Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Insufficient evidence of benefit: a systematic review of home telemonitoring for COPD

Bolton, Charlotte Emma, Waters, Cerith S., Peirce, Susan Caroline and Elwyn, Glyn 2011. Insufficient evidence of benefit: a systematic review of home telemonitoring for COPD. Journal of Evaluation in Clinical Practice 17 (6) , pp. 1216-1222. 10.1111/j.1365-2753.2010.01536.x

[img]
Preview
PDF - Published Version
Download (350kB) | Preview

Abstract

Rationale, aims and objectives The evidence to support the effectiveness of home telemonitoring interventions for patients with chronic obstructive pulmonary disease (COPD) is limited, yet there are many efforts made to implement these technologies across health care services. Methods A comprehensive search strategy was designed and implemented across 9 electronic databases and 11 European, Australasian and North American telemedicine websites. Included studies had to examine the effectiveness of telemonitoring interventions, clearly defined for the study purposes, for adult patients with COPD. Two researchers independently screened each study prior to inclusion. Results Two randomized trials and four other evaluations of telemonitoring were included. The studies are typically underpowered, had heterogeneous patient populations and had a lack of detailed intervention descriptions and of the care processes that accompanied telemonitoring. In addition, there were diverse outcome measures and no economic evaluations. The telemonitoring interventions in each study differed widely. Some had an educational element that could itself account for the differences between groups. Conclusions Despite these caveats, the study reports are themselves positive about their results. However, given the risk of bias in the design and scale of the evaluations we conclude that the benefit of telemonitoring for COPD is not yet proven and that further work is required before wide-scale implementation be supported.

Item Type: Article
Status: Published
Schools: Engineering
Medicine
Psychology
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: chronic obstructive pulmonary disease; informatics; telemedicine; telemonitoring
Publisher: Wiley-Blackwell
ISSN: 1356-1294
Date of First Compliant Deposit: 28 March 2018
Last Modified: 20 Oct 2019 13:16
URI: http://orca-mwe.cf.ac.uk/id/eprint/27034

Citation Data

Cited 64 times in Google Scholar. View in Google Scholar

Cited 77 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics