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

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dc.contributor.author Clark, Robyn en_US
dc.contributor.author Inglis, Sally en_US
dc.contributor.author Mcalister, Finlay en_US
dc.contributor.author Cleland, John en_US
dc.contributor.author Stewart, Simon en_US
dc.contributor.editor en_US
dc.date.accessioned 2012-02-10T06:09:27Z
dc.date.available 2012-02-10T06:09:27Z
dc.date.issued 2007 en_US
dc.identifier 2010005774 en_US
dc.identifier.citation Clark Robyn et al. 2007, 'Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis', BMJ Publishing Group, vol. 334, no. 942, pp. 1-9. en_US
dc.identifier.issn 0959-535X en_US
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/17028
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. en_US
dc.language en_US
dc.publisher BMJ Publishing Group en_US
dc.title Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis en_US
dc.parent British Medical Journal en_US
dc.journal.volume 334 en_US
dc.journal.number 942 en_US
dc.publocation London, UK en_US
dc.identifier.startpage 1 en_US
dc.identifier.endpage 9 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 111700 en_US
dc.personcode 0000071043 en_US
dc.personcode 111643 en_US
dc.personcode 0000071044 en_US
dc.personcode 0000071049 en_US
dc.personcode 0000069172 en_US
dc.percentage 100 en_US
dc.classification.name Public Health and Health Services en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity 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


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