Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis

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Show simple item record clark, RA Inglis, S McAlister, F Cleland, JG Stewart, S 2012-02-10T06:09:27Z 2007-01
dc.identifier.citation British Medical Journal, 2007, 334 (942), pp. 1 - 9
dc.identifier.issn 0959-535X
dc.identifier.other C1UNSUBMIT en_US
dc.description.abstract Objective To determine whether remote monitoring (structured telephone support or telemonitoring) without regular clinic or home visits improves outcomes for patients with chronic heart failure. Data sources 15 electronic databases, hand searches of previous studies, and contact with authors and experts. Data extraction Two investigators independently screened the results. Review methods Published randomised controlled trials comparing remote monitoring programmes with usual care in patients with chronic heart failure managed within the community. Results 14 randomised controlled trials (4264 patients) of remote monitoring met the inclusion criteria: four evaluated telemonitoring, nine evaluated structured telephone support, and one evaluated both. Remote monitoring programmes reduced the rates of admission to hospital for chronic heart failure by 21% (95% confidence interval 11% to 31%) and all cause mortality by 20% (8% to 31%); of the six trials evaluating health related quality of life three reported significant benefits with remote monitoring, and of the four studies examining healthcare costs with structured telephone support three reported reduced cost and one no effect. Conclusion Programmes for chronic heart failure that include remote monitoring have a positive effect on clinical outcomes in community dwelling patients with chronic heart failure.
dc.publisher BMJ Publishing Group
dc.title Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis
dc.type Journal Article
dc.description.version Published
dc.parent British Medical Journal
dc.journal.volume 942
dc.journal.volume 334
dc.journal.number 942 en_US
dc.publocation London, UK en_US
dc.identifier.startpage 1 en_US
dc.identifier.endpage 9 en_US FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1117 Public Health and Health Services
dc.personcode 111643
dc.percentage 100 en_US Public Health and Health Services en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US en_US
dc.location.activity en_US
dc.description.keywords Chronic heart failure Systematic reviews; Meta-analysis; Telemonitoring; New management strategies; Multidisciplinary Non-pharmacological approaches en_US
dc.description.keywords Social Sciences
dc.description.keywords Economics
dc.description.keywords Business & Economics
dc.description.keywords ECONOMICS
dc.description.keywords CHOICE
dc.description.keywords SYSTEMS
dc.description.keywords UTILITY
dc.description.keywords THEOREM
dc.description.keywords AXIOM
dc.description.keywords Chronic heart failure Systematic reviews
dc.description.keywords Meta-analysis
dc.description.keywords Telemonitoring
dc.description.keywords New management strategies
dc.description.keywords Multidisciplinary Non-pharmacological approaches
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access 2015-04-15 12:17:09.805752+10
utslib.collection.history Closed (ID: 3)

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