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Efficacy of telemedicine on glycaemic control in patients with type 2 diabetes:A meta-analysis

World Journal of Diabetes 2021年第2期12卷 170-197页

作者： julia de groot Dongjun Wu declan Flynn Dylan Robertson Gary Grant Jing Sun School of Medicine Griffith UniversityGold Coast 4222QueenslandAustralia School of Pharmacy and Pharmacology Griffith UniversityGold Coast 4222QueenslandAustralia School of Medicine and Menzies Health Institute Queensland Griffith UniversityBrisbane 4222QueenslandAustralia

BACKGROUND Telemedicine is defined as the delivery of health services via remote communication and *** is a convenient and cost-effective method of intervention,which has shown to be successful in improving glyceamic control for type 2 diabetes *** utility of a successful diabetes intervention is vital to reduce disease complications,hospital admissions and associated economic *** To evaluate the effects of telemedicine interventions on hemoglobin A1c(HbA1c),systolic blood pressure(SBP),diastolic blood pressure(DBP),body mass index(BMI),post-prandial glucose(PPG),fasting plasma glucose(FPG),weight,cholesterol,mental and physical quality of life(QoL)in patients with type 2 *** secondary aim of this study is to determine the effect of the following subgroups on HbA1c post-telemedicine intervention;telemedicine characteristics,patient characteristics and self-care *** PubMed Central,Cochrane Library,Embase and Scopus databases were searched from inception until 18th of June *** quality of the 43 included studies were assessed using the PEDro scale,and the random effects model was used to estimate outcomes and I2 for heterogeneity *** mean difference and standard deviation data were extracted for *** We found a significant reduction in HbA1c[-0.486%;95%confidence interval(CI)-0.561 to-0.410,P<0.001],DBP(-0.875 mmHg;95%CI-1.429 to-0.321,P<0.01),PPG(-1.458 mmol/L;95%CI-2.648 to-0.268,P<0.01),FPG(-0.577 mmol/L;95%CI-0.710 to-0.443,P<0.001),weight(-0.243 kg;95%CI-0.442 to-0.045,P<0.05),BMI(-0.304;95%CI-0.563 to-0.045,P<0.05),mental QoL(2.210;95%CI 0.053 to 4.367,P<0.05)and physical QoL(-1.312;95%CI 0.545 to 2.080,P<0.001)for patients following telemedicine interventions in comparison to control *** results of the meta-analysis did not show any significant reductions in SBP and cholesterol in the telemedicine interventions compared to the control *** telemedicine characteristic subgroup an

关键词： Telehealth Telemedicine Telemonitoring Behavioural change Selfmanagement Diabetes

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