Effectiveness of tele-monitoring by patient severity and intervention type in chronic obstructive pulmonary disease patients: A systematic review and meta-analysis

Hong, Youna; Lee, Seon Heui

doi:10.1016/j.ijnurstu.2018.12.006

Cited by 56 publications

(93 citation statements)

References 33 publications

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“…e list of excluded literature studies and reasons of exclusion are displayed in Appendix 2 in Supplementary materials. us, a total of 8 SRs and MAs [16][17][18][19][20][21][22][23] were finally included in this overview. e study selection process is shown in Figure 1.…”

Section: Study Identificationmentioning

confidence: 99%

“…We included six systematic review and meta-analysis [16-18, 20, 22, 23], one meta-analysis [19], and one systematic review, which were published between 2011 and 2019, with four from Asian countries [16][17][18][19] and four from European countries [20][21][22][23], and all databases reviews retrieved ranged from one to six, with PubMed, Embase, and Cochrane Library as the most widely searched databases. e number of RCTs included in each review ranged from 3 to 28, and the total participants ranged from 391 to 3645.…”

Section: Characteristics Of Included Reviewmentioning

confidence: 99%

“…Reviews. According to AMSTAR-2 classification, two reviews were regarded as high quality [20,23], two as low quality [19,22], and four as critically low quality [16][17][18]21]. e result of AMSTAR-2 score showed that the key factors affecting the quality of the reviews were item 3 (only 1 review [22] explained the selection of the study designs for inclusion), and item 7 (only 2 reviews [20,23] provided a list of excluded studies and justified the exclusions).…”

Section: Quality Of Includedmentioning

confidence: 99%

“…e detail of GRADE evaluation is shown in Table 3. [16,18,21,23] reported the effects of TIs on mortality, three of them [16,18,23] combined the data into meta-analysis, and one [21] Records identi ed through database searching (n = 468)…”

Section: Quality Of Evidence In Concerned Outcomes (Grade)mentioning

confidence: 99%

“…e results of the four reviews showed that there was no statistically significant difference in the reduction of mortality between the TIs and the control group. According to the GRADE system, the quality of evidence for mortality reported in three MAs [16,18,23] was low, and the main reason for the downgrade was risk of bias.…”

Section: Mortality Four Reviewsmentioning

confidence: 99%

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Telemonitoring Interventions in COPD Patients: Overview of Systematic Reviews

Xie

Zhao

et al. 2020

BioMed Research International

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Objective. The role of telemonitoring interventions (TIs) for chronic obstructive pulmonary disease (COPD) has been studied in many systematic reviews (SRs) and meta-analyses (MAs), but robust conclusions have not been reached due to wide variations in scopes, qualities, and outcomes. The aim of this overview was to determine the effectiveness of TIs on COPD patients. Methods. PubMed, EMBASE, Web of Science, and Cochrane Library were searched for all reviews on the topic of TI in treating COPD from inception to July 8, 2019, without restrictions on language. According to the inclusion and exclusion criteria, the retrieved literature studies were screened to select SRs and MAs of randomized control trials (RCTs) that evaluated the effects of TIs in COPD patients. The methodological quality of SRs and MAs was assessed with the AMSTAR-2 tool, and the strength of evidence was assessed with the grades of recommendations, assessment, development, and evaluation (GRADE) system for concerned outcomes in terms of mortality, quality of life (SGRQ total scores), exercise capacity (6MWD), and exacerbation-related outcomes (hospitalizations, exacerbation rate, and emergency room visits). Results. Our overview included eight SRs and MAs published in 2011 to 2019, from 95 RCTs involving 10632 participants. After strict evaluation by the AMSTAR-2 tool, 75% of the SRs and MAs in this overview had either low or critically low methodological quality. The effects of TIs for COPD on mortality, quality of life, exercise capacity, and exacerbation-related outcomes are limited, and all of these outcomes scored either low or very low quality of evidence on the GRADE system. Conclusions. There might be insufficient evidence to support the effectiveness of TIs for COPD currently, but the results of this overview should be interpreted dialectically and prudently, and the role of TIs in COPD needs further exploration.

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