Telemonitoring of Type 2 Diabetes Mellitus in Italy
| Autor: | Elena Vio, Claudio Dario, Francesco Calcaterra, Claudio Saccavini, Silvia Mancin, Panagiotis Stafylas, Roberto Toffanin |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Telemedicine 020205 medical informatics Health Informatics 02 engineering and technology law.invention 03 medical and health sciences 0302 clinical medicine Health Information Management Randomized controlled trial Quality of life law Diabetes mellitus Internal medicine 0202 electrical engineering electronic engineering information engineering medicine Clinical endpoint Humans 030212 general & internal medicine Aged Glycated Hemoglobin Blood glucose monitoring Internet medicine.diagnostic_test business.industry Blood Glucose Self-Monitoring Significant difference Type 2 Diabetes Mellitus General Medicine medicine.disease Self Care Diabetes Mellitus Type 2 Italy Quality of Life Physical therapy Female business |
| Zdroj: | Telemedicine and e-Health. 23:143-152 |
| ISSN: | 1556-3669 1530-5627 |
| DOI: | 10.1089/tmj.2015.0224 |
| Popis: | Type 2 diabetes mellitus (DM) affects 382 million people worldwide.This study aimed at assessing whether telemonitoring (TM) of DM patients improves health-related quality of life (HRQoL).As part of the RENEWING HEALTH project, 299 DM patients with HbA1c7.0% were enrolled in a randomized controlled trial, with 208 patients in the TM group and 91 patients in the usual-care group. TM electronically transmitted glucose measurements to physicians during a 12-month follow-up. The SF-36v2 questionnaire was used to assess HRQoL.In a total of 243 patients analyzed, the study did not identify any clinically important improvement in HRQoL, our primary endpoint. There was no statistically significant difference in HbA1c between the two groups; however, outpatient visits and planned hospitalizations were significantly reduced in the TM group (p 0.0001 and p = 0.02).The results regarding HRQoL might be, at least in part, an artifact stemming from the criteria used to select patients. TM reduced ambulatory visits and planned hospital admissions, an important result that plausibly reflects the fact that clinicians can strictly monitor their patients' health status without face-to-face contacts.Enhancement of HRQoL should represent the most critical goal of DM healthcare delivery. Effects of TM on HRQoL of diabetic patients should be studied further. |
| Databáze: | OpenAIRE |
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