Evidence map›Paper›PMID 28978949›Full record

SynthesisScientific reports2017

Comparative effectiveness of telemedicine strategies on type 2 diabetes management: A systematic review and network meta-analysis.

Shaun Wen Huey Lee, Carina Ka Yee Chan, Siew Siang Chua, Nathorn Chaiyakunapruk

2 registry-linked trialsOpen access · goldAbstract readComparative StudySystematic ReviewNetwork Meta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 92 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 16 pooled it
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04807218 nacompletednot on this mapstarted 2021, after this paper: background citation

Virta Intervention in CommuniTies in cOloRado (VICTOR-Pilot) Pilot Study to Improve Diabetes and Cardiovascular Risk in Rural Communities

TypeinterventionalSponsorColorado Prevention CenterRan2021 to 2024Enrolled51ConditionsDiabetes Mellitus, Type 2ArmsVirta Health
NCT05541120 nawithdrawnnot on this mapstarted 2022, after this paper: background citation

Effect of Remote Patient Monitoring and Patient Education on Patient Activation and Glycemic Control in Individuals With Type 2 Diabetes

TypeinterventionalSponsorTracy Jalbuena MDRan2022 to 2026Enrolled0ConditionsDiabetes Mellitus, Type 2ArmsRemote Patient Monitoring
3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 16 syntheses or guidelines pooled it, 205 citations in OpenAlex.

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  9. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022
    Guideline
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32 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 3 countries.

Shaun Wen Huey LeeSchool of Pharmacy, Monash University Malaysia, Bandar Sunway, Malaysia. shaun.lee@monash.edu.ORCID 0000-0001-7361-6576
Carina Ka Yee ChanSchool of Psychology, Australian Catholic University, Brisbane, Australia.
Siew Siang ChuaDepartment of Pharmacy, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Nathorn ChaiyakunaprukSchool of Pharmacy, Monash University Malaysia, Bandar Sunway, Malaysia. nathorn.chaiyakunapruk@monash.edu.
Monash University Malaysia · MYAustralian Catholic University · AUUniversity of Malaya · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

TelemedicineDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedOutcome Assessment, Health CarePublication Bias

Identifiers

PMID28978949
PMCPMC5627243
OpenAlexW2757460696

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.