SynthesisFrontiers in public health2025
Effectiveness of telemedicine interventions on blood pressure control and self-management efficacy in hypertensive patients: a systematic review and meta-analysis.
Synthesis in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: The objective of this study was to systematically evaluate the combined effect of a telemedicine intervention on systolic blood pressure (SBP), diastolic blood pressure (DBP), and self-management efficacy in adult hypertensive patients. Methods: On May 2025, a systematic literature search was conducted using the PubMed, Cochrane, Embase, and Web of Science databases. Randomized controlled trials (RCTs) were included to compare the effectiveness of the telemedicine group (the intervention group) with the usual care group (the control group) in controlling the blood pressure of adult patients with hypertension. Primary outcomes were SBP and DBP change values, and secondary outcomes included self-management, medication adherence, self-efficacy, weight, BMI, pulse pressure, total cholesterol, and low-density lipoprotein. Effect sizes were combined using a random-effects model, and heterogeneity was explored through subgroup analyses of mean age, intervention intensity, intervention duration, intervention mode, and region. Results: A total of 31 eligible articles, comprising 31 studies and 9,559 patients (4,685 in the intervention group and 4,874 in the control group), were included in the evidence synthesis analysis. The two groups had similar baseline characteristics for all outcomes. The pooled analysis revealed statistically significant changes in SBP and DBP, pulse pressure, and total cholesterol. Additionally, improvements in self-efficacy, self-management skills, and hypertension literacy were observed following the intervention. However, no significant differences were observed in medication adherence, weight, BMI and LDL. Subgroup analyses revealed that the intervention, which combined a remote monitoring device with an app, was more effective and had lower heterogeneity among individuals under 60 years of age in China and other East Asian regions. Conclusion: Telemedicine, which combines home blood pressure monitoring with remote support from healthcare providers, may become a promising strategy for managing hypertension. This approach can significantly reduce blood pressure levels and improve self-management efficacy in hypertensive patients. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/, identifier CRD420251083786.
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What Socratic holds
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.