Evidence map›Paper›PMID 41377645›Full record

ReviewHeart international2025

eHealth-supported Self-management and Telemonitoring in Heart Failure: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Derren Rampengan, Stevanus Surya, Diski Saisa, Jade Rampengan, Roy Ramadhan, Albert Pratama, Ammar Nojaid, Ika Kadariswantiningsih, Starry Rampengan, Maulana Empitu

Abstract readReview
In one paragraph

Review in Heart international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

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

10 authors.

Derren RampenganMedical Doctor Program, Faculty of Medicine, Universitas Sam Ratulangi - Prof Dr RD Kandou Central General Hospital, Manado, North Sulawesi, Indonesia.
Stevanus SuryaMedical Doctor Program, Faculty of Medicine, Universitas Udayana - Prof Dr IGNG Ngoerah Central General Hospital, Kota Denpasar, Bali, Indonesia.
Diski SaisaMedical Doctor Program, Faculty of Medicine, Universitas Indonesia - Dr Cipto Mangunkusumo National General Hospital, Jakarta, Java, Indonesia.
Jade RampenganMedical Doctor Program, Faculty of Medicine, Atma Jaya Catholic University of Indonesia - R Syamsudin, SH Regional General Hospital, Sukabumi, Java, Indonesia.
Roy RamadhanMedical Doctor Program, Faculty of Medicine, Airlangga University - Dr Soetomo Regional General Hospital, Surabaya, Java, Indonesia.
Albert PratamaMedical Doctor Program, Faculty of Medicine, Atma Jaya Catholic University of Indonesia - R Syamsudin, SH Regional General Hospital, Sukabumi, Java, Indonesia.
Ammar NojaidMedical Doctor Program, Faculty of Medicine, Universitas Brawijaya - Saiful Anwar Regional General Hospital, Malang, Java, Indonesia.
Ika KadariswantiningsihTranslational Medicine Research Group, Faculty of Medicine, Airlangga University, Surabaya, East Java, Indonesia.
Starry RampenganDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Sam Ratulangi, Manado, North Sulawesi, Indonesia.
Maulana EmpituTranslational Medicine Research Group, Faculty of Medicine, Airlangga University, Surabaya, East Java, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The development of eHealth has offered a solution to the challenge of effective self-management for patients with heart failure (HF) by facilitating health information exchange, enabling frequent home monitoring, enhancing self-management and promoting patient empowerment. This study aimed to evaluate the effectiveness of eHealth interventions in improving self-management for patients with HF. Methods: Systematic review and meta-analysis were performed adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines, by first selecting the relevant publications from the Cochrane Library, EBSCOhost, Epistemonikos, ProQuest, PubMed and Scopus as of 25 February 2025. The quality of the included studies was appraised using Cochrane Risk of Bias 2.0 tool. A meta-analysis of randomized controlled trials was performed using Review Manager software to estimate odds ratios (ORs) and standardized mean differences (SMDs). Results: We included 37 trials with 13,366 participants. eHealth reduced HF-related admissions (OR: 0.73 [95% confidence interval (CI): 0.62, 0.86; p=0.0002]). All-cause mortality did not differ (OR: 0.93 [95% CI: 0.85, 1.03; p=0.16]). Cardiovascular mortality was not reduced (OR: 0.85 [95% CI: 0.71, 1.01; p=0.07]). Quality of life showed borderline improvement on the Minnesota total score (mean difference: -7.25 [95% CI: -14.81, 0.31; p=0.06]; I²=91%). HF-related knowledge did not differ (SMD: 0.53 [95% CI: -0.12, 1.19; p=0.11]). Conclusion: This meta-analysis demonstrates that incorporating eHealth interventions, particularly telemedicine, into standard HF care substantially decreases hospital admissions. While broader impacts on mortality, quality of life and knowledge remain inconclusive, the findings underscore the value of standardized eHealth integration as a pragmatic strategy to strengthen HF management and optimize patient outcomes.

Indexed as

Cardiovascular diseaseeHealthheart failuremortalityquality of lifetelemedicine

Identifiers

PMID41377645
PMCPMC12687274

What Socratic holds

Textmetadata
Read underepoch 390

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.