Telehealth for patients with chronic obstructive pulmonary disease (COPD): a systematic review and meta-analysis protocol

Violeta Gaveikaite, Claudia Fischer, Helen Schonenberg, Steffen Pauws, Spyros Kitsiou, Ioanna Chouvarda, Nicos Maglaveras, Josep Roca

Research output: Contribution to journalArticleScientificpeer-review

Abstract

INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a highly prevalent chronic disease characterised by persistent respiratory symptoms. A focus of COPD interventional studies is directed towards prevention of exacerbations leading to hospital readmissions. Telehealth as a method of remote patient monitoring and care delivery may be implemented to reduce hospital readmissions and improve self-management of disease. Prior reviews have not systematically assessed the efficacies of various telehealth functionalities in patients with COPD at different stages of disease severity. We aim to evaluate which COPD telehealth interventions, classified by their functionalities, are most effective in improving patient with COPD management measured by both clinical and resource utilisation outcomes.

METHODS AND ANALYSIS: We will conduct a systematic review which will include randomised controlled trials comparing the efficacy of telehealth interventions versus standard care in patients with COPD with confirmed disease severity based on forced expiratory volume(%) levels. An electronic search strategy will be used to identify trials published since 2000 in MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, CINHAL. Telehealth is described as remote monitoring and delivery of care where patient data/clinical information is routinely or continuously collected and/or processed, presented to the patient and transferred to a clinical care institution for feedback, triage and intervention by a clinical specialist. Two authors will independently screen articles for inclusion, assess risk of bias and extract data. We will merge studies into a meta-analysis if the interventions, technologies, participants and underlying clinical questions are homogeneous enough. We will use a random-effects model, as we expect some heterogeneity between interventions. In cases where a meta-analysis is not possible, we will synthesise findings narratively. We will assess the quality of the evidence for the main outcomes using GRADE.

ETHICS AND DISSEMINATION: Research ethics approval is not required. The findings will be disseminated through publication in a peer-reviewed journal.

PROSPERO REGISTRATION NUMBER: CRD42018083671.

Original languageEnglish
Pages (from-to)e021865
JournalBMJ Open
Volume8
Issue number9
DOIs
Publication statusPublished - 19 Sep 2018

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Patient Readmission
Forced Expiratory Volume
Physiologic Monitoring
Disease Management
Ethics
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Gaveikaite, Violeta ; Fischer, Claudia ; Schonenberg, Helen ; Pauws, Steffen ; Kitsiou, Spyros ; Chouvarda, Ioanna ; Maglaveras, Nicos ; Roca, Josep. / Telehealth for patients with chronic obstructive pulmonary disease (COPD) : a systematic review and meta-analysis protocol. In: BMJ Open. 2018 ; Vol. 8, No. 9. pp. e021865.
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abstract = "INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a highly prevalent chronic disease characterised by persistent respiratory symptoms. A focus of COPD interventional studies is directed towards prevention of exacerbations leading to hospital readmissions. Telehealth as a method of remote patient monitoring and care delivery may be implemented to reduce hospital readmissions and improve self-management of disease. Prior reviews have not systematically assessed the efficacies of various telehealth functionalities in patients with COPD at different stages of disease severity. We aim to evaluate which COPD telehealth interventions, classified by their functionalities, are most effective in improving patient with COPD management measured by both clinical and resource utilisation outcomes.METHODS AND ANALYSIS: We will conduct a systematic review which will include randomised controlled trials comparing the efficacy of telehealth interventions versus standard care in patients with COPD with confirmed disease severity based on forced expiratory volume({\%}) levels. An electronic search strategy will be used to identify trials published since 2000 in MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, CINHAL. Telehealth is described as remote monitoring and delivery of care where patient data/clinical information is routinely or continuously collected and/or processed, presented to the patient and transferred to a clinical care institution for feedback, triage and intervention by a clinical specialist. Two authors will independently screen articles for inclusion, assess risk of bias and extract data. We will merge studies into a meta-analysis if the interventions, technologies, participants and underlying clinical questions are homogeneous enough. We will use a random-effects model, as we expect some heterogeneity between interventions. In cases where a meta-analysis is not possible, we will synthesise findings narratively. We will assess the quality of the evidence for the main outcomes using GRADE.ETHICS AND DISSEMINATION: Research ethics approval is not required. The findings will be disseminated through publication in a peer-reviewed journal.PROSPERO REGISTRATION NUMBER: CRD42018083671.",
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Gaveikaite, V, Fischer, C, Schonenberg, H, Pauws, S, Kitsiou, S, Chouvarda, I, Maglaveras, N & Roca, J 2018, 'Telehealth for patients with chronic obstructive pulmonary disease (COPD): a systematic review and meta-analysis protocol', BMJ Open, vol. 8, no. 9, pp. e021865. https://doi.org/10.1136/bmjopen-2018-021865

Telehealth for patients with chronic obstructive pulmonary disease (COPD) : a systematic review and meta-analysis protocol. / Gaveikaite, Violeta; Fischer, Claudia; Schonenberg, Helen; Pauws, Steffen; Kitsiou, Spyros; Chouvarda, Ioanna; Maglaveras, Nicos; Roca, Josep.

In: BMJ Open, Vol. 8, No. 9, 19.09.2018, p. e021865.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Telehealth for patients with chronic obstructive pulmonary disease (COPD)

T2 - a systematic review and meta-analysis protocol

AU - Gaveikaite, Violeta

AU - Fischer, Claudia

AU - Schonenberg, Helen

AU - Pauws, Steffen

AU - Kitsiou, Spyros

AU - Chouvarda, Ioanna

AU - Maglaveras, Nicos

AU - Roca, Josep

N1 - © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2018/9/19

Y1 - 2018/9/19

N2 - INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a highly prevalent chronic disease characterised by persistent respiratory symptoms. A focus of COPD interventional studies is directed towards prevention of exacerbations leading to hospital readmissions. Telehealth as a method of remote patient monitoring and care delivery may be implemented to reduce hospital readmissions and improve self-management of disease. Prior reviews have not systematically assessed the efficacies of various telehealth functionalities in patients with COPD at different stages of disease severity. We aim to evaluate which COPD telehealth interventions, classified by their functionalities, are most effective in improving patient with COPD management measured by both clinical and resource utilisation outcomes.METHODS AND ANALYSIS: We will conduct a systematic review which will include randomised controlled trials comparing the efficacy of telehealth interventions versus standard care in patients with COPD with confirmed disease severity based on forced expiratory volume(%) levels. An electronic search strategy will be used to identify trials published since 2000 in MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, CINHAL. Telehealth is described as remote monitoring and delivery of care where patient data/clinical information is routinely or continuously collected and/or processed, presented to the patient and transferred to a clinical care institution for feedback, triage and intervention by a clinical specialist. Two authors will independently screen articles for inclusion, assess risk of bias and extract data. We will merge studies into a meta-analysis if the interventions, technologies, participants and underlying clinical questions are homogeneous enough. We will use a random-effects model, as we expect some heterogeneity between interventions. In cases where a meta-analysis is not possible, we will synthesise findings narratively. We will assess the quality of the evidence for the main outcomes using GRADE.ETHICS AND DISSEMINATION: Research ethics approval is not required. The findings will be disseminated through publication in a peer-reviewed journal.PROSPERO REGISTRATION NUMBER: CRD42018083671.

AB - INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a highly prevalent chronic disease characterised by persistent respiratory symptoms. A focus of COPD interventional studies is directed towards prevention of exacerbations leading to hospital readmissions. Telehealth as a method of remote patient monitoring and care delivery may be implemented to reduce hospital readmissions and improve self-management of disease. Prior reviews have not systematically assessed the efficacies of various telehealth functionalities in patients with COPD at different stages of disease severity. We aim to evaluate which COPD telehealth interventions, classified by their functionalities, are most effective in improving patient with COPD management measured by both clinical and resource utilisation outcomes.METHODS AND ANALYSIS: We will conduct a systematic review which will include randomised controlled trials comparing the efficacy of telehealth interventions versus standard care in patients with COPD with confirmed disease severity based on forced expiratory volume(%) levels. An electronic search strategy will be used to identify trials published since 2000 in MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, CINHAL. Telehealth is described as remote monitoring and delivery of care where patient data/clinical information is routinely or continuously collected and/or processed, presented to the patient and transferred to a clinical care institution for feedback, triage and intervention by a clinical specialist. Two authors will independently screen articles for inclusion, assess risk of bias and extract data. We will merge studies into a meta-analysis if the interventions, technologies, participants and underlying clinical questions are homogeneous enough. We will use a random-effects model, as we expect some heterogeneity between interventions. In cases where a meta-analysis is not possible, we will synthesise findings narratively. We will assess the quality of the evidence for the main outcomes using GRADE.ETHICS AND DISSEMINATION: Research ethics approval is not required. The findings will be disseminated through publication in a peer-reviewed journal.PROSPERO REGISTRATION NUMBER: CRD42018083671.

U2 - 10.1136/bmjopen-2018-021865

DO - 10.1136/bmjopen-2018-021865

M3 - Article

C2 - 30232108

VL - 8

SP - e021865

JO - BMJ Open

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