Effectiveness of Telemedicine Intervention for Chronic Obstructive Pulmonary Disease in China: A Systematic Review and Meta-Analysis

Liu, Fenglan; Jiang, Yebin; Xu, Gelin; Ding, Zhaosheng

doi:10.1089/tmj.2019.0215

Cited by 29 publications

(19 citation statements)

References 27 publications

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“…Hospitalization and readmissions decreased after implementation of a personalized care delivered through a web-based call center [26]. Acute exacerbations of COPD, emergency department visits and hospital admissions reduced after a tele-rehabilitation programme [10,49] and two other telemonitoring interventions [21,34]. Ding, L., et al [17] suggested in a recent review a favorable decrease in exacerbation rate but with limited or inconsistent evidence.…”

Section: Exacerbations Of Copd and Mortality Ratesmentioning

confidence: 99%

Telemedicine in COPD: An Overview by Topics

Barbosa

Sousa

Morais‐Almeida³

et al. 2020

COPD: Journal of Chronic Obstructive Pulmonary Disease

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COPD is a major cause of morbidity and mortality worldwide and carries a huge and growing economic and social burden. Telemedicine might allow the care of patients with limited access to health services and improve their self-management. During the COVID-19 pandemic, patient's safety represents one of the main reasons why we might use these tools to manage our patients. The authors conducted a literature search in MEDLINE database. The retrieval form of the Medical Subject Headings (Mesh) was ((Telemedicine OR Tele-rehabilitation OR Telemonitoring OR mHealth OR Ehealth OR Telehealth) AND COPD). We only included systematic reviews, reviews, meta-analysis, clinical trials and randomized-control trials, in the English language, with the selected search items in title or abstract, and published from January 1st 2015 to 31st May 2020 (n ¼ 56). There was a positive tendency toward benefits in tele-rehabilitation, health-education and self-management, early detection of COPD exacerbations, psychosocial support and smoking cessation, but the heterogeneity of clinical trials and reviews limits the extent to which this value can be understood. Telemonitoring interventions and cost-effectiveness had contradictory results. The literature on teleconsultation was scarce during this period. The non-inferiority tendency of telemedicine programmes comparing to conventional COPD management seems an opportunity to deliver quality healthcare to COPD patients, with a guarantee of patient's safety, especially during the COVID-19 outbreak.

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Section: Exacerbations Of Copd and Mortality Ratesmentioning

confidence: 99%

Telemedicine in COPD: An Overview by Topics

Barbosa

Sousa

Morais‐Almeida³

et al. 2020

COPD: Journal of Chronic Obstructive Pulmonary Disease

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“…In many countries, such as in China, digital health approaches have begun to transform the way in which patients and health care professionals interact, and helped patients to take a more active role in managing their illnesses via remote consultations and disease monitoring, without having to travel to the nearest hospital to see a specialist. 4 For this to work effectively, the patient and close relatives must have reliable access to video camera/video link or smart phone. Until now, telemedicine services could not totally replace existing practices, as physical examination, blood taking, and many diagnostic tests and treatments still necessitated face-to-face interactions.…”

Section: Introductionmentioning

confidence: 99%

Pilot Study Using Telemedicine Video Consultation for Vascular Patients’ Care During the COVID-19 Period

Chan

Huang

et al. 2020

Annals of Vascular Surgery

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Background The aim of this pilot study was to evaluate the effectiveness and patients satisfaction of using telemedicine virtual communications to provide remote health care to vascular patients during the coronavirus disease 2019 (COVID-19) period in China. Methods Video calls using WeChat software (Tencent, Shenzhen, China) between patients and vascular surgeons were conducted in a period when there were restrictions and limitations for people’ travels in China. At the end of each video call, a short questionnaire was used to evaluate the patient satisfaction level. Results During the COVID-19 period from 19 February to March 16, 2020, a sample of 114 from 165 (69%) patients was reached after one phone call attempt. One hundred forty-two telemedicine remote communications were made between the two vascular surgeons and 114 patients. The mean age of this cohort of patients were 60 ± 15.2 (range 25 to 90) years old, and 74 (65%) were men. Twenty-five patients (22%) were outside of our province when they received the video call. The mean duration of the video call was 11.0 ± 8.9 minutes. All of the patients thought telemedicine was a good substitute for coming to hospital, and 95% (108/114) of them preferred to have remote telemedicine rather than postpone the appointment. All the patients agreed with the advantages of telemedicine including no infection risks, no need to travel, and no need to wait for long time. All the patients were “satisfied” or “highly satisfied” with the video call and they would like to use telemedicine for follow-up in the future. Conclusions Telemedicine virtual communications was effective to provide remote health care with a high patient satisfaction during the COVID-19 period. Telemedicine offers support to vulnerable vascular patients without the need for travel and face-to-face hospital consultation, and so avoided transmission and infection.

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“…The most recent systematic reviews and meta-analyses [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ] on telehealth care analyze teleassessment, telephone assistance, mobile app development, and website assistance in depth, but they need to be analyzed separately [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Web-Based Supportive Interventions in Quality of Life in COPD Patients, a Systematic Review and Meta-Analysis

Calvache‐Mateo

López‐López

Heredia‐Ciuró

et al. 2021

IJERPH

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Background: Adults living with Chronic Obstructive Pulmonary Disease (COPD) often have difficulties when trying to access health care services. Interactive communication technologies are a valuable tool to enable patients to access supportive interventions to cope with their disease. The aim of this revision and meta-analysis is to analyze the content and efficacy of web-based supportive interventions in quality of life in COPD. Methods: Medline (via PubMed), Web of Science, and Scopus were the databases used to select the studies for this systematic review. A screening, analysis, and assessment of the methodological quality was carried out by two independent researchers. A meta-analysis of the extracted data was performed. Results: A total of 9 of the 3089 studies reviewed met the inclusion criteria. Most repeated web content elements were educational and involved communication with healthcare professional content. Finally, seven of the nine studies were included in a quantitative analysis. Web-based supportive interventions significantly improved quality of life when added to usual care (SMD = −1.26, 95% CI = −1.65, −0.86; p < 0.001) but no significant differences were found when compared with an autonomous pedometer walking intervention (p = 0.64) or a face-to-face treatment (p = 0.82). Conclusion: This systematic review and meta-analysis suggests that web-based supportive interventions may complement or accompany treatments in COPD patients due to the advantages of online interventions. The results obtained should be treated with caution due to the limited number of studies in this area and methodological weaknesses.

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Effectiveness of Telemedicine Intervention for Chronic Obstructive Pulmonary Disease in China: A Systematic Review and Meta-Analysis

Cited by 29 publications

References 27 publications

Telemedicine in COPD: An Overview by Topics

Telemedicine in COPD: An Overview by Topics

Pilot Study Using Telemedicine Video Consultation for Vascular Patients’ Care During the COVID-19 Period

Efficacy of Web-Based Supportive Interventions in Quality of Life in COPD Patients, a Systematic Review and Meta-Analysis

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