SynthesisFrontiers in digital health2026
Unburdening healthcare systems through telenursing in chronic respiratory disease management: a systematic review.
Synthesis in Frontiers in digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background/objectives: Chronic respiratory diseases represent a major cause of morbidity/mortality and healthcare expenditure due to disease exacerbations, emergency department (ED) presentations, hospitalizations, and length of stay (LOS). This systematic review primarily aimed to evaluate the impact on the healthcare system of telenursing vs. traditional nursing care in the management of adults (≥18 years) with chronic respiratory diseases; secondarily, on treatment adherence, acceptability, and satisfaction. Methods: Electronic (PubMed, Scopus, Web of Science) and manual searches were performed until April 6, 2025, following PRISMA statement (PROSPERO CRD420251175395). Data were qualitatively synthesized; studies included were judged using dedicated tools. Results: 39 studies including 4,340 patients (2,731 telenursing vs. 1,609 comparison), 3,231 with COPD and 888 with asthma, were included. Telenursing reduced exacerbation rates per patient: means 1.2 in telenursing vs. 0.9 in the comparison group at six months and 2.1 vs. 5.8 at twelve months. ED presentations remained similar (1.2 at twelve months in both groups). Hospital admissions were lower with telenursing (0.65 vs. 0.8 at six months; 0.7 vs. 1.25 at twelve months). LOS showed minimal differences (5.2 vs. 5.7 days at six months; 9.1 vs. 9.2 days at twelve months). Conclusions: Telenursing potentially slightly unburdens healthcare systems, reducing exacerbation and hospitalization rates, but did not shorten LOS once patients required inpatient care. This lack of consistency across all outcomes may suggest that telenursing may have a prevention/early detection role for clinical exacerbations, but may have limited influence on the clinical course once hospitalization becomes necessary. Further studies with standardized assessment methods are needed to evaluate treatment adherence, acceptability, and satisfaction. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251175395, PROSPERO CRD420251175395.
Indexed as
Identifiers
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.