The DOI matches its Crossref record; 45 of the 45 references it cites were found in a registry or an index.
Home telehealth for diabetes management: a systematic review and meta‐analysis
Abstract
Aim: It is estimated that more than 180 million people worldwide have diabetes. Health‐care providers can remotely deliver health services to this patient population using information and communication technology, also known as home telehealth. Home telehealth may be classified into two subtypes: home telemonitoring (HTM) and telephone support (TS). The research objective was to systematically review the literature and perform meta‐analyses to assess the potential benefits of home telehealth compared with usual care (UC) for patients with diabetes. Methods: An electronic literature search was conducted to identify studies on home telehealth and patients with diabetes that were published between 1998 and 2008 using Medline, Medline In‐Process & Other Non‐Indexed Citations, BIOSIS Previews and EMBASE. Results: Twenty‐six studies (n = 5069 patients) on home telehealth for diabetes were selected. Twenty‐one studies evaluated HTM and 5 randomized controlled trials assessed TS. HTM had a positive effect on glycaemic control [as measured by lower glycated haemoglobin level] compared with UC (weighted mean difference =−0.21; 95% confidence interval −0.35 to −0.08), but the results were mixed for TS. Study results indicated that home telehealth helps to reduce the number of patients hospitalized, hospitalizations and bed days of care. Home telehealth was similar or favourable to UC across studies for quality‐of‐life and patient satisfaction outcomes. Conclusions: In general, home telehealth had a positive impact on the use of numerous health services and glycaemic control. More studies of higher methodological quality are required to give more precise insights into the potential clinical effectiveness of home telehealth interventions.
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In the citing paper
“Type 2 diabetes (−0.6% in HbA1c [39]), (weighted mean difference, −0.2%, 95% C.I. −0.4 to −0.1 [41])”
From The Impact of Telehealthcare on the Quality and Safety of Care: A Systematic Overview (2013) · cites this paper as [41]
In the citing paper
“Another review of diabetes studies also reported a reduced number of patients hospitalised with telephone support, but found no studies of home-telemonitoring systems. [41].”
From The Impact of Telehealthcare on the Quality and Safety of Care: A Systematic Overview (2013) · cites this paper as [41]
In the citing paper
“In diabetes, one review found benefits to quality of life, self-efficacy and social advantages [39], whereas another reported that quality of life was similar in the intervention arm to the usual care arm [41].”
From The Impact of Telehealthcare on the Quality and Safety of Care: A Systematic Overview (2013) · cites this paper as [41]
In the citing paper
“A total of 8 reviews were weighted 2 stars [22,27,28,31,37,40,44,50]; 4 of these included meta-analyses of impact on HbA1c, with 3 showing significant improvements over controls.”
In the citing paper
“Interventions included telemonitoring of blood sugar [40,44] and interactive telehealth excluding telephone support [27].”
In the citing paper
“A total of 8 reviews were weighted 2 stars [22,27,28,31,37,40,44,50]; 4 of these included meta-analyses of impact on HbA1c, with 3 showing significant improvements over controls.”
In the citing paper
“Supported education and information interventions were particularly effective in the context of diabetes, with 9 larger systematic reviews showing evidence of improvement in HbA1c [27,30,35-37,40,44-46].”
In the citing paper
“This was the most commonly described telehealth component in the included systematic reviews and was associated with improved clinical outcomes in diabetes and heart failure [33,35,36,38,42,44,54,58]; however, findings for asthma and COPD were mostly neutral or inconsistent [61-63,65,66,68,69].”
Citations
Cites
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
Meta-analysis in clinical trials
DerSimonian, R., & Laird, N. (1986) · Controlled Clinical Trials · doi:10.1016/0197-2456(86)90046-2 · Cited by 39,552
Quantifying heterogeneity in a meta‐analysis
Higgins, J. P. T., & Thompson, S. G. (2002) · Statistics in Medicine · doi:10.1002/sim.1186 · Cited by 36,763
Economic costs of diabetes in the U.S. in 2007
American Diabetes Association (2008) · Diabetes Care · doi:10.2337/dc08-9017 · Cited by 1,323
What is heterogeneity and is it important?
