Comparative effectiveness of telemedicine strategies on type 2 diabetes management: A systematic review and network meta-analysis
Journal article
Lee, Shaun Wen Huey, Chan, Carina Ka Yee, Chua, Siew Siang and Chaiyakunapruk, Nathorn. (2017). Comparative effectiveness of telemedicine strategies on type 2 diabetes management: A systematic review and network meta-analysis. Scientific Reports. 7(1), pp. 1 - 11. https://doi.org/10.1038/s41598-017-12987-z
Authors | Lee, Shaun Wen Huey, Chan, Carina Ka Yee, Chua, Siew Siang and Chaiyakunapruk, Nathorn |
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Abstract | The effects of telemedicine strategies on the management of diabetes is not clear. This study aimed to investigate the impact of different telemedicine strategies on glycaemic control management of type 2 diabetes patients. A search was performed in 6 databases from inception until September 2016 for randomized controlled studies that examined the use of telemedicine in adults with type 2 diabetes. Studies were independently extracted and classified according to the following telemedicine strategies: teleeducation, telemonitoring, telecase-management, telementoring and teleconsultation. Traditional and network meta-analysis were performed to estimate the relative treatment effects. A total of 107 studies involving 20,501 participants were included. Over a median of 6 months follow-up, telemedicine reduced haemoglobin A1c (HbA1c) by a mean of 0.43% (95% CI: −0.64% to −0.21%). Network meta-analysis showed that all telemedicine strategies were effective in reducing HbA1c significantly compared to usual care except for telecase-management and telementoring, with mean difference ranging from 0.37% and 0.71%. Ranking indicated that teleconsultation was the most effective telemedicine strategy, followed by telecase-management plus telemonitoring, and finally teleeducation plus telecase-management. The review indicates that most telemedicine strategies can be useful, either as an adjunct or to replace usual care, leading to clinically meaningful reduction in HbA1c. |
Year | 2017 |
Journal | Scientific Reports |
Journal citation | 7 (1), pp. 1 - 11 |
Publisher | Nature Publishing Group |
ISSN | 2045-2322 |
Digital Object Identifier (DOI) | https://doi.org/10.1038/s41598-017-12987-z |
Scopus EID | 2-s2.0-85030709071 |
Open access | Open access |
Page range | 1 - 11 |
Publisher's version | License |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/886y9/comparative-effectiveness-of-telemedicine-strategies-on-type-2-diabetes-management-a-systematic-review-and-network-meta-analysis
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OA_Lee_2017_Comparative_effectiveness_of_telemedicine_strategies_on.pdf | |
License: CC BY 4.0 |
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