Effects of Telehomecare Interventions on the Management and Complications of Diabetes Mellitus: Protocol for a Systematic Review and Meta-Analysis

Critical Comments in Biomedicine Pub Date : 2021-10-12 DOI:10.18502/ccb.v2i2.7394

H. Dehghan, Maryam Morshediam, A. Dehghani, M. Mirzaei, Farhad Fatehi

{"title":"Effects of Telehomecare Interventions on the Management and Complications of Diabetes Mellitus: Protocol for a Systematic Review and Meta-Analysis","authors":"H. Dehghan, Maryam Morshediam, A. Dehghani, M. Mirzaei, Farhad Fatehi","doi":"10.18502/ccb.v2i2.7394","DOIUrl":null,"url":null,"abstract":"Background: Diabetes is one of the most serious health challenges of the 21st century. The number of adults with diabetes has roughly tripled in the last 20 years. The increased burden of chronic diseases and scarce health resources compel healthcare systems to make modern patients more self-sufficient by requiring them to play a more active part in the treatment and management of their disease. Tele-home-care is a method of distance intervention through the transmission of electronic data for follow-up, education, prevention, clinical decision-making, and treatment modulation that has a high potential for the population with diabetes. Previous studies have not systematically evaluated the effects of different features of long-distance caregiving on diabetes at different stages of disease severity. \nObjectives: The present study describes a protocol for a systematic review and meta-analysis for summarizing the evidence comparing telehomecare interventions on diabetes management and its complications. \nMethods: PubMed, Scopus, ISI Web of Science, Cochrane databases, HTA (Health Technology Assessment), NHS EED (NHS Economic Evaluation Database), DARE (Database of Abstract of Reviews of Effects), Embase, and SID will be searched using medical subject heading (MeSH) keywords. Controlled clinical trials in patients with type 1 diabetes, type 2 diabetes, and gestational diabetes will be selected based on predefined eligibility criteria. The risk of bias in studies will be checked using the JADAD score. The mean difference and its standard deviation will be calculated to be used as effect size. A random-effects meta-analysis was performed to pool the results. Subgroup analysis and meta-regression will be conducted to explore the possible sources of heterogeneity. \nConclusion: The systematic review and meta-analysis provided by the results of a systematic review can be useful to endocrinologists, physicians, public health policymakers, and the general population.","PeriodicalId":138934,"journal":{"name":"Critical Comments in Biomedicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Critical Comments in Biomedicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18502/ccb.v2i2.7394","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Diabetes is one of the most serious health challenges of the 21st century. The number of adults with diabetes has roughly tripled in the last 20 years. The increased burden of chronic diseases and scarce health resources compel healthcare systems to make modern patients more self-sufficient by requiring them to play a more active part in the treatment and management of their disease. Tele-home-care is a method of distance intervention through the transmission of electronic data for follow-up, education, prevention, clinical decision-making, and treatment modulation that has a high potential for the population with diabetes. Previous studies have not systematically evaluated the effects of different features of long-distance caregiving on diabetes at different stages of disease severity. Objectives: The present study describes a protocol for a systematic review and meta-analysis for summarizing the evidence comparing telehomecare interventions on diabetes management and its complications. Methods: PubMed, Scopus, ISI Web of Science, Cochrane databases, HTA (Health Technology Assessment), NHS EED (NHS Economic Evaluation Database), DARE (Database of Abstract of Reviews of Effects), Embase, and SID will be searched using medical subject heading (MeSH) keywords. Controlled clinical trials in patients with type 1 diabetes, type 2 diabetes, and gestational diabetes will be selected based on predefined eligibility criteria. The risk of bias in studies will be checked using the JADAD score. The mean difference and its standard deviation will be calculated to be used as effect size. A random-effects meta-analysis was performed to pool the results. Subgroup analysis and meta-regression will be conducted to explore the possible sources of heterogeneity. Conclusion: The systematic review and meta-analysis provided by the results of a systematic review can be useful to endocrinologists, physicians, public health policymakers, and the general population.

查看原文本刊更多论文

远程家庭护理干预对糖尿病管理和并发症的影响:系统回顾和荟萃分析的方案

背景:糖尿病是21世纪最严重的健康挑战之一。在过去的20年里，成人糖尿病患者的数量大约增加了两倍。慢性病负担的增加和卫生资源的匮乏迫使卫生保健系统通过要求现代患者在疾病的治疗和管理中发挥更积极的作用，使他们更加自给自足。远程家庭护理是一种通过传输电子数据进行随访、教育、预防、临床决策和治疗调节的远程干预方法，对糖尿病患者具有很高的潜力。以往的研究没有系统地评估远程护理的不同特征对糖尿病不同疾病严重程度阶段的影响。目的:本研究描述了一个系统回顾和荟萃分析的方案，以总结比较远程家庭护理干预对糖尿病管理及其并发症的证据。方法:使用医学主题词(MeSH)检索PubMed、Scopus、ISI Web of Science、Cochrane数据库、HTA(卫生技术评估)、NHS EED (NHS经济评估数据库)、DARE(疗效评价摘要数据库)、Embase和SID。1型糖尿病、2型糖尿病和妊娠期糖尿病患者的对照临床试验将根据预先确定的资格标准进行选择。研究中的偏倚风险将使用JADAD评分进行检查。将计算平均差及其标准差，以用作效应大小。进行随机效应荟萃分析以汇总结果。我们将进行亚组分析和元回归来探讨异质性的可能来源。结论:系统评价结果提供的系统评价和荟萃分析对内分泌学家、内科医生、公共卫生政策制定者和普通人群都有一定的参考价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Critical Comments in Biomedicine

自引率

0.00%

发文量