A Systematic Review And Meta-Analysis Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma...

A Systematic Review And Meta-Analysis

Prof. Doutor João A. Fonseca Introdução à Medicina I Turma 3

It is not known if and how cellular phone based

technologies improve outcomes in what concerns

the monitoring of chronic diseases and the

relation between patients and caregivers.


Background

Increasing frequency

Improvement of the relationship between the doctor and patients

Promotion of an healthier behavior

Self-care promotion

Information exchange and emotional support

Management of the demand for health services


Aims

Investigate if cellular phone based technologies can help patients in the process of monitoring their illnesses

Analyze if these technologies improve clinical outcomes

Verify the feasibility and usability of these technologies


Methods

Systematic Review and Meta-Analysis

Scientific Article as the unit of analysis

Databases: PubMed, AtoZ, UpToDate, ISI Web of Knowledge, Google Scholar and SCOPUS


Expected Results

It is possible that patients have evaluated these technologies positively.

Professionals may have some doubts about their benefits.

Mobile phone based technologies may be costly.

Some patients may show some difficulties due to their weak familiarity with cellular phone use, age or level of education.


Keywords

Cellular PhoneMonitoring, PhysiologicChronic Diseases


Basic conceptsBasic concepts

MonitoringMonitoringChronic diseasesChronic diseasesCellular phone-based Cellular phone-based

TechnologyTechnology

Fig.1_Basic concepts


Patient with chronic diseases or victims of aggressive and toxic treatments

Quickly communication of symptoms

Healthcare professional

Communication of adapted treatment

Fig.2 _ The use of cellular phone-based technologies


This technology is becoming more common can provide a direct link between patient and caregiver improvement of the quality of life

It is still costly Can cause difficulties in its use due to weak familiarity

Chronic patients Victims of aggressive/toxic treatments But…


In order to solve our problem, we will use…

Unity of analyze

Studies related to the application of cellular phone based-technologies to patients with chronic diseases


Increasing interest

Worth exploring subject

Need to sum up the published studies

Cellular phone-based technologies for monitoring Pacients with Chronic Diseases

New monitoring and communication technologies

available

Need to determine if its use can really

improve medical results

Fig.3_ Justification of the study


AimsAims

Summarization of the available data;

Identify in what ways cellular phone-based technologies can improve the monitoring of patients;

Verify the feasibility and usability of this technologies;

Understand the advantages of these technologies against the usual methods;

Analyze clinical outcomes, specially the improvement of quality of life, and economical outcomes.


Hilary Pinnock, Roger Slack, Claudia Pagliari, David Price, Aziz Sheikh; Understanding the potential role of mobile phone-based monitoring on asthma self-management: qualitative study; Clin Exp Allergy. 2007 May;37(5):794-802; Available at: www.pubmed.pt 26-10-2007.

http://www.who.int/en/, Available on 1-11-2007. Morak J, Kollmann A, Schreier G; Feasibility and usability of a home monitoring concept based on mobile

phones and near field communication (NFC) technology; Medinfo. 2007; 12 (Pt 1):112-6; Available at: www.pubmed.pt 26-10-2007.

Huong Q. Nguyen, RN, PhD, Seth Wolpin, RN, PhD, Kuan-Chun Chiang, BSN, DorAnne Cuenco, RN, PhD, and Virginia Carrieri-Kohlman, RN, DNSc; Exercise and Symptom Monitoring with a Mobile Device; AMIA Annu Symp Proc. 2006; 2006: 1047; Available at: www.pubmed.pt 26-10-2007.

Kovacs F, Horvath C, Torok M, Hosszu G.; Fetal breathing transmission in phonocardiographic monitoring telemedicine systems; Conf Proc IEEE Eng Med Biol Soc. 2006; 1: 5226-9; Available at: www.pubmed.pt 26-10-2007.

Spaniel F, Vohlídka P, Hrdlička J, Kožený J, Novák T, Motlová L, Cermák J, Bednařík J, Novák D, Höschl C.; ITAREPS: Information Technology Aided Relapse Prevention Programme in Schizophrenia; Schizophr Res. 2007 Oct; Available at: www.pubmed.pt 26-10-2007.

Boland, Peter PhD; Quality Management and Measurement; Journal of Ambulatory Care Management 30(2):126-33, April/June 2007. Available at: www.pubmed.pt 26-10-2007.

Jun BG, Park KS, Kim SS, Park MS, Kim KA, Lee TS, Cha EJ.; Miniatured blood glucose measurement module interfaced with cellular phone; Studies in Health Technology and Informatics, Volume 122, 2006; Available at: www.pubmed.pt 26-10-2007.

Weaver A, Young AM, Rowntree J, Townsend N, Pearson S, Smith J, Gibson O, Cobern W, Larsen M, Tarassenko L.; Application of mobile phone technology for managing chemotherapy-associated side-effects , Ann Oncology 2007 Oct 5. Available at: www.pubmed.pt 26-10-2007.


Alexandra Azevedo Ana Luísa Graça Ana Luísa Pardilhó Ana Sofia Lisboa Ana Sofia Pessoa Diogo Miguel Fernando Sá Joana Cunha Maycoll Vieira Pedro Lopes Pedro Souteiro Sara Coelho Susana Carrilho


A Systematic Review And Meta-Analysis Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma...

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