): −0.49 to −0.06, p = 0.01] and pain interference (SMD = −0.41, 95% CI: −0.54 to −0.28, p < 0.00001), with statistical difference between the two groups. The subgroup analysis results showed that the telemedicine subgroup based on an application (SMD = −0.54, 95% CI: −0.91 to −0.18, p = 0.004) and the subgroup with intervention time ⩾ 6 months (SMD = −0.33, 95% CI: −0.52 to −0.13, p = 0.001), both demonstrated significant improvement regarding pain intensity, with significant statistical difference between the two groups. When the follow-up time was ⩾ 6 months, there was no significant difference (SMD = −0.24, 95% CI: −0.55 to 0.07, p = 0.13). CONCLUSION: Compared with conventional medical services, telemedicine intervention can improve the pain of patients with cancer and is effective and acceptable regarding symptom monitoring. Integrating telemedicine interventions into cancer pain management may be a feasible option. But its long-term effects still need to be confirmed with more high-quality randomized controlled trials in the future. REGISTRATION: https://www.crd.york.ac.uk/PROSPERO/; CRD42022361990 SAGE Publications 2023-02-17 /pmc/articles/PMC9940183/ /pubmed/36815091 http://dx.doi.org/10.1177/20406223231153097 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 Meta-Analysis
Chen, Wenyu
Huang, Jie
Cui, Zhifang
Wang, Lei
Dong, Liang
Ying, Weifeng
Zhang, Ye
The efficacy of telemedicine for pain management in patients with cancer: a systematic review and meta-analysis
title The efficacy of telemedicine for pain management in patients with cancer: a systematic review and meta-analysis
title_full The efficacy of telemedicine for pain management in patients with cancer: a systematic review and meta-analysis
title_fullStr The efficacy of telemedicine for pain management in patients with cancer: a systematic review and meta-analysis
title_full_unstemmed The efficacy of telemedicine for pain management in patients with cancer: a systematic review and meta-analysis
title_short The efficacy of telemedicine for pain management in patients with cancer: a systematic review and meta-analysis
title_sort efficacy of telemedicine for pain management in patients with cancer: a systematic review and meta-analysis
topic Meta-Analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9940183/
https://www.ncbi.nlm.nih.gov/pubmed/36815091
http://dx.doi.org/10.1177/20406223231153097
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