The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Insufficient evidence of benefit: a systematic review of home telemonitoring for COPD: Home telemonitoring in COPD
Abstract
RATIONALE, AIMS AND OBJECTIVES: The evidence to support the effectiveness of home telemonitoring interventions for patients with chronic obstructive pulmonary disease (COPD) is limited, yet there are many efforts made to implement these technologies across health care services. METHODS: A comprehensive search strategy was designed and implemented across 9 electronic databases and 11 European, Australasian and North American telemedicine websites. Included studies had to examine the effectiveness of telemonitoring interventions, clearly defined for the study purposes, for adult patients with COPD. Two researchers independently screened each study prior to inclusion. RESULTS: Two randomized trials and four other evaluations of telemonitoring were included. The studies are typically underpowered, had heterogeneous patient populations and had a lack of detailed intervention descriptions and of the care processes that accompanied telemonitoring. In addition, there were diverse outcome measures and no economic evaluations. The telemonitoring interventions in each study differed widely. Some had an educational element that could itself account for the differences between groups. CONCLUSIONS: Despite these caveats, the study reports are themselves positive about their results. However, given the risk of bias in the design and scale of the evaluations we conclude that the benefit of telemonitoring for COPD is not yet proven and that further work is required before wide-scale implementation be supported.
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“Of the 8 COPD reviews, 7 analyzed the impact on disease control [27,64-69].”
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Metadata
- Authors
- Bolton, C. E., Waters, C. S., Peirce, S., & Elwyn, G.
- Affiliations
- University of Nottingham (GB)
- Cardiff University (GB)
- Corresponding author
- Bolton, Charlotte E
- Venue
- Journal of Evaluation in Clinical Practice
- Publisher
- Wiley
- Published
- 2010-09-16
- Volume
- 17
- Issue
- 6
- Pages
- 1216-1222
- ISSN
- 1356-1294 (ISSN-L)
- OpenAlex
- W2164730201
- Cited by
- 140
- References
- 20
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 1 · 2023: 4 · 2022: 11 · 2021: 9 · 2020: 15 · 2019: 7 · 2018: 9 · 2017: 10 · 2016: 14 · 2015: 11 · 2014: 15 · 2013: 15 · 2012: 11
- FWCI
- 1.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Evaluation in Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- home health monitoring, chronic obstructive pulmonary disease, telemedicine, risk of bias, underpowered trials, telehealth implementation, patient education
- MeSH terms
- Home Care Services, Humans, Outcome Assessment, Health Care, Telemedicine, Monitoring, Ambulatory, Pulmonary Disease, Chronic Obstructive
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