Effectiveness of synchronous teleconsultation for patients with type 2 diabetes mellitus: a systematic review and meta-analysis
Pooled result · HbA1c (%)Result — go to the resultPooled MD 0.35 95% CI 0.20–0.49Authors' conclusion
Thus, synchronous teleconsultation could be an alternative to usual care.
Study context
- Population
- Adults with T2D; RCTs searched from inception to July 202127 RCTs
- Comparison
- Synchronous teleconsultation vs usual care
- Outcome
- HbA1c (%)
Methodological detailsrandom-effects models, Cochrane risk-of-bias tool
- Random-effects models
- Cochrane risk-of-bias tool
Pooled result
As reported in the abstract
Pooled MD
0.35
95% CI 0.20–0.49
P < 0.001
Synchronous teleconsultationvs Usual care
pooled MD 0.35 (95% CI 0.20–0.49); P < 0.001
Further pooled results
| Outcome | Pooled MD (kg/m²) (95% CI) | |
|---|---|---|
| BMIn=699; no significant effect | 0.08 (−0.54 to 0.69) | |
| −1−0.500.51Difference, kg/m² (linear scale) |
| Outcome | Pooled MD (mm Hg) (95% CI) | |
|---|---|---|
| SBPn=5512; no significant effect | 1.32 (−0.09 to 2.73) | |
| DBPn=2898; no significant effect | 0.17 (−1.18 to 1.52) | |
| −2024Difference, mm Hg (linear scale) |
| Outcome | Pooled MD (mg/dL) (95% CI) | |
|---|---|---|
| LDL-Cn=5276; no significant effect | 3.21 (−1.75 to 8.17) | |
| −50510Difference, mg/dL (linear scale) |
Patient-reported outcomes (depression, medication adherence, quality of life)
- Effect of teleconsultation on patient-reported outcomes was uncertain
Original publication
Effectiveness of synchronous teleconsultation for patients with type 2 diabetes mellitus: a systematic review and meta-analysis. BMJ Open Diabetes Res Care. Published 23 February 2023. doi:10. 1136/ bmjdrc-2022-003180
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