Type 2 & other diabetes

Effectiveness of synchronous teleconsultation for patients with type 2 diabetes mellitus: a systematic review and meta-analysis

BMJ Open Diabetes Res CarePublished Systematic review and meta-analysis of randomised trials

Pooled result · HbA1c (%)Result — go to the resultPooled MD 0.35 95% CI 0.20–0.49

Authors' 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

OutcomePooled MD (kg/m²) (95% CI)
BMIn=699; no significant effect0.08 (−0.54 to 0.69)
OutcomePooled MD (mm Hg) (95% CI)
SBPn=5512; no significant effect1.32 (−0.09 to 2.73)
DBPn=2898; no significant effect0.17 (−1.18 to 1.52)
OutcomePooled MD (mg/dL) (95% CI)
LDL-Cn=5276; no significant effect3.21 (−1.75 to 8.17)

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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