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A Meta-Analysis of the Effectiveness of Telemedicine in Glycemic Management among Patients with Type 2 Diabetes in Primary Care

Author

Listed:
  • Anqi Zhang

    (School of Nursing, School of Public Health, Yangzhou University, Yangzhou 225000, China)

  • Jinsong Wang

    (School of Nursing, School of Public Health, Yangzhou University, Yangzhou 225000, China
    Yangzhou Commission of Health, Yangzhou 225000, China)

  • Xiaojuan Wan

    (School of Nursing, School of Public Health, Yangzhou University, Yangzhou 225000, China)

  • Ziyi Zhang

    (School of Nursing, School of Public Health, Yangzhou University, Yangzhou 225000, China)

  • Shuhan Zhao

    (School of Nursing, School of Public Health, Yangzhou University, Yangzhou 225000, China)

  • Zihe Guo

    (Yangzhou Commission of Health, Yangzhou 225000, China)

  • Chufan Wang

    (School of Nursing, School of Public Health, Yangzhou University, Yangzhou 225000, China)

Abstract

Introduction : Telemedicine interventions are gradually being used in primary health care to help patients with type 2 diabetes receive ongoing medical guidance. The purpose of this study was to analyze the effectiveness of using telemedicine in primary health care for the management of patients with type 2 diabetes. Methods : A systematic search was conducted from database inception to August 2021 in nine databases, including PubMed, Web of Science, Cochrane Library, EMBASE, EBSCO, CNKI, Wanfang Data, VIP, and CBM. Data extraction and quality assessment were performed for studies that met the inclusion criteria. The meta-analysis was performed using Review Manager 5.4 (Cochrane) and Stata v.16.0SE (College Station, TX, USA). Results : A total of 32 articles were included in this study. Analysis showed a reduction in glycated hemoglobin, fasting glucose, and postprandial glucose after the telemedicine intervention. Systolic blood pressure and self-efficacy improved significantly, but there was no significant improvement in weight, lipid metabolism, or diabetes awareness. Subgroup analysis based on the duration of intervention showed significant improvement in glycated hemoglobin at 6 months of intervention. Conclusions : Telemedicine interventions may help patients with type 2 diabetes to effectively control blood glucose and improve self-management in primary health care. There is only moderate benefit, and the benefit may not be sustained beyond 6 months. However, the evidence for the improvement in lipid metabolism is insufficient and further studies are needed.

Suggested Citation

  • Anqi Zhang & Jinsong Wang & Xiaojuan Wan & Ziyi Zhang & Shuhan Zhao & Zihe Guo & Chufan Wang, 2022. "A Meta-Analysis of the Effectiveness of Telemedicine in Glycemic Management among Patients with Type 2 Diabetes in Primary Care," IJERPH, MDPI, vol. 19(7), pages 1-25, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4173-:d:784556
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    References listed on IDEAS

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    1. Natalie Robson & Hassan Hosseinzadeh, 2021. "Impact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials," IJERPH, MDPI, vol. 18(22), pages 1-18, November.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    3. Yanmei Wang & Ming Li & Xinxiang Zhao & Xinxin Pan & Min Lu & Jing Lu & Yan Hu, 2019. "Effects of continuous care for patients with type 2 diabetes using mobile health application: A randomised controlled trial," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(3), pages 1025-1035, July.
    4. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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