Evidence mapPaperPMID 40607766Full record

SynthesisNursing open2025

Telenursing as an Effective Ally for Improving Patient Outcomes in Diabetes? An Umbrella Review.

Marika Lo Monaco, Arianna Profeta, Salvatore Corrao

Abstract readSystematic Review
In one paragraph

Synthesis in Nursing open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
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

3 authors.

Marika Lo MonacoDepartment of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties [PROMISE], University of Palermo, Palermo, Italy.ORCID https://orcid.org/0000-0002-3047-6611
Arianna ProfetaUniversity Hospital "Paolo Giaccone", Palermo, Italy.
Salvatore CorraoDepartment of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties [PROMISE], University of Palermo, Palermo, Italy.

Funding

European Commission 2014-2020
6 · The paper itself

Abstract

aimTo evaluate telenursing interventions' effectiveness in managing patients with diabetes mellitus.

designOverview of systematic reviews. REVIEW

methodsAccording to the PRISMA statement, we included studies published from 2005 to 2023 that evaluated telenursing interventions for adult diabetic patients and reported physiological, behavioural, and clinical outcomes. AMSTAR 2 was used to assess the quality of the included studies. DATA SOURCES: We conducted an umbrella review from July 2023 to May 2024, searching Cochrane Library, PubMed, SCOPUS, and PROSPERO for systematic reviews published from inception to May 10, 2024.

resultsThirty-one eligible systematic reviews were identified. Most (n = 23) reported positive effects of telenursing interventions (telephone calls, text messaging, mobile software applications, telecoaching) on reducing glycated haemoglobin (HbA1c). Findings on weight loss, hypoglycaemia, and quality of life were heterogeneous. Telenursing interventions promoted self-management behaviours like medication adherence and dietary improvements. While several studies suggested potential cost-effectiveness, further studies are needed to explore the long-term economic impact of telenursing on diabetes management.

conclusionsTelenursing appears to be a promising approach for improving diabetes management, particularly in self-management behaviours and HbA1c control. Further research is needed to explore the long-term sustainability, cost-effectiveness, and optimal telenursing protocols for diabetes care. IMPLICATION FOR THE PROFESSION AND/OR PATIENT CARE: This umbrella review highlights the significant role of telenursing in improving diabetes management and patient outcomes. Nurse-led telehealth interventions have demonstrated their ability to enhance patient self-management, adherence to treatment plans, and overall well-being. Additionally, by reducing hospitalisations and healthcare costs and increasing access to care for patients living in rural areas, nurse-led telehealth interventions represent an effective strategy for improving diabetes care despite initial costs. Given these findings, healthcare providers and policymakers should implement telenursing programs to enhance patient care and system efficiency. REPORTING

methodThe authors adhered to the EQUATOR guidelines using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) and "the Preferred Reporting Items for Overviews of Reviews Statement" (PRIOR) for the reporting. PATIENT OR PUBLIC CONTRIBUTION: There was no patient contribution. The European Union-ERDF or ESF, OP Research and Innovation 2014-2020-DM 1062/2021 co-financed the publication.

trial registrationInternational Prospective Register of Systematic Reviews (PROSPERO) with the protocol number CRD42023427103 https://www.crd.york.ac.uk/PROSPEROFILES/427103_STRATEGY_20230719.pdf.

Indexed as

Diabetes MellitusTelemedicineGlycated HemoglobinHumansQuality of LifeGlycated Hemoglobindiabetesnursingoverview of systematic reviewstelehealthtelenursingumbrella review

Identifiers

PMID40607766
PMCPMC12224192

What Socratic holds

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Registered trials

None linked

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.