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Telemedical Interventions for Chronic Obstructive Pulmonary Disease Management: Umbrella Review.
Koh, Jin Hean; Chong, Lydia Ching Yee; Koh, Gerald Choon Huat; Tyagi, Shilpa.
Affiliation
  • Koh JH; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
  • Chong LCY; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
  • Koh GCH; Ministry of Health Office for Healthcare Transformation, Ministry of Health, Singapore, Singapore.
  • Tyagi S; Ministry of Health Office for Healthcare Transformation, Ministry of Health, Singapore, Singapore.
J Med Internet Res ; 25: e33185, 2023 02 16.
Article in En | MEDLINE | ID: mdl-36795479
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a growing epidemic, with a heavy associated economic burden. Education, physical activity, and pulmonary rehabilitation programs are important aspects of the management of COPD. These interventions are commonly delivered remotely as part of telemedicine interventions. Several systematic reviews and meta-analyses have been conducted to assess the effectiveness of these interventions. However, these reviews often have conflicting conclusions. OBJECTIVE: We aim to conduct an umbrella review to critically appraise and summarize the available evidence on telemedicine interventions for the management of COPD. METHODS: In this umbrella review, the MEDLINE, Embase, PsycINFO, and Cochrane databases were searched from inception to May 2022 for systematic reviews and meta-analyses relating to telemedicine interventions for the management of COPD. We compared odds ratios, measures of quality, and heterogeneity across different outcomes. RESULTS: We identified 7 systematic reviews that met the inclusion criteria. Telemedicine interventions used in these reviews were teletreatment, telemonitoring, and telesupport. Telesupport interventions significantly reduced the number of inpatient days and quality of life. Telemonitoring interventions were associated with significant reductions in respiratory exacerbations and hospitalization rates. Teletreatment showed significant effectiveness in reducing respiratory exacerbations, hospitalization rate, compliance (acceptance and dropout rate), and physical activity. Among studies that used integrated telemedicine interventions, there was a significant improvement in physical activity. CONCLUSIONS: Telemedicine interventions showed noninferiority or superiority over the standard of care for the management of COPD. Telemedicine interventions should be considered as a supplement to usual methods of care for the outpatient management of COPD, with the aim of reducing the burden on health care systems.
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Full text: 1 Database: MEDLINE Main subject: Telemedicine / Pulmonary Disease, Chronic Obstructive Type of study: Prognostic_studies / Systematic_reviews Limits: Humans Language: En Journal: J Med Internet Res Journal subject: INFORMATICA MEDICA Year: 2023 Type: Article Affiliation country: Singapore

Full text: 1 Database: MEDLINE Main subject: Telemedicine / Pulmonary Disease, Chronic Obstructive Type of study: Prognostic_studies / Systematic_reviews Limits: Humans Language: En Journal: J Med Internet Res Journal subject: INFORMATICA MEDICA Year: 2023 Type: Article Affiliation country: Singapore