Teleconsultation in type 1 diabetes mellitus (TELEDIABE).
Source: Bertuzzi, F., et al. 2018 - Pubmed ID: 29209814
Setting: Italy, 2 diabe-tes cen-ters
RCT
Follow up: 12 monts.
Sample size:
Total: 77 (74
IG: 37 (35)
CG: 40 (39)
Inclusion criteria:
Diabetes 1,
5-50 years old
Video consulta-tion
Web
– Booking of consultations
– Education and training
Intervention: Teleconsultation via web with a diabetologist every 4th month. Before consultation patients send glycemic profiles via email. During teleconsultations general condition is discussed, clinical data analyzed, evaluation of therapy, plan follow up. Teleeducational tools are available at a web project portal.
Duration: 12 months
Add on: –
Control group:
Usual care
Clinical effect:
– HbA1c →
-Chronic complications (freq) →
Patient safety:
– Severe hypoglycemia (emergency room ↓
Patient experiences
Satisfaction:
High on service, comfort, improvement of diabetes management. All participants interested to continue project.
Mean time saved: 115 ± 86min
Average cost reduction: 80 euro (range 10-400 euro)
Staff experiences: NA
Investment:
Equipment:
– video equipment
– Web site
Staff resources:
– Technical training
Organization
NA
Running:
Staff resources:
– Teleconsultation
Technical:
-website
Health care utilization:
– Severe hypoglycemia (emergency room) ↓