Fletcher, J. (2007) · BMJ · doi:10.1136/bmj.39057.406644.68 · Cited by 551
Pereira, C., & Castilho, E. (2007) · American Journal of Epidemiology · doi:10.1093/aje/kwp016 · Cited by 365
Piette, J. D., Weinberger, M., Kraemer, F. B., & McPhee, S. J. (2001) · Diabetes Care · doi:10.2337/diacare.24.2.202 · Cited by 346
Web-Based Care Management in Patients With Poorly Controlled Diabetes
McMahon, G. T., Gomes, H. E., Hohne, S. H., Hu, T. M.-J., Levine, B. A., & Conlin, P. R. (2005) · Diabetes Care · doi:10.2337/diacare.28.7.1624 · Cited by 319
Shea, S. A., Weinstock, R. S., Starren, J. B., Teresi, J. A., Palmas, W., Field, L., Morin, P. C., Goland, R., Izquierdo, R. E., Wolff, L. T., et al. (2005) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1917 · Cited by 313
Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis
Polisena, J., Tran, K., Cimon, K., Hutton, B., McGill, S., Palmer, K., & Scott, R. E. (2010) · Journal of Telemedicine and Telecare · doi:10.1258/jtt.2009.090812 · Cited by 300
Self-citation
Research works printed but not linked: 4
- Deshpande A, 2008, Real‐Time (Synchronous) Telehealth in Primary Care: Systematic Review of Systematic Reviews
- Deshpande A, 2008, Asynchronous Telehealth: Systematic Review of Analytic Studies and Environmental Scan of Relevant Initiatives
- HigginsJPT GreenS.The Cochrane Collaborationeds.Cochrane Handbook for Systematic Reviews of Interventions. Version 5.0.0 (updated February 2008). Chichester:John Wiley & Sons 2008. Available from URL:http://www.cochrane‐handbook.org. Accessed 3 September 2008.
- ThompsonDM KozakSE ShepsS.Insulin adjustment by a diabetes nurse educator improves glucose control in insulin‐requiring diabetic patients: a randomized trial.CMAJ1999;161:959–962. Available from URL:http://www.cmaj.ca/cgi/reprint/161/8/959. Accessed 13 February 2008.
Cited by
Sorted by citations
Effectiveness of telemedicine: A systematic review of reviews
Ekeland, A. G., Bowes, A., & Flottorp, S. (2010) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2010.08.006 · Cited by 1,162
Twenty years of telemedicine in chronic disease management – an evidence synthesis
Wootton, R. (2012) · Journal of Telemedicine and Telecare · doi:10.1258/jtt.2012.120219 · Cited by 545
Hanlon, P., Daines, L., Campbell, C., McKinstry, B., Weller, D., & Pinnock, H. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.6688 · Cited by 499
“Supported education and information interventions were particularly effective in the context of diabetes, with 9 larger systematic reviews showing evidence of improvement in HbA1c [27,30,35-37,40,44-46].”
InfluentialPatterns of Technology Use Among Older Adults With and Without Disabilities
Gell, N. M., Rosenberg, D. E., Demiris, G., LaCroix, A. Z., & Patel, K. V. (2015) · The Gerontologist · doi:10.1093/geront/gnt166 · Cited by 450
Henderson, C., Knapp, M., Fernandez, J.-L., Beecham, J., Hirani, S. P., Cartwright, M., Rixon, L., Beynon, M., Rogers, A., Bower, P., et al. (2013) · BMJ · doi:10.1136/bmj.f1035 · Cited by 364
Metadata
- Authors
- Polisena, J., Tran, K., Cimon, K., Hutton, B., McGill, S., & Palmer, K.
- Affiliations
- Canada's Drug Agency (CA)
- Corresponding author
- Polisena, J.
- Venue
- Diabetes, Obesity and Metabolism
- Publisher
- Wiley
- Published
- 2009-09-11
- Volume
- 11
- Issue
- 10
- Pages
- 913-930
- ISSN
- 1462-8902 (ISSN-L)
- 1463-1326
- OpenAlex
- W2106144638
- Cited by
- 239
- References
- 45
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 5 · 2023: 14 · 2022: 12 · 2021: 11 · 2020: 14 · 2019: 13 · 2018: 12 · 2017: 12 · 2016: 24 · 2015: 18 · 2014: 25 · 2013: 23 · 2012: 16
- FWCI
- 1.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Obesity and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- home telehealth, diabetes management, home health monitoring, telephone support, glycemic control, HbA1c, hospitalization, quality of life, patient satisfaction, remote care, usual care comparison
- MeSH terms
- Diabetes Mellitus, Home Care Services, Humans, Quality of Life, Patient Satisfaction, Outcome Assessment, Health Care, Telemedicine
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