Effectiveness of a telemonitoring intensive strategy in early rheumatoid arthritis: comparison with the conventional management approach.

Source: Salaffi et al. 2016 - Pubmed ID: 27038788

Setting: Italy, University hospital

Study design:

RCT

 

Follow up: 1 year

Patient group:

Sample size:

Total: 44

IG: 21

CG: 20

 

Inclusion criteria:

  • Early rheumatoid arthritis (ERA)
Type of technology:

Home monitoring (web platform (RETE-MARCHE))

  • Data
  • Disease activity
  • Demographics
  • Monitoring:
    – Disease
    – Alarms
Intervention:

Intervention: Telemonitoring intensive strategy in reaching remission and comprehensive disease control (CDC). 13 visits: 5 face-to-face visits and 8 televisits. Clinicians are notified by alarms and contact the patient, if necessary


Duration
: 1 year
Add on: NA

 

Control group: Usual care

Clinical effect/ Patient safety:

Clinical effect:

  • Remission↑
  • Time to remission↑
  • Functional impairment↑
  • Joint damage↓
  • CDC rate↑

 

Patient safety: NA

Patient experiences/ Staff experiences:

Patient experiences:

  • Overall average satisfaction of 4,28/5
  • 90,5 % said that they would use the system in the future

 

Staff experiences: NA

Costs and organization:

Investment:
Equipment

  • RETE-MARCHE development

 

Running
Equipment

  • RETE-MARCHE

Staff

  • Monitoring
  • Patient technical training
  • Technical support

 

Organization: NA

 

Health care utilization: NA

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)