Is Telemedicine as Effective as Face-to-Face Care to Patients with Health Outcomes of Metabolic and Bariatric Surgery? Results from a Systematic Review and Meta-analysis.
Gabriela Sousa de Oliveira, Ruanda Pereira Maia, Patrícia Borges Botelho Gamba, Ana Claudia Morais Godoy Figueiredo, Kênia Mara Baiocchi de Carvalho
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引用次数: 0
Abstract
This study aimed to review the effectiveness of clinical treatment delivered via teleconsultation, guided by a healthcare professional, compared to face-to-face care for individuals at any period of metabolic and bariatric surgery. A total of 3701 studies were identified from searches across seven databases, with nine studies included in the qualitative synthesis and six in the meta-analysis. Teleconsultation demonstrated comparable outcomes to face-to-face care regarding adherence rates (OR 1.17, p = 0.44) and postoperative BMI loss (MD - 0.29, p = 0.87), suggesting that teleconsultation may be an equally effective and viable alternative to in-person treatment. However, the low level of evidence due to the high risk of bias underscores the need for further high-quality studies to confirm these findings.
本研究旨在回顾在医疗保健专业人员的指导下，通过远程咨询提供临床治疗的有效性，并将其与在任何时期进行代谢和减肥手术的个人面对面护理进行比较。从7个数据库的搜索中共确定了3701项研究，其中9项研究纳入定性综合，6项纳入荟萃分析。远程会诊在依从率（OR 1.17, p = 0.44）和术后BMI损失（MD - 0.29, p = 0.87）方面与面对面治疗的结果相当，这表明远程会诊可能是与面对面治疗同样有效和可行的替代方案。然而，由于高偏倚风险导致的低水平证据强调需要进一步的高质量研究来证实这些发现。
期刊介绍：
Obesity Surgery is the official journal of the International Federation for the Surgery of Obesity and metabolic disorders (IFSO). A journal for bariatric/metabolic surgeons, Obesity Surgery provides an international, interdisciplinary forum for communicating the latest research, surgical and laparoscopic techniques, for treatment of massive obesity and metabolic disorders. Topics covered include original research, clinical reports, current status, guidelines, historical notes, invited commentaries, letters to the editor, medicolegal issues, meeting abstracts, modern surgery/technical innovations, new concepts, reviews, scholarly presentations and opinions.
Obesity Surgery benefits surgeons performing obesity/metabolic surgery, general surgeons and surgical residents, endoscopists, anesthetists, support staff, nurses, dietitians, psychiatrists, psychologists, plastic surgeons, internists including endocrinologists and diabetologists, nutritional scientists, and those dealing with eating disorders.
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