The Impact of Virtual Consultations on Quality of Care for Patients With Type 2 Diabetes: A Systematic Review and Meta-Analysis
Pooled result · HbA1c reductionResult — go to the resultSMD −0.31 95% CI −0.71 to 0.09Authors' conclusion
VCs offer a promising alternative to in-person care
Study context
- Population
- Adult T2D patients; studies January 2010–December 2024 (PubMed/MEDLINE, Cochrane, Embase, CINAHL, Web of Science)
- Participants
- 821,014 patients15 studies
- Comparison
- Virtual consultations vs face-to-face care
- Outcome
- HbA1c reduction
Methodological detailsrandom-effects models, narrative synthesis, Mixed Methods Appraisal Tool (MMAT) quality assessment
- Random-effects models
- Narrative synthesis
- MMAT quality assessment
Pooled result
As reported in the abstract
SMD
−0.31
95% CI −0.71 to 0.09
P = 0.12
VCsvs Face-to-face
SMD −0.31 (95% CI −0.71 to 0.09); P = 0.12
Further pooled results
National Academy of Medicine (NAM) quality domains (narrative synthesis)
- VCs comparable with face-to-face care in effectiveness, efficiency, patient-centeredness and timeliness, with improvements in accessibility and patient satisfaction
- Mixed results for equity, with older adults and those with lower digital literacy facing more challenges
Safety
Safety domain
- Mixed results for safety due to limitations in physical assessments
Original publication
The Impact of Virtual Consultations on Quality of Care for Patients With Type 2 Diabetes: A Systematic Review and Meta-Analysis. J Diabetes Sci Technol. Published 17 February 2025. doi:10.
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