Cellular Phone-Based Technologies For Monitoring Of Patients With Chronic Diseases

Systematic Review And Meta-Analysis

Systematic Review And Meta-Analysis

Basic concepts

Justification

Problem / Research Question

Key words

Aims

Methods

Expected results

Structure

Basic Concepts

Chronic Diseases

Cellular Phone-based Technologies

Monitoring

Quality of Life QoL

Patient with chronic diseases or victims of aggressive and toxic

treatments

Quickly communication of symptoms

Healthcare professional

Communication of adapted treatment

Why...

Cellular Phone and its application

Innovation

More available

Related to medical application of the CPT

Articles:

Increasing international interest in this subject [1]

summarize these articles in a methodical way

elucidation about the results that these technologies can achieve [1] Hilary Pinnock, Roger Slack, Claudia Pagliari, David Price, Aziz Sheikh; Understanding the potential role of mobile

phonebased monitoring on asthma self-management: qualitative study; Clinical and Experimental Allergy. 2007 May;37(5):794-802; Available at: www.pubmed.com 26-10-2007.

“Are cellular phone based technologies monitoring feasible for patients with chronic diseases and

does it improve their quality of life?”

Problem / Research Question

Key Words

Cellular Phone

Monitoring, Physiologic

Chronic Diseases

To verify the feasibility and usability of these technologies

Aims

To analyse clinical outcomes:

which type of pathology is best suited for CPT monitoring;

what kind of applications improves the monitorization of each pathology

the improvement of quality of life with the use of CPT

Methods

Query

The search terms will include the following, their synonymous and, when applicable, equivalent MESH terms: [(monitoring)

OR (telemonitoring)] AND [(cellular phone-based technologies) OR (mobile phone-based technologies) OR (cellular phone) OR (mobile phone)] AND [(chronic diseases) OR (chronic patients)

OR (cancer) OR (nephrologic diseases) OR (kidney insuficiency) OR (asthma) OR (respiratory chronic diseases)

OR (COPD) OR (diabetes) OR (cardiovascular disease)]

Inclusion Criteria Exclusion Criteria

Articles published in the last 10 yearsArticles containing original dataCellular phone-based technologies (CPT)Articles about the application of CPT in patientsMonitoring of people with chronic diseases (according to WHO definition)

Use of cellular-phone for interviewing patients about other issues unrelated to disease monitoring;Articles that describe technologies and their development.

Type of technology studied;

Year of the study;

Country of origin of the study;

Type of study;

Type of technology studied;

Type of pathology studied;

Number of participants;

Duration of study;

Use of the studied CPT;

Evaluation of patients’ quality of life;

Physicians’ opinion about CPT use;

Patients’ opinion about CPT use.

Variables Studied

Data Synthesis

Descriptive analysis Quantitative analysis

using

SPSS

Meta-analysis

performing

Variables extracted

Beginning

Read title and abstract

Excluded by 2 reviewess?

Exclude article

Included by 2 reviewers?

Include article

Read complete

article

Discuss until reviewers’ agreement

Introduce data in SPSS

Include article

Exclude article

End

Yes

No

Yes No

Decision

Data analysis

Excluded by 2 reviewess?

Exclude article

Included by 2 reviewers?

Include article

Discuss until reviewers’ agreement

YesNo

YesNo

Decision

Include article

Exclude article

Suficient data for inclusion/exclusion?

Yes

No

Inclusion and exclusion criteria

•Pubmed,•ISI Web of Knowledge, •Google Scholar •SCOPUS

Databases

Expected Results

Cellular phone-based technologies (CPT) have important advantages for patient monitoring: high portability and mobility [1];

Provide benefits for doctors and patients by improving their communication [2];

CPT improve patients’ quality of life [2];

Patients can have some difficulties working with CPT.

[1] Deutsch T, Gergely T; An intelligent partner system for improving chronic illness care, Inform Prim Care; 11(1):13-9, 2003. Available at: www.pubmed.com 26-10-2007.

[2] Hsieh CH, Tsai HH, Yin JW, Chen CY, Yang JC, Jeng SF.; Teleconsultation with the mobile camera-phone in digital soft-tissue injury: a feasibility study; Plast Reconstr Surg. 114(7):1776-82; Dec 2004. Available at: www.pubmed.com 05-12-2007.

References

[1] Hilary Pinnock, Roger Slack, Claudia Pagliari, David Price, Aziz Sheikh; Understanding the potential role of mobile phonebased monitoring on asthma self-management: qualitative study; Clinical and Experimental Allergy. 2007 May;37(5):794-802; Available at: www.pubmed.com 26-10-2007.

[2] Deutsch T, Gergely T; An intelligent partner system for improving chronic illness care, Inform Prim Care; 11(1):13-9, 2003. Available at: www.pubmed.com 26-10-2007.

[3] Hsieh CH, Tsai HH, Yin JW, Chen CY, Yang JC, Jeng SF.; Teleconsultation with the mobile camera-phone in digital soft-tissue injury: a feasibility study; Plast Reconstr Surg. 114(7):1776-82; Dec 2004. Available at: www.pubmed.com 05-12-2007.

Alexandra AzevedoAna Luísa GraçaAna Luísa PardilhóAna Sofia LisboaAna Sofia PessoaDiogo MiguelFernando SáJoana CunhaMaycoll VieiraPedro LopesPedro SouteiroSara CoelhoSusana Carrilho

Class 3

21/12/07