The efficiency of telemedicine to optimize metabolic control in patients with type 1 diabetes mellitus: Telemed study.

Source: Esmatjes, E., et al. 2014 - Pubmed ID: 24528195

Setting: Spain, Five hospitals

Study design:

RCT

Follow up: 6 months

Patient group:

Sample size:

Total: 154 ( 118)

IG: 78 (54)

CG: 76 (64)

Inclusion criteria:

Diagnosed

with type 1 diabetes at least 5 years previously

– 18–55 years

– HbA1c >8%

Type of technology:

Home monitoring equipment

– Glucometer

 

Web site

– Data transfer

(www.medicalguard.

net)

Phone call

– Teleconsultation.

Intervention:

Intervention:

– Patients carry out three self-monitoring of blood glucose tests per day and opload data once a month following response from diabetes team via telephone

Duration: 6 months

Add on:

Control group:  All the visits at hospital.

Clinical effect/ Patient safety:

Clinical effect:

– Total time spent by pt follow up visits ↓

– Estimated transportation cost ↓

– Length of appointments with diabetes team ↓

HbA1c:

– IG ↓

– CG ↓

Patient safety: NA

Patient experiences/ Staff experiences:

Patient experiences:

– Total time spent by pt follow up visits ↓

– Estimated transportation cost ↓

Staff experiences: NA

Costs and organization:

Investment:

Home monitoring equipment

– Blood glucose

Development of webpage/platform (www.medicalguard.

net)

Running:

Staff resources

– Training pt.

– Telephone consultation

Organization:

NA

Health care utilization:

– Length of appointments with diabetes team ↓

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)