Comparative Effectiveness of Telemonitoring Versus Usual Care for Heart Failure: A Systematic Review and Meta-analysis
Abstract
Background This study aimed to evaluate the effectiveness of telemonitoring (TM) in the management of patients with heart failure (HF).Methods and results We searched Ovid-Medline, Ovid-Embase, and the Cochrane Library for randomized controlled trials published through May 2016. Outcomes of interest included clinical effectiveness (mortality, hospitalization, and emergency department visits) and patient-reported outcomes. TM was defined as the transmission of individual biologic data, such as weight, blood pressure, and heart rate. Thirty-seven randomized controlled trials (9582 patients) of TM met the inclusion criteria: 24 studies on all-cause mortality, 17 studies on all-cause hospitalization, 12 studies on HF-related hospitalization, and 5 studies on HF-related mortality. The risks of all-cause mortality (risk ratio [RR] 0.81, 95% confidence interval [CI] 0.70-0.94) and HF-related mortality (RR 0.68, 95% CI 0.50-0.91) were significantly lower in the TM group than in the usual care group. TM showed a significant benefit when ≥3 biologic data are transmitted or when transmission occurred daily. TM also reduced mortality risk in studies that monitored patients' symptoms, medication adherence, or prescription changes.Conclusions TM intervention reduces the mortality risk in patients with HF, and intensive monitoring with more frequent transmissions of patient data increases its effectiveness.
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Previous systematic reviews on telemedicine for diabetes often focused on a specific type of telemedicine, a specific outcome, and/or a specific comparator.
“However, these previous reviews have often focused on a specific type of telemedicine, a specific outcome, and/or a specific comparator, which calls for a more comprehensive and inclusive systematic review seeking to compare and synthesize findings for treatment outcomes while adjusting for different study characteristics.”
From The Effectiveness of Telemedicine Solutions for the Management of Type 2 Diabetes: A Systematic Review, Meta-Analysis, and Meta-Regression (2023) · cites this paper as [24]
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- Authors
- Yun, J. E., Park, J.-E., Park, H.-Y., Lee, H.-Y., & Park, D.-A.
- Affiliations
- National Evidenc- based healthcare Collaborating Agency (KR)
- Korea National Institute of Health (KR)
- Seoul National University (KR)
- Corresponding author
- Park, Dong-Ah
- Venue
- Journal of Cardiac Failure
- Publisher
- Elsevier BV
- Published
- 2018-01
- Volume
- 24
- Issue
- 1
- Pages
- 19-28
- ISSN
- 1071-9164 (ISSN-L)
- OpenAlex
- W2754484825
- Cited by
- 115
- References
- 50
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 10 · 2023: 15 · 2022: 25 · 2021: 20 · 2020: 16 · 2019: 11 · 2018: 9
- FWCI
- 1.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Cardiac Failure (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Evidence-Based Healthcare Collaborating Agency in Republic of Korea (NS15-001)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- remote patient monitoring, heart failure, all-cause mortality, emergency department visits, patient-reported outcomes, medication adherence, usual care comparison
- MeSH terms
- Emergency Service, Hospital, Heart Failure, Humans, Monitoring, Physiologic, Outcome Assessment, Health Care, Telemedicine
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