[Teleconsultation for vascular- and diabetes-associated chronic wounds : A systematic review of health-related and economic implications]. / Telekonsultation bei vaskulär und diabetisch bedingten chronischen Wunden : Eine systematische Übersicht der gesundheitlichen und ökonomischen Implikationen.
Hautarzt
; 71(2): 114-123, 2020 Feb.
Article
en De
| MEDLINE
| ID: mdl-31659390
ABSTRACT
BACKGROUND:
In addition to lowering the quality of life of those affected, long periods of treatment and high recurrence rates of chronic wounds cause major economic costs for health care systems. Furthermore, inadequate health care and undersupply of care can be observed in Germany. Thus, new forms of care such as teleconsultation are being discussed increasingly. Recent changes in the remuneration system and macerations in the ban of remote treatment support those trends.METHODS:
A systematic review was conducted in July 2018 using PubMed and CENTRAL databases for randomized controlled trials between 2008 and 2018. Only randomized clinical trials in which patients with chronic wound who received treatment and follow-up by teleconsultation using information and communication technology to share data were included. In total, 6 international clinical trials were identified.RESULTS:
Regarding the current state of research, there is no definite evidence that teleconsultation can improve the care of chronic wound patients. Most likely, wound healing time was positively influenced. No correlation was found between mortality and hospitalizations when teleconsultation was used.CONCLUSION:
On the basis of the included studies, the evidence for the care of chronic wounds by teleconsultation is unclear. Further research is needed to examine the health-related and economic benefits of teleconsultation to support integration into health care systems.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Consulta Remota
/
Diabetes Mellitus
/
Angiopatías Diabéticas
Tipo de estudio:
Clinical_trials
/
Health_economic_evaluation
/
Risk_factors_studies
/
Systematic_reviews
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
De
Revista:
Hautarzt
Año:
2020
Tipo del documento:
Article