Teleconsultation in type 1 diabetes mellitus (TELEDIABE).

Source: Bertuzzi, F., et al. 2018 - Pubmed ID: 29209814

Setting: Italy, 2 diabe-tes cen-ters

Study design:

RCT

Follow up: 12 monts.

Patient group:

Sample size:

Total: 77 (74

IG: 37 (35)

CG: 40 (39)

Inclusion criteria:

Diabetes 1,

5-50 years old

Type of technology:

Video consulta-tion

Web
– Booking of consultations
– Education and training

Intervention:

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/ Patient safety:

Clinical effect:
– HbA1c →
-Chronic complications (freq) →

Patient safety:
– Severe hypoglycemia (emergency room ↓

Patient experiences/ Staff experiences:

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

Costs and organization:

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) ↓

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